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Home My WebLink AboutH2021-0335 - Permitswt City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIII�III�IIIIIIII�IIII ' 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 3 5 r:. Permit Counter Phone .(949)f,44-3288 9�: Job Address: 1017 SANDCASTLE DR BIdg:1 Floor: Suite: Description of Work: MECH INSTALL (2) HEAT PUMPS @ THE SIDE YARD "TAMPER RESISTANT CAP REQ" Inspector Area:6 Code Edit: 2019 Legal Description: N TR 6425 LOT 78 Owner: PEDERSEN NIELS & STEPHANIE Contractor: Address: 1017 SANDCASTLE DR Address: CORONA DEL MAR CA 92625 Phone: 949-228-2833 Phone: Con State Lic: Issued Date:05/21/2021 Lic Expire: �1 Bus Lic: a1 le ` Processed By: Lic Exp Date: CORNERSTONE CONSTUCTION 15540 ROCKFIELD BLVD STE A 110 IRVINE, CA 92618 949-369-1979 1033864 12/31/2021 MECHANICAL Permit: H2O21-0335 Project No : 2842-2019 Inspection Requests Phone (949)644-3255 °°°• ° e , 3 ° °°• �C�EC;-r: ° a Worker's Comp Insurance - ° Carrier: ACCREDITED SURETY & CASUALTY °, ...° Policy No: 1ATCA160006212 ° ° ° o • ° Expire :11122/2021 BT30061583 &TBJECT TO FIELD INSPECT®R'3 12/31/2021 KEVIEW AND APPROVAL TIMERS PROHIBITED... ON HEAT PUMPS HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Over 500K BTU/hr: 2 $76.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $66.12 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AOU60RLAVM Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: FUJITSU Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $225.37 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $225.37 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. INER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have. placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priato its-N-glance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). 1, as owner W414a property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iiness and PrpWs ons Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements ate•no4 intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the puTose of sale). I, es owner of fhe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 11y loan owner of Qroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from Ijcensure under the Contractors' State License Law for the following reason: h}ySlgnature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, ea.structure JU Soave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and fessions Code, is a0ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date 2!A9ED CONTRACTOR'S DECLARATION :reby'affirn urlrie� penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 7000 of Division 3 of a Business and Pr ss' n ode, and my license is in full force •�•••� License No COMPENSATION DECLARATION ActorSignature FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 9rmance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa Trance carrier and policy number are: Policy Number Date ne of Agent Nnone s certify that, in the performance t e w for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become subject th s' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 �J nature of Appl e CLARATION R1 NSTRUCTION LENDING AGENCY �— weby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( ction 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have prOVd i orrect. I agree to comply with all applicable city and county or irriia nd stat ws relating to building construction. I authorize representatives of this city or county to oar ve-i tified property for inspection purposes. r�''� 1 �/ nature of Property Owner or Authorized Agen Print Property Owner's or Authorized AINIk Flame , ��i YCL/ / D 1 �J to ACTION DATE 61 BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMDRULE1403- PERMITEXP€RED 0 1 SUBUTTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD.. PERMIT CANCELLED PERMfTEXTENDED ❑ ASBESTOS N077RCAIIOAI IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMIT FINAL .�^I"1�2Z- w.� CERTIFICATEOf SIGNATURE: OCCUPANCYISSUED