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Home My WebLink AboutH2022-0276 - Permitsw „ City of Newport Beach - Building Division H2O22-0276 100 Civic Center Drive, Newport Beach, CA 92660 t. Permit Counter Phone (949)644-3288. INSPECTOR MECHANICAL Permit: H2O22-0276 Project No : 1051-2020 Inspection Requests Phone (949)644-3255 Job Address: 1737 SKYLARK LN BIdg:1 Floor: Suite: Description of Work: MECH: (N) A/C UNIT AT SIDE YARD. **TAMPER RESISTANT CAPS REQUIRED; TIMER (SHUT OFF 10:00PM TO 7:OOAM) REQUIRED** (X2020-1363) Inspector Area:3 Code Edit: 2019 Legal Description: N TR 3097 LOT 13 Owner: DANIEL WILLIAM Contractor: Address: 1737 SKYLARK LN Address: NEWPORT BEACH, CA 92660 Phone: 714-907-7054 Phone: Con State Lic: Issued Date:05/27/2022 Lic Expire: pp S_ S Bus Lic: Processed By: Lic Exp Date: 6 OWNER/BLDR Worker'sCompinsurance- ®•0•°° q DANIELWILLIAM Carrier: qs• ••• ®®•®•• O/BFORM ATTACHED Policy No: ° •° •°: 714-907-7054 Expire : • ° O/B J 9 J q • qp q •5• tle • vM P .tl i ®0Gq• py �0• • • i tlC )B9• HVAC Items FEES q 9 FurnacesBoilers 8 Compressors Ventilation q Other gJtl 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: 1 $39.00 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: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $33.93 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: GSX140601KIssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $162.93 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $162.93 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. TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for le 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 rofessions Code) or that he or she is exempt from licensure 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 rt more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do J all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions 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 iprovements are not 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 ipSoved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property 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 licensure under the Contractors' State License Law for the following reason: y my signature galewr 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 legally all a structure %q tl;2ve 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 Bus ess and '�ciiasBjDns Co�e��s available upon request when this application is submitted.( at the Mowing Web site:http://www.leginfo.ca.gOV/Galaw.html. y S/Z -z j 1 ignatute of Property Owner or Authorized Agent >C �4.Q- /✓ w.cu^' _ Date/. L .7(;ENSED CSN-rIiACTOR'S DECLARATION — hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. % ic%15e Class!•-� License No Date Contractor Signature VORKERS' MililPSNSATION DECLARATION rARNW& FAILURE TO -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. E�ftl terebf affirm underpenalty of perjury one of the following declarations: . I; ,hove and tVlll 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 th QrtoZMance ofthe work for which this permit is issued. Policy No. 3 have and %M11 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' compensatio isurance carrier and policy number are: ;arrier Policy Number Expiration Date of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any . if I should become subiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall of so as to become subject to the workers' compensation laws of California, and agree i comply with those provisions. / Date' hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above-i ntified property for inspection purposes. ;innanlre of Prooertv Owner or Authorized Agent � KYY - r� - Print Property Owner's for Authorized Agent's Name/, (Jilt aA~r'�l �-� ' ACTION DATE BY �r4.�..r..i,........., , .,..,...�....,........�... FEDERAL REGULATIONSPART 61 OF T17LE40 AND AQMD RULE 1403. ❑ I SUBM17TEDASBESTOS NOTIFICATION TO: EPA ❑ ASBEAMD SQOSNOTIFfCARON IS NOT APPLICABLE TO DEMOLITION. SIGNATURE: PERMIT EXPIRED PERMIT CANCELLED - PERMITEXTENt7EO - - PERMIT FINAL 171,PROPOSED CERTTFICATEOF OCCUPANCYI55UED 'nfo