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Home My WebLink AboutH2021-0500 - PermitsCity of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 0 0 Permit Counter Phone (949)644-3288 u 4 r'�ttriitigth Job Address: 1228 MARIAN LN BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (3) A/C UNITS 43.5dB, 49dB & 38.5dB (AC PRO; AUD36W/A-D(U), AUD60WAIA-D(U) `ELEC BY OTHERS InspectorArea:3 Code Edit: 2019 Legal Description: N TR 1973 LOT 18 Owner: RENEGADE REAL ESTATE Contractor: FOLGER HEATING & AIR INC Address: 1318 GALAXY DR Address: 8842 LUSS DR NEWPORT BEACH CA 92660 HUNTINGTON BCH CA 92646 Phone: Phone: 714-334-4433 Con State Lic: 763312 Issued Date:08/2612021 Lic Expire: 04/30/2022 Bus Lic: BT30047641 Processed By: Lic Exp Date: 06/30/2022 AC Items FEES •nacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 3 $66.00 Bathroom Fan: 0 $0.00 er 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 ill/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 at Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 to 100K BTUIhr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 3r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 MECHANICAL Permit: H2O21-0500 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : NORGUARD INS CO Policy No: FOWC187726 Expire:1010112021 Fire Dampers: Gas Line: Metal Fireplace: Record Mgt Fee: Additional Fee : Model: Manufacturer: 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 Issuance: Other $0.00 $0.00 Investigation: $0.00 Plan Check: $57.42 $38.00 Zoning PC: $52.00 TOTAL: $213.42 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $213.42 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Mondgy - Friday :99 a.,n,Ao it30 p W nand Saturday from 8:00 a.m. to 6:00 p.m. 3WNER-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) have placed next to the applicable items) 'Section 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 .he 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 iot more than five hundred dollars ($500). ❑ I, as owner of the 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, 3usiness 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 mprovements 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 improved 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 apply 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 fallowing reason: By my signature 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 legally sell a structure that I have 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.ieginfo.ca.govicaiaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 an fessions Code, ar - icense is in full force and effect. t License Class License No Date V f Contractor Signature WORKERS' COMPENSATION DECLARATION ✓DARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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 th ante of the work for which this permit is issued. Policy No. ave and will aln workersco ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol insurance carrier an po cy number e. Expiration Date ne of Agent � v I" "" certify that, in the performance of the rk for which this pe mit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 1, if I should become sulyect�to the workers'.QoTpI \sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision C� nature of Applicant CLARATION REGA IN ONSTRUCTION LADING —AGENCY veby affirm under p nalty 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). 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 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 coun rdinances an state laws relating to building construction. CI Z Pam. I authorize representatives of this city or count t e e abov -identified property for inspection purposes. U Signature of Property Owner or Authorized Agent Print Propert Owner's or Authorized Agent's Na ;6= Dat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61OFTITLE40AND AQMD RULE 140$. ❑ ISU3MITTEDASFESTOSNONFI';Al7GNiD: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSFIP DEMOLITION. SIGNATU.2E. FOR OFFICE USE ONLY PERMITEXPfRED PERA4IT CANCELLED PERMfTEXTENDED PERMIT FINAL CER77FICATEOF OCCUPANCYISSUED