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Home My WebLink AboutH2022-0236 - PermitsCity of Newport Beach - Building Division H2O22-0236 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ci Y` MECHANICAL Permit: H2O22-0236 Project No : 1139-2021 Inspection Requests Phone (949)644-3255 Job Address: 205 AMETHYST AVE BIdg:1 Floor: Suite:' Description of Work: SFR MECH: (2) NEW HEAT PUMPS @ SIDE YARD. **TIMERSYPROHLBITED; TAMPER RESISTANT CAPS REQUIRED** (X2021-1303) Inspector Area:2 Code Edit: 2019 Legal Description: BALBOA ISLAND SEC 3 BILK 19 LOT 26 Owner: BOHLINGER PETER Contractor: GOLDBAUM'S AIRIHEATING Worker's Comp Insurance - Address: 1140 HIGHLAND AVE Address: 1072 B WEST 9TH ST Carrier: FALLS LAKE FIRE MANHATTAN BEACH, CA 90266 UPLAND, CA 91786 Policy No: FLA006238 Phone: Phone: 909-984-2406 Expire :06/30/2022 Con State Lic: 832367 Issued Date:05/05/2022 Lic Expire: 02/29/2024 �j Bus Lic: ST30053286 Processed By: Lic Exp Date: 11/30/2022 4C Items FEES nacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 :r 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 it Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $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 Model: AUD36W/A-D(U) to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO -r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Other P" z $0.00 $0.00 Investigation: $0.00 Plan Check: $38.28 Issuance: $38.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $172.28 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. OWNER -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) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for the 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 Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Pmf�-f ions 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 improvements ar= 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 Durpose of sale). ❑ 1, 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 Lo. 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: 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 Iega111 Sell z Structure that I nave 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 P•rfmva ions Code is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Sin nature of Pi ope r,y Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION h.:reb, affirm u:iderp3nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a ofessions Code, and my license is in full force and effect. License. Class _ License No Date Contractor Signature `\ NORKERS' L;1DMPi,:NSATION DECLARATION NANNING: 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 I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, 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: ❑ 1 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 in 3erformancs of the work forwhich 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' compensatiol Isurance carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # 5 certify that, in the performance of the work 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 agre tat, if I should become ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.(, i signature of Applicant �. Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 y 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 provided is correct. I agree to comply with all applicable city an ounty ordinances and state laws relating to building construction. I authorize representatives of this city or cou nter the above -identified property for inspection purposes. /X` < ignature of Property Owner or Authorized Agent t� Print Property Owner's or Authorized Agent's Name %� �� Date J ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMFFCANCELLED PERMLTEXT€LADED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED