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Home My WebLink AboutH2022-0108 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O22-0108 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 1 0 8 Project No : 2846-2019 Permit Counter Phone (949)644-3288 ��=;... Inspection Requests Phone (949)544-3255 Job Address: 710 AVOCADO AVE BIdg:1 Floor: Suite: Description of Work: MECH (2) A/C UNITS *TAMPER RPOOF CAP REQ* ' -c_ ! Inspector Area:5 Code Edit: 2019 Legal Description: N TR 682 LOT 7 Owner: PAINTER ROBERT/DEBORAH Contractor: FOLGER HEATING & AIR INC Worker's Comp Insurance - - - Address: 730 AVOCADO AVE Address: 8842 LUSS DR Carrier: CLEAR SPRING PROPERTY - - CORONA DEL MAR, CA 92625 HUNTINGTON BCH CA 92646 Policy No: CWC00194500 Phone: Phone: 714-334-4433 Expire :10/0112022 Con State Lic: 763312 Issued Date:0212812022 Lic Expire: 04/30/2022 Bus Lic: BT30047641 Processed By: Lic Exp Date: 06130/2022 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to IOOK BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 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 1 OOK 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: $38.28 Up to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Madel: AULD60W21ssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over IOK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 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. IWNER-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, prior to its issuance, also requires the applicant for ie 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 of 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, lusiness 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or nproved 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: ly 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 legalh ell 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 ',ofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Nvww.leginfo.ca.gov/calaw.html. „gaa.a.E of Property Owner or Authorized Agent Date .ICENSED COI:7RA--TOR'S DECLARATION 'ter:by affirm undc, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a d Pro a ns Code, and my license is in full force rid nse C. \ / �J rid effect. Class _ _ License No Date I/ \��oniractor Signature/ \ 1� CORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE in SFCURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IPT CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hef^.Fgrffirm under penalty of perjury one of the following declarations: ' I have and will n.aiutain 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 r, .-,a.ice of the work for which this permit is issued. Policy No. I 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' compensatioi Isurance carrier and policy number are: Policy Number of Agent Date I 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 It, if I should becomes bjpe to the worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov Ilpns. (nature of Applicant —7;? Date./\. :CLARATION REG DIN NSTRUCTION LENDING AGENCY // ereby 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). rider'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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county f e!t hhe ab a dentified property for inspection purposes. )nature of Property Owner or Authorized Agent j—'o�i Print Property Owner's or Authorized Agent's Name n/ �Day ACTION DATE BY DECLARATION OF COMPLIANCE IMTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 51 OFTITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDEO PROPOSED OE OLITION.nONIS OTAPPLICA8LET0 PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED