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Home My WebLink AboutH2022-0056 - Permits,gwrr, � City of Newport Beach - Buildir-� Division H2O22--0056 MECHANICAL Permit: H2O22-0056 a- d� 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 0623-2020 =W n Permit Counter Phone (949)644-3288 v $ ty[rpq�µNi�' Inspection Requests Phone (949)644-3255 TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Job Address: 117 BAY FRONT N BIdg:1 Floor: Suite: �ell,� Description of Work: MECH (2) NEW A/C UNITS *TAMPER PROOF CAP REQ* f; Inspector Area:2 Code Edit: 2019 4 e ' Legal Description: BALBOA ISLAND RESUB SEC 1 ELK 2 LOT 5 4 Owner: CAPPARELLI CHRIS & ED Contractor: D L S HEATING & A/C Worker's Comp Insurance - Address: 10182 SQUIRES CIR Address: 8542 LARTHORN DRIVE Carrier: STATE FARM VILLA PARK CA 92861 HUNTINGTON BEACH CA 92646 Policy No: 92GOK7865 ° Phone: 951-256-8656 Phone: 714-231-8002 Expire:01/06/2023 ^� Con State Lic: 584220 - - Issued Date:02/02/2022 Lic Expire: 01/31/2024 •- • W- Bus Lic: BT98040420 Processed By: Lic Exp Date: 12/31/2022 HVAC Items FEES -' FurnacesBoilers & Compressors Ventilation Other Up to 100K 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 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: $38.28 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: N4A52/548GKC Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: 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. 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, 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 (_) 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 mproved 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 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 legall sell a structure that I heve 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 Co&, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Cig ,^ ctir3 of Proparty 'Nner or Authorized Agent ate LICENSED CONTRP.CTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 T) of Division 3 of the Business and Profession d , and my licen Is in full force end tbact. / Li.ensJ. Class License No Date Contractor -Signature WORKERS' COMPENSATION DECLARATION 1.ARA,AJ: FAILURL TO bECJRE 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 r'OsT 7� COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will utaotain 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 the p2-5- :c nce of the work for which this permit is issued. Policy No. -n ndc- iII maimain 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' compensatior me and policy number are: Carrier Policy Number Expiration Date lame of Agent rnuue » I certify that, i7theperf or ante of the work f which this pe"it�is�issued, I shall not employ any person in any manner so as to become subject to the workerg' compensation laws of California, and agre tat, if I should be to the worke compensation provisi s of Section 3700 of the Labor Code, I shall forthwith comply with those provisi ns. Iignature of AppDate / IECLARATION REGARDING-eMSTRUCT16WLENOTIC 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 ly my signature below, I certify to each of the following: I am the property owner or authorized to act on th ' behalf. I have read this application and the information I have prow Is cor eL I agree to comply with all applicable city and county ordina sand tote law elating to building construction. I authorize representatives of this city or county o enter t e abov -Identified property for inspection purposes. r� ' v' cianature of Procertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Y thN 1 ~ �0 �R D ACTION DATE BY ra11 .., ......, w.— ,,.---- —, FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NORFICATION TO: ❑ EPA ❑ AOMO ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT EXPIRED PERMITCANCELLED PERMIFEXT7MOED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED