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Home My WebLink AboutH2020-0428 - Permits,.,.,: a� City of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O2 ;� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 4 2 s Project No �, i7, + Permit Counter Phone (949)644-3288 y "�<,,,,,,�+' Inspection Requests Phone (949)644-3255 Job Address: 515 FERNLEAF AVE BIdgA Floor: Suite: NO CONSTRUCTION NOISE Description of Work: MECH (1) NEW A/C UNIT *TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit : 2019 Legal LOT 1Description: CORONA DEL MAR BILK 532 LOT 15 AND LOT 17 -EX THE NELY 25FTOF ON SATU R Dp1YS Owner: DARNALL WILLIAM KEVIN Contractor: OWNER/BLDR Worker's Comp Insurance - . Address: 14917 RANCHO NUEVO Address: Carrier DEL MAR, CA 92014 Policy No: Phone: 949-633-0605 Phone: Expire: Con State Lie: O/B Issued Date:08103/2020 Lie Expire: , Bus Lip: � ! ?� { E:3. � E CT® R Processed By: Lie Exp Date: �j HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 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: $17.40 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: MXZ-2C20NAHZ2 Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MITSUBISHI Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.511 TOTAL: $113.90 Plan Check Fee : $113.90 Fee Due at Permit Issuance : $0.00 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. I hereby affirm runder penalty of perjury thatam exempt from lthe .Contractors' State License ectan7W1.5, Business and Professions Code.Auycity :or county that requires a permit to cc permit .tofile a signed statement that he or sheds licensed pursuant to the, provisions: of the I 4essions Code) or that he or she Is exempt: from.liceilsure and the basis far the allegedexon more than five hundred dollars IWO).. ' I, as owner of the Property; or my: employees: with wages as their sole compensation, will do 5tness and. Professions. Code: The. Contractors' State License Law does not apply to an. care Irovemants are not Intended or offered for sale. 11, however, the building or lirrprovement'.Is a moved for the ;purpose of sale). €, as owner of the property, am exclusively contracting with licensed Contractors'. to construo tly to an owner of property who builds or Improves thereon, and who contracts for the prejeau I aim exempt from iicensure under the Contractors' State License Law for the following resat my signature below I solmowiedge that, except for my personal residence in Which -I.Mset ha I a structure that I have, built as an owner builder If it has not been cc tructed in still t Aea;,Iol.s Code, is available upon request when this apgficpt n Is Ira ilt o 1 tollawin man re o' Property Owner or Authorized Agent , . ,�C CLNSFF) CONTRACTOR'S DECLARA71ON iq ,reby affirm under penalty of perjury that I am licensed: under provisions of Chapter .9.(Comms t effect. License Class License No 7RKtHS' COMPENSATIONDECLARATB)N below by the checkmark(s) I have placed next to the, applicable Item(s) or repair any: structure,. prior to its Issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Mtifi by any applicant for a permit subjects the applicant to a. civitpenalty of all of or U portions of the work,.and the structure is not intended or offered for sale (Section 7044, property who, through .empioyeaW or personal effort builds or Improves the property, provided that the. Nithih one year of completion, the-Owner-Bulider will have the burden of proving that It was not bulk or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State Linanse Law). licensed contractors. I understandthat a copy ofthe applicable law, Section.7044 of the Business and with Section 7000) of Division of the Business and Professions Code,. and My..license is in full force —Date Contractor Signature CaraINAL PENALTIES ANa CIVIL. PINES UP To ONE NUNDaEU TNODSANO.VOLLAIV5 (S10o,oaot, rN AUDMON TO one of the following declarations: tte-.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 >ermBts Issued. Policy No. have ano Will maintain workers' compensation; Insurance, as required by Section 3700 of the Labor Code, forthe parfonnanca of thework for whlchrthis permit Is issued. My workers' rance carrier policynumber are: Policy Number Expiration Date Ishall not emptoyanyperson in any manner so as to become subject totheworkers' compensation laws of California, and agree talo n $700 of the Labor Code, I shall forthwith comply with those. provislons. �,-.-a zz Data,.—..1d f ancy for the: performance of the work.for which this permit ;Is- .Issued (Basilan 3097, Civil Code) my signature below,.1 certify to each of the fallowing: �� V I.am thepropertyowner or authorized to: act ontheiiropertyowner'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 an to I Ialing to building construction. I authorize representatives of this city or oountyto e�tenth,e abo idenljt ed, 7 pprty foY.inspaedonPurpeses.. TO CER77FIC4TECF OCCUFANCYISSUED F09 OWCE USE ONLY