HomeMy WebLinkAboutH2022-0339 - Permitstw,>I City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 MECHANICAL Permit: H2O22-03"
i$ ,�, L 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 3 3 9 Project No
i v� Permit Counter Phone (949)644-3288
cat � µNis Inspection Requests Phone (949)644-3255
Job Address: 218 HELIOTROPE AVE BId9:1 Floor: Suite:
Description of Work: MECH - R/R 1 A/C CONDENSER ON ROOF IN PARAPET. (1 EXISTING). TAMPER -RESISTANT CAP & TIMER REQUIRED
Inspector Area:5 Code Edit:
2019
Legal Description: RESUB OF CORONA DEL MAR LOT 12 BILK 35 NELY 20 FT(AND SWLY 20
FT LO T
Owner: FLEMING BILL
Contractor:
FOLGER HEATING & AIR INC
Address: 218 HELIOTROPE AVE
Address:
8842 LUSS DR
CORONA DEL MAR, CA 92625
HUNTINGTON BCH CA 92646
Phone:
Phone:
714-334-4433
Con State Lic:
763312
Issued Date:07/05/2022
Lic Expire:
04/30/2024
Bus Lic:
BT30047641
Processed By:
Lic Exp Date:
06/30/2023
VAC Items
FEES
urnacesBoilers & Compressors
Ventilation
p to 100K BTU/hr:
0
$0.00
Up to 3HP:
1 $22.00
Bathroom Fan:
0 $0.00
ver 100K BTU/hr:
0
$0.00
> 3 HP to 15 HP:
0 $0.00
Exhaust Fan:
0 $0.00
/all/Floor Heaters:
0
$0.00
>15 HP to 30 HP:
0 $0.00
Attic Fan:
0 $0.00
eat Pumps & Package Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
p to 100K BTU/hr:
0
$0.00
>50 HP:
0 $0.00
Residential Hood:
0 $0.00
ver 500K BTU/hr:
0
$0.00
Air Handling Units
Comm. Hood:
0 $0.00
p to 1 M BTU/hr:
0
$0.00
up to 10K CFM:
0 $0.00
Repair/Alter/Add:
0 $0.00
p to 1.75M BTU/hr:
0
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
ver 1.75M BTU/hr:
0
$0.00
VAV Box:
0 $0.00
Worker's Comp Insurance -
Carrier : CLEAR SPRING PROPERTY
Policy No: CWC00194500
Expire :10/01/2022
Other
Fire Dampers:
0 $0.00
$0.00
Gas Line:
0 $0.00
$0.00
Metal Fireplace:
0 $0.00
Record Mgt Fee:
$0.00
Additional Fee :
$0.00
Investigation:
$0.00
s�
Plan Check:
$19.14
Model: ML•IW(PI•ULI6-issuance:
$38.00
Manufacturer:
LeMNAOL Zoning PC: $52.00
TOTAL: $131.14 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $131.14
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Constrict; on Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 P.M.
111
WILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forth a 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
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 lice nsure and the basis forth a 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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).
❑ 1 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 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.leginfo.ca.gov/calaw.html.
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 and ions Code, and my license is in full force
and effect.
License Class License No Date i� 2? 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 ($100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Inhereby affirm under penalty of perjury one of the following declarations:
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,
W rmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the ork for which this perma�s issued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and agre
let, if I should become subject to the o er sation p sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date
iECLARATION REGARDING CONSTRUCT109 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city a rdmances and sta laws relating to building construction. A
I authorize representatives of this city or coLNty to enter 1p abov ' ntified property for inspection purposes. Ski\ ^� rS�
ipnature of Property Owner or Authorized Agent T'f31'orygrty Owner's or Authorized Agent's Name Date
ACT76N
DATE
Y
DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
_
PERMtTCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTI FICATE OF
SIGNATURE:
OCCUPANCY15SUED