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Home My WebLink AboutH2021-0168 - PermitsCity of Newport Beach - Banding' Division D 100 Civic Center Drive, Newport Beach, CA 92660 . Permit Counter Phone (949)644-3288 e y Job Address: 1827 BUTTONSHELL LN BIdg:1 Floor: Suite: Description of Work: MECH/ C/O A/C "TAMPER RESISTANT CAP REQ" Inspector Area:3 Code Edit: 2019 Legal Description: N TR 3763 LOT 87 Owner: DELLATORE JASMINE Contractor: PRINCIPLE DESIGN & CONSTR Address: 1827 BUTTONSHELL LN Address: 34 MINERS TRAIL NEWPORT BEACH, CA 9 0 IRVINE CA 92620 Phone: 714-928-3588 Phone: 949-266-7899 Con State Lic: 971306 Issued Date:03/09/2021 Lic Expire: 03/31/2022 Bus Lic: BT30066899 Processed By: Lic Exp Date: 04/30/2021 MECHANICAL Permit: H2O21-0168 Project No : 1540-2020 Inspection Requests Phone (949)644-3255 /I . Worker's Comp Insurance - Carrier : WC EXEMPT Policy No: (NO EMPLOYEES) Expire : C x HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00„ 1, Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $38.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $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 Investigbtiorl:' $0.90 Over 500K BTU/hr. 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Chka;; , $33.0F Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: R4A5.060Issuance: $0.60 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $12.00 Manufacturer: ACROAIRE Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $129.31 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $129.31 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 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 mare than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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:/Avww.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 000) f Division 3 of the Business and Prof ssion� ode, and dense is in full force and effect. License Class License No Date 3 � Contractor Signature WORKERS' CO,MPFNSATION DECLARATION WARNING: FAILURE TO SECDRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONOR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE GIST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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 the .YONr,ance of the work for which this permit is issued. Policy No. have and willmaintain 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 urance carrier and policy number are: arrler1 Policy Number Expiration Date ame of Agent _ Phone # ]I �ertij y that, in the performance of the work /wh'his 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 agree iat, if I should be:omeILsubje to orkers'tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionscrz"cre of AprP;nrt Date /.J y lyf ECLARATION REG D R C N LENDING AGENCY hereby affirm under penalt p ury tpd there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, ndl 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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ord' antes an state la relating to building construction. ; I authorize representatives of this city or county toe a e-i> denf roperty for inspection purposes. inngture of Pmnerty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULAT/ONSPART 61 OF TfTLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ ]SUBMITTED ASBESTOS NODFICATION TO: ❑ EPA ❑ AQMD 0 ASBESTOS PROPOSED DEMOUTIOryRON IS NOT APPLICABLE TO PERMFTCANCELLED PERMITEXTENDED PERMIT FINAL I I ^ wb. fc &V C CER77FICATEOE SIGNATURE: OCCUPANCYISSUED