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Home My WebLink AboutH2022-0250 - PermitsCity of Newport Beaah - Suilding Division H2O22-0250 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 434 VIA LIDO NORD Bldg:1 Floor: Suite: Description of Work: MECH (2) NEW A/C'S FOR NEW SFR Inspector Area:2 Code Edit: 2019 Legal Description: TR 907 LOT 488 SELY 20 FT AND NWLY 10 FT LOT 489 AND FOR ABAND ALLEY Owner: NEWKIRK JAMES A Address: 245 CRESCENT BAY DR LAGUNA BEACH, CA 92651 Phone: Issued Date:05/12/2022 Processed Contractor: GRAVES M H INC Address: 5852 MULLER ST BELL GARDENS CA 90201 Phone: 562-833-3703 Con State Lic: 241731 Lic Expire: 03/31/2024 Bus Lic: BT30034436 Lic Exp Date: 02/28/2023 MECHANICAL Permit: H2022-0250 Project No : 1663-2021 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : OAK RIVER INSURANCE Policy No: MHWC337208 Expire :0110112023 HVAC Items FEES Other FurnaceslBoilers & Compressors Up to 100K BTU/hr: 0 $0.00 Ventilation Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $O.GO ' Over 100K BTU/hr: 0 MOO > 3 HP to 15 HP: 2 $78.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $O.Ct?• - •; 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 $0.00 $0.00 Down -Draft Fan: Residential Hood: 0 $0.00 0 $0.00 Record Mgt Fee: Additional Fee : $0.00 $0.00 Investigation: $0.00 Up to 100K BTU/hr: Over 500K BTU/hr: 0 0 $0.00 $0.00 >50 HP: Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $67.86 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: YHE35B21slssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: YORK Zoning PC: $52.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $235.86 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $235.86 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. 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 C-. tractors' 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 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). ❑ 1, 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 legall) 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 law4Date Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' n 70 ) of Division 3 of the Busand my license is in full force and effect. License Class License No Dat Contractor SighORKERS'COMPENSATION DECLARATION NARNING: rAILURE .0 :ECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP DOLLARS ($100,000), IN ADDITION TO THE COFT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: �' I have and will rrrirtain 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, -1or•.T.ance of the work for which this permit is issued. Policy No. I'nbGe and will mwn:ain 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' compensation trance carrier and policy number are: Fier_ I A Policy Number Expiration Date To of Agent _ Phone # certify that, in the performan the for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker compensation laws of California, and agre It, if I should opmomc subjec hew r pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGAR RUCTION LENDING AGENCY areby affirm under p ally 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). Ider's Name Lender's Address my signature below, I certify to each of the folllhavrovide I am the property owner or authorized to act oy owners behalf. I have read this application and the informatiois correct. I agree to comply with all applicable city and cn s and state laws relating to building construction. I authorize representatives of this city or counabove-iden property for inspection purposes. �� nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date 0/`^/') �/• ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NO RACA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: FOR OFFICE USE ONLY PERMLTEXPfRED PERMIT CANCELLED PERMiTEXTENDED PERMIT FINAL - -Z 1`� CERTIRCATE OF OCCUPANCYISSUED