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Home My WebLink AboutH2021-0481 - Permits (3)City of Newport Beach -Building Division H2O21-0481 r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 6 MARITIME DR Bldg:O Floor: Suite: Description of Work: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* Inspector Area:6 Code Edit: 0 Legal Description: N TR 7967 LOT 76 Owner: JOYCE RODNEY Contractor: Address: 6 MARITIME Address: NEWPORT BEACH, CA 92625 Phone: 202-415-4094 Phone: Con State Lic: Issued Date: Lic Expire: Bus Lic: Processed By: - Lic Exp Date: SEASIDE A/C AND HEAT ING 32959 CALLE PERFECTO UNIT C SAN JUAN CAPISTRANO CA 92675 949-496-3639 736214 08/31/2022 ST30018420 01/31/2022 MECHANICAL Permit: H2O21-0481 Project No : 0445-2021 Inspection Requests Phone (949)644-3255 NU'S T CR Worker's Comp Insurance - Carrier : INS CO. OF THE WEST Policy No: WVE504960902 Expire :07/21/2022 HVAC Items FEES - FurnacesBoilers & Compressors Ventilation Other ... Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00...... Over 1 OOK 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 I OOK 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: $19.14 Up to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AULD60W21ssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 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 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. IWNER-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) iection 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 Ie 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved 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 pply 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: y 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govtcalaw.html. ignature of Prop.H Y} Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION h�reh" affirm uidcr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr fessions Code, and I n 's in full force nd effect. .cen.,e Class_ License No Date - Z ( Contractor Signature VORKERS' COMPENSATION DECLARATION ARNIivC: FAILURE TO SEr=URE 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. her=hy affirrT -mrrer penalty of perjury one of the following declarations: I Dave 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 Dftrmance of the work for which this permit is issued. Policy No. 1 1 have and will mairtain 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' compensatiol lame carrier and policy number are: na, Policy Number ne of Agent Date I certify that, in the performance of the work for which t 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 agre t, if I should beco e ss bj . apt to the work ' co p s ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr v/ysions. (nature of Applicant XDat9�- CLARATION REGG CONSTR 10N LEN-DTNG AGENCY I ereby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). rider's Name Lender's Address 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 and county ordinances and state la ling to building construction. I authorize representatives of this city or cou to Ent the a ed pr a Inspection purposes. (nature of Property Owner or Authorized Agent /1 Print Property Owner's or Authorized Agent's Name to /) ff7 2 I ACTION DATE BY DECLARATION OF COMPLIANCE IMTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ /SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PROPOSED DEMOLASBESTOS ITION 710N IS NOT APPLICABLE TO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED N/ltrn If�2 V