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Home My WebLink AboutH2021-0297 - Permits,�wrp�; City of Newport Beach - Building Division H2O21-0297 MECHANICAL Permit: H2O21-0297 4 -.�w; 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2544-2019 �, n Permit Counter Phone (949)644-3288 t:'i r...u.�:• 9 Inspection Requests Phone (949)644-3255 TIMERS PROHIBITED Job Address: 506 FERNLEAF AVE BIdg:1 Floor: Suite: ®N HEAT PUMPS Description of Work: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* 1 1"NJI S P LECTO R InspectorArea:5 Code Edit: 2019 Legal Description: CORONA DEL MAR BILK 533 LOT 8 Owner: OLIVER TED & WENDY Contractor: DAVID LOTTIE CONSTRUCTION Comp Insuran e Address: 38878 ORCHARD ST Address: 1002 S SHASTA ST Carrier: BENCHMARK CHERRY VALLEY CA 92223 WEST COVINA CA Pplicy No: CST5019933 - - - Phone: 951-733-2521 Phone: 949-23 - ,'tCaiJ,Qir`e:0o8/28/202UOd Con State Li 6 �{ apC� o o feii Issued Date:05/06/2021 08/31/2021 Of Bu ic: BT300 Processed By: i 31/2021 e; to "01001 ML HVAC Items •`� � FEES _ FurnacesBoilers &'.Com'ress ntila n Other Up to 100K BTU/hr 0 to 3 0 $0.00 Ba 0.00 ire Dampers: 0 $0. 0 - $0.00 Over 100K BTU/hr 00 P to 15 HP: 0 us 0.00 Cas Line: 0 $0. $0.00 Wall/Floor Heaters 0 5 HP to 30 0 .0 . t $0.00 Metal Fireplace: 0 $0.0 Heat Pumps & Packa > P to 0 -D an: 0 $0.00 Record M t ee:y�� $0.0Up to 100K BTU/hr: 00 >AyJ3h$ 0 esidential Hood: 0 $0.00 Addi g�: / $0.00 Investigation: $0.00 Over 500K BTUlhr: 00 ndli Comm. Hood: 00SQ6el ! Pfan Check: $18.27 Up to 1M BTU/hr: 0,00 _ K C 0 $0.00 Repair/Alter/Ad : dl 682421ssW r:e:$37.00 Up to 1.75M BTU/hr: 0 $0 0 r 10K CFM: 0 $0.09 S Iemental F e: AC PRO Over 1.75M BTU/hr: 0 $0. 0 VAV Box/`:''^�� $�Q.pQ ({10 Zoning PC: $46.25 IGAL $ W ^(k Staft`'(er)dl`) Plan Check Fee: $0.0 Fee QnWq t ua 122.52 li4 fnco- 180 DAYS SSUA AST VALID INSPECTION Og,ox 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). I 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, ve 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 P-cfomcns Cod:, i, a'/ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. Signature of Proneny Owner or Authorized Agent Date LIUFNSED CONTRACTOR'S DECLARATION I �iereoy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 000) of Division 3 of the Business a d Profession ode, and my license is in full force anC effc,ct. L•oenre Class License No Date Contractor Signatu, Vl'ORKERS' C011".PENSATION DECLARATION W l:1 If:C: 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 (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Ieraby affirm under pd, salty of perjury one of the following declarations: I hrv; 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( performance of th,. work,for which this permit is issued. Policy No. have 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' rance carder and i)olicv nurDber are: Policy Number of Date I certify that, in the performance of the work for which this 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 agrer sat, if I should become su ct to thew kers' co pensation pro 'sions of Section 3700 of the Labor Code, I shall forthwith comply with those prov�s(pns. Iignature of Applicant Date/X\ IECLARATION REGARbINIT=NStRUtTf0N LENDING AGENCY hereby affirm under penalty of perjury that t a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tinder's Name Lender's Address ly 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 4- 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count to enter ab ve-ident p party for inspection purposes. Iignature of Property Owner or Authorized Agent _ Print Property Owners or Authorized Agent's Name Da ACTION DATE BY DECLARATION OFCOMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 51 OF TITLE40AND ALIMD RULE 1403, ❑ I SUBMITTED ASBESTOS N077FICATIOON TO: ❑ EPA ❑ AOMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT EXPIRED Z-Z Q. �r PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED