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HomeMy WebLinkAboutH2022-0098 - Permits��. City of Newport Beach - Building Division 111111111111p111111111111111111p01p11111111111 MECHANICAL Permit: H2O22-0098 o +% 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 0 9 e Project No: 1356-2021 :~ '`- % Permit Counter Phone (949)644-3288 �'��tyxl4�} _ Inspection Requests Phone (949)644-3255 Job Address: 1822 BUTTONSHELL LN BIdg:1 Floor: Suite: "„°," Description of Work: MECH (2) A/C UNITS *TAMPER PROOF CAP REQ* A Inspector Area:3 Code Edit : 2019 Legal Description: N TR 3763 LOT 69 Owner: SHEA PETER Contractor: FOLGER HEATING & AIR INC Worker's Comp Insurance - Address: 1822 BUTTONSHELL LN Address: 8842 LUSS DR Carrier: CLEAR SPRING PROPERTY NEWPORT BEACH, CA 92660 HUNTINGTON BCH CA 92646 Policy No: CWC00194500 "PJJ Phone: Phone: 714-334-4433 Expire:l0/01/2022 Con State Lie: 763312 Issued Date:02/24/2022 Lie Expire: 04/30/2022 AOc630 Bus Lie: SO-Lic BT30047641 Processed By: Exp Date: 06/30/2022 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over t00K 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 100K 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: $38.28 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AULD60W21ssuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK 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: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $172.28 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 more 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 Qf the work, and the structure is not intended or offered for sale (Section 7044, Business and Proje ssions 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 igiproved for the purMse of sale). I'as:owner afthe p�Dperty, am exclusively contracting with licensed Contractors to construct the project (Section 704444� 4, Business and Professions Code: The Contractors' State License Law does not apply tp an ownePdf property who builds or improves thereon, and who contracts for the projects with a licensed Contrat{tor pursuant to the Contractors' State License Law). Sari exempt from licensure under the Contractors' State License Law for the following reason: By my Signature.t7elo,4 jacknowledge 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 s+ell �tmcture that-1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Il... understand that a copy of the applicable law, Section 7044 of the Business and Professions Coda "available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. SinNlIlrp of Propejt: Pvner or Authorized Agent Date CPI CONJ'RACTOR'S DECLARATION l:1bf.9 affirm under geinalty of perjury that I am licensed under provisions of Chapter 9 (commencing t Section 7000) of Division 3 of the Business and sions Code, and my license is in full force Id effect . • : .�_,Z `\ ,r WcanseGlass License No Date 'Contractor Signs �� kGRI£ERS' GCSMA&SATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST 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: Eve and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire n =e of the work for which this permit is issued. Policy No. ,� 6k and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for ice carrier and policy number are: Policy Number of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any It, if I should becomestrbjecfr0-t4 workers' compensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant CLARATION REG DI TRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for idler'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 ount ordinances and state laws relating to building construction I authorize representatives of this city or cdykity to en the abovE�ideatified*Foperty for inspection purposes. of Property Owner or Authorized Owner's or of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agree h comply with those pIons. v/ly' h this permit is issued (Section 3097, Civil Code). ?--,>-`C42t ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 8I,OF TITLE40 AND AQMD RULE 1403. i PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD, PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NO77RCATrON IS NOT APPLICABLE TO PROPOSEDDEMOUTION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED