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Home My WebLink AboutH2021-0674 - PermitsCity of Newport Beach - Building Division H2O21-0674 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1224 DEVON LN BIdg:1 Floor: Suite: Description of Work: MECH NEW A/C *TAMPER PROOF CAP REQ* Inspector Area:3 Code Edit : 2019 Legal Description: N TR 3000 LOT 33 Owner: HOROWITZ TRACY & ERIC Contractor: Address: 1224 DEVON LN Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:11/30/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: ON HEAT PUMPS ROSTEN BUILDERS 2418 HOLLY LN NEWPORT BEACH CA 92663 949-554-5719 760719 03/31/2023 BT30055282 06/30/2022 MECHANICAL Permit: H2O21-0674 Project No : 1845-2020 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : EXEMPT Policy No: Expire : a° oW�v�c O • . • • •• • 2PdP• •ago• aacao• • • • aaa®.• a<ca A(: Items FEES 'nacesBoilers & Compressors Ventilation Other to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 -r 100K 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 I/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 at Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $19.14 to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4A7L6036Alssuance: $38.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AMERICAN STAND -r 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. TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. DWNER-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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and ProfVslons 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* s"rpt 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). • -•I4.as owairof 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 o{property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). • �2m exempt from licensure under the Contractors' State License Law for the following reason: By my signarpre„beIGW 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 5..11 • .%tructuR•th1M 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 Prd%ssions Code -is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prpla Owner or Authorized Agent Date L>,GENSED CONTRACTOR'S DECLARATION I.tyc e6y affirm gndet penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr i ns ode, a d my license is in full force arhr eftect. • • Lice..sgClass •• • License No Date l! �[ Contractor Signature Hy9WERS' e=3MF1jNSATION 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: I 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 thr performance of the work for which this permit is issued. Policy No. I 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # i a a'I certify that, in the performan of the work for ich 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 agre , -if I should become sub gcJ�6'jhe wo erss pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseDar vi 'ons, j— ` i Signature of Applicant////P [ L �!/ �4J DECLARATION REGA CONSTRUC ION LENDING AGENCY I' I hereby affirm under penalty 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). Lender's Name Lender's Address By 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 r vided i correct. I agree to comply with all applicable city and county c�t nce d state laws relating to building construction. / / 1 I authorize representatives of this city or count)Kt e r a e e roparty for inspection purposes. A/ `�y�� j/DZ'�r Da Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name %l ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 64 OF TITLE40 AND AQMD RULE'I403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS N017FICATION TO:. ❑ EPA ❑ AQMD'. PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS M07IRCATION IS NOT APPLICABLE TO PROPOSEDDEMOLITION PERMIT FINAL -2$'— CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED