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Home My WebLink AboutH2022-0257 - PermitsCity of Newport Beach - Building Division III 111111111111111111111111111111111111111111111 off. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 5 7 ;u Permit Counter Phone (949)644-3288 �+?rrnaN'a Job Address: 310 POINSETTIA AVE Bldg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT (1) UNIT49.5dB NEXT TO (E) UNIT 43dB (AMERICAN STD; 4A6H4036G1000A) InspectorArea:5 Code Edit: 2019 Legal Description: CORONA DEL MAR LOT 12 BILK 243(AND SWLY1/2 LOT 14 ELK 243 Owner: ROGERS WAYNENALERIE Contractor: Address: 191 MAIN DT Address: ANNAPOLIS MD 21401 Phone: Phone: Con State Lie: Issued Date:05/19/2022 Lie Expire: r Bus Lie: Processed By: Lie Exp Date: SOCAL AIRFLOW PROS 29816 AVENIDA DE LAS BANDERAS RSM CA 92688 949-303-5525 1010956 01 /31 /2023 BT30055229 05/31/2022 MECHANICAL Permit: H2O22-0257 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : STATE FARM INS Policy No: 92J4M4924 Expire :0211712023 i 0 4C Items FEES nacesBoilers & Compressors Ventilation Other - to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 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 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 it 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: 1 $22.00 >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: $32.19 to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 1 $15.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: ;r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $159.19 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $159.19 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- FMda T�EO a:ir%t5i v 3c7IgA�a i3aturday from 8:00 a.m. to 6:00 p.m. tea. owc wa« ra ac ..„. ua� .a• f DINNER -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 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 legally 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 law, Section 7044 of the Business and Professions 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 Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) f Division 3 of the Business and Prrce and effect. F License Class License No Date J Contractor Signature WORKERS' COMPENSATION DECLARATION - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($1UD,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEWS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN perfo ante of the 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' compensatior :arrier ! P�t 'c a Expiration Date lame of Agent Phone # 3 certify that, in the performance of the w)k 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 agree iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. ignature of Applicant Dated IECLARATION RE G CONS ING AGENCY hereby affirm uncle penalty of p ry t ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address Iy 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 QQZ a aws relating to building construction. I authorize representatives of this city or count to enter the above-ide ied property for inspection purposes. It signature of Property Owner or Authorized Agent rized Agent's Nam D ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY " F�R9F, RE{(j�{1,T176P.4Uf §T j;7: tTLE 40AND F22 •e ° � 1 �3. ,moo 1.34t4TT °MAOCSCOS knFrGATiON TO: ' ••" Q• e•„�PA• o e •+," t❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO ,PR0,aVE4DEAVJQQN. + s +> r n• 2 p - PERMITEXPIREO i , • PERMIT CANCELLED • PERMfTEXTENDEO PERMIT ANAL IO- Z CERTIRCATEOF OCCDPANCYlSStIED