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Home My WebLink AboutH2022-0246 - PermitsCity of Newport Beach - Raildiry Division III 111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 2 4 6 I+ Permit Counter Phone (949)644-3288 "r'cxi✓:ain`t , Job Address: 15 ESCAPADE CT BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL A/C UNIT 46dB (DAY & NIGHT; INXH642GKP) InspectorArea:2 Code Edit: 2019 Legal Description: TR 7817 LOT 4 UNIT 290 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER Owner: DEPIERRO JAMES Contractor: D L S HEATING & A/C Address: 15 ESCAPADE CT#290 Address: 8542 LARTHORN DRIVE MEWPORT BEACH CA 92663 HUNTINGTON BEACH CA 92646 Phone: Phone: 714-231-8002 Con State Lic: 584220 Issued Date:05/11/2022 Lic Expire: 01/31/2024 .--- Bus Lic: BT98040420 Processed By: Lic Exp Date: 12/31/2022 VAG Items FEES urnacesBoilers & Compressors Ventilation p to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 ver 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 tall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 eat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 p to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 ver 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 p to I BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 p to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 ver 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 MECHANICAL Permit: H2O22-0246 Project No: 1735-2021 Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier: STATE FARM Policy No: 92GOK7865 Expire :01/06/2023 Fire Dampers: Gas Line: Metal Fireplace: Record Mgt Fee: Additional Fee : Model: Manufacturer: $0.00 $0.00 $0.00 $0.00 $0.00 Issuance: Other cc 0 $0.00 $0.00 Investigation: $0.00 Plan Check: $19.14 $38.00 Zoning PC: $52.00 TOTAL: $131.14 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $131.14 . PEP,I�IITS EXPIREe180 D4%S`AJTFaR ISSUANCE OR LAST VALID INSPECTION Constructio2 F{ol$s; IWbncCW - Frjd3y 7°.QO *.r0.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. oa. ° 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) ction 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 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 fessions 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 more than five hundred dollars ($500). II I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of tlhe work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,1 Business and Professions Code: The Contractors' State License Law does not ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: I ly 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 legal) 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://w .leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent ,Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 7000) f Division 3 of the Business and Professions C de, my licen in full force nd effect. r— .icense Class License No Date J ( c�, Contractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: 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 I$10,0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. her affirm under penalty of perjury one of the following declarations: I have and will rpintain 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 the Xa ceof work for which this permit is issued. Policy No. d wil 'laintain workers' compen tion surance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ce carrier nd policy n 'Kib@r ar Carrier ^ / er ' Expiration Date lame of Agent Phone # 3 certify that, in performance of th_e work for which this per Is issued, I s mploy an arson in any mannerIso as to become subject to the workers' compensation laws of California, and egret iat, if I should become subject to orkers' c mpensatio ovisions of Sec n 37 of or Code, I shall forthwitp comply with those provisions. % lignature of Applicant Dacia— l� IECLARATION RE G C NSTRUCTIO CY hereby affirm under penalty of erjury the re is a construction le g agency for the performance of the work for which this permit is issued (Secti� Civil Code). .ender's Name Lender's Address 3y 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 provid Is_correc I agree to comply with all applicable city and county ordinances and slat laws rela' ulldin construction. 11 1 authorize representatives of this city or county to n r th above " if op nspection purposes. f�1 signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name li O N S ✓t Dafe� ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF k FOR OFFICE USE ONLY FEDERAL REGULAT104(SPA(t'TJ6101-C"-QUAND, AQMD RULE 1403. • • ' • •� •� PERMITEXPfRED • ❑ I SUBMITTFDAS89S{Dl&0TNG&IOIII �V:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS N07IRCA770HIS NOT APPLICABLE TO PROPOSED DEMOLITION. j" : i • • s • PERMIT FINAL Z CERTIFICATE OF SIGNATURE: ••e .�� OCCUPANCYISSUED �.��