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Home My WebLink AboutH2021-0385 - PermitsCity of Newport Beach - Building Division III III 1111111111111111111111111p1p11111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 8 5 MPermit Counter Phone (949)644-3288 v � �'L3TilY-Nt# Job Address: 3404 QUIET COVE BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (5) A/C UNITS (SAMSUNG; AC030KNZDCHIAA) Inspector Area:6 Code Edit: 2019 Legal Description: N TR 6228 LOT 40 Owner: FLORIANI FAMILY TRUST Contractor: GRAVES M H INC Address: 1701 PORT MARGATE PL Address: 5852 MULLER ST NEWPORT BEACH CA 92660 BELL GARDENS CA 90201 Phone: Phone: 562-833-3703 Con State Lie: 241731 Issued Date:06/23/2021 Lie Expire: 0313112022 Bus Lie: BT30034436 Processed By: Lie Exp Date: 04/30/2022 MECHANICAL Permit: H2O21-0385 Project No : 1963-2018 Inspection Requests Phone (949)644-3255 !z D u Mn Worker's Comp Insurance - Carrier: OAK RIVER INSURANCE Policy No: MHWC232915 n Expire :0110112022 0 HVAC Items FEES Other FurnacesBoilers & Compressors Up to 100K BTU/hr. 0 $0.00 Ventilation Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 4 $152.00 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: $150.51 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $406.76 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $406.76 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m.io 5-?0 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. )WNER-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 IS 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 'rofessions 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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: 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 legally 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://www.leginfo.ca.gov/calaw.htm1. 'ignature of Property Owner or Authorized Agent ate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 00) Division 3 of the Business and Pr fes ns e, and my It is in full force nd effect. icense Class License No Date- Contractor Signatu ✓ORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS 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 the erfo/mance of the work for which this permit is issued. Policy No. trance and will in workers' co ensation insurance, a required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi trance carrier a d poll y number arrier r Expiration Date ame Of Agent < Phone # ]I certify that, in the performan of th k fo hich this perms is iss shall not employ any person in any manner so as to become subject to the work s' co ensation laws of California, and agre, sat, if I should become su ct the. r ' rrpensation of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, s� ignature of Applicant D 1i r7 2 DECLARATION REGAR CO UC ON LENDING AGENCY hereby affirm under p alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code). ender's Name a Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the p&he-id alf. have read this application and the information hay. I agree to comply with all applicable city and county laws relating to building construction. I authorize representatives of this city or count to fied property for inspection purposes. ��y1' y) ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Namee�1� /�.IW AFC^ Dat ;F ACTION LATE BY DECLAR4TION OF COMPLIANCE YYITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD PULE 140. . C] JSUNMITTEDASBrSTOSNOTIFICATIONTO: ❑ EPA ❑ AOMO ❑ ASBESTOS NOTIFICAT/ONIS NOT APPLICABLE TO PROPOSED DEMOLITION. Sl�NAT.JRr: FOR OFFICE USE ONLY PERMIT EXPIRED P€RMdTCANCE€LED PERMITEXTE♦•IDED PERMIT FINAL %—.LL•19 CERTIRCATE OF OCCUPANCYISSUED