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Home My WebLink AboutH2021-0211 - PermitsCity of Newport Beach - Building Division III III 1111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 2 1 1 6 Permit Counter Phone (949)644-3288 fat+rn4�Y Job Address: 4515 PERHAM RD BIdgA Floor: Suite: Description of Work: MECH CHANGE OUT (2) A/C UNITS ON GROUND & (2) FURNACES -TAMPER PROOF CAP Inspector Area:5 Code Edit: 2019 Legal Description: N TR 3357 LOT 113 Owner: DUNKEL LARRY & SARAH Contractor: Address: 4515 PERHAM RD Add CORONA DEL MAR CA 92625 Phone: _1 Issued Date:03/23/ �p ` Processed By: MECHANICAL Permit: H2O21-0211 Project No : 1378-2020 Inspection Requests Phone (949)644-3255 1 ECTO V COOPER C44g�� V� �s�nsur ace - 543 E CENTRAL PARK`ilV� 'bd r : NORGUARD NS CO ANAHEI 2802 e Oo/o 0' Policy No: WCO27 8 4CA 1-470C t% Expire: 21 Licsp, BT30074103' t ocp Date 01/31/2022 tic: AC Items $ FEES' •nacesBoilersCo pre Ventilation x to 100K BTU/hr' - 2 $42 00 Up to 3HP 0 $0,00 Bathroom Fan: 0 $0.00 Fire i er ;r 100K BTU/hr �. 0 $0 > 3 HP to 15 HP; 2,,' $76.00 Exhaust Fan: 0 $04 Y'tI 0 ill/Floor Heaters: �' 0 $0. >15 HP to„*140"� 0 $0.00 Attic Fan tr �q ' al Fii ee� 0 at Pumps & Package its, `>3D HP To 50 HP 0 $0.00 Down -Draft an: Ot5.00 e��l e: to 100K BTU/hr: $0.0 V >50 HP: 0 $ 00 esidential 0 I 6#00 additional Fee er 500K BTU/hr: 0.00 Air Handling Units omm. Hood: 0x•00 to 1M BTU/hr. .00 up to 10K CFM: 0'j% Repair/Alter/Add: 0 $0.00 M_od . 2 A to 1.75M BTU/hr: ko�l 00 Over 10K CFf� 0 ' $ �Q00 Supplemental Fee: $0. anufactur�er 1.75M BTU/hr ; $ '00 VeV Box: $303.91 Plan C ee :.. Fee Due at Permit Issuance Other $0.00 $0.00 Investigation: $0.00 Plan Check: $102.66 $37.00 Zoning PC: $46.25 $303.91 EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ons ours: Monday -Friday 7.00 a.m. to 6:30 p.m.and Saturday from 8:00 a.n Y•• �Vy CTcjp,8 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(&) 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 r�he 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 s' ass 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 ,Mess 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 Pro' rot33� intCodended 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 roe se of ed 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 mye¢ for the. purpose of sale). LJ 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 anply 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 linensure 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 legal, s_,11 a a;ructure 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 P,f�^Fions Cod=, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. Sinnature of Property Owner or Authorized Agent Date LICENSED CON T RACTOR'S DECLARATION 1 nd eby affirm under pa salty of perjury that I am licensed under provisions of Chapter 9 (commencing th t'V700of ivision 3 ofthe BusinessgnJ,1mdeLLmcemse in full force and effect. ��zz IL, -tense ;lass License No Date -7 Z Contractor SignatureINORKERS'CY5MPENSATION DECLARATIONNARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMALTIES AND CIVIL FINES UP TO ONDOARS LI100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'& FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 thl LVormance of the work for which this permit is issued. Policy No. 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' carder and policy number are: Policy Number Expiration Date of Agent _ or,,,.,e « I certify that, in the9u,% of ther whi 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 that, if I should becothe wmp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of ApplicanDate DECLARATION REGLEN ING AGENCYI hereby affirm under s a onstruction lending agency for the performance of the work for which this permit is issued action 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 pr arty owner's beh f. I have read this application and the information I ha rovided is C c . I agree to comply with all applicable city no ount or nonce& to laws re ing to b ing construction. R 'J �f I authorize representatives of this city or ty to me he a ve-i n f d y for spection purposes. v' S Da J r�� ' 1 Signature of Property Owner or Authorized A e Print PropertyOwner's or Authorized Agent's Name CCRON I ILOTE LARATONOFCOMPLIANCFMTH COtrF r ULHAL HLGULATIONS PART 61 OF TITLE40 AND QMD RULE 1403. PERMIT EXPIRED ( ❑ ISUBMITFEOASBESTOSNOnFICATION'TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NORFICATIONISNOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. CERTiFICATEOF OCCUPANCrfSSUEB SIGNATURE:.