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Home My WebLink AboutH2021-0628 - PermitsCity of Newport Beach - Building Division '1-12021-0628 A 100 Civic Center Drive, Newport Beach, CA 92660 ur .I Permit Counter Phone (949)644-3288 r z �ttynµpt Job Address: 424 RIVERA TER BIdg:1 Floor: Suite: Description of Work: MECH (3) NEW HEAT PUMPS *TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit: 2019 Legal Description: TR 1237 LOT 155 POR OF LOT(AND POR OF LOT 156 Owner: DOLOTTA PETER/SUH SUNG-HEE Contractor: COMFORT HEATING & A/C Address: 1912 PORT CARDIFF PL Address: 21962 COSALA NEWPORT BEACH CA 92660 MISSION VIEJO CA 92691 Phone: Phone: 714-335-7055 Con State Lic: 632774 Issued Date:1110412021 '''///�� Lic Expire: 12/31/2021 \,�/'�)t'( Bus Lic: BT30005700 Processed By: `-'4L/ I _ Lic Exp Date: 0B/31/2022 MECHANICAL Permit: H2O21-0628 Project No : 2248-2019 Inspection Requests Phone (949)644-3255 $TTB JECT TO FIELD INSPEC 1'op_ REVIEW AND APPRO :rAL Worker's Comp Insurance - Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire : i'OR HVAC Items FEES -• Furnaces Boilers & Compressors Ventilation Other Up 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 Over 10oK 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 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 IOOK BTU/hr: 3 $66.00 >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: $57.42 Up to I BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 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: $52.00 TOTAL: $213.42 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $213.42 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. TIMERS PROHIBITED ON HEAT PUMPS 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 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). 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 apply to an owner of property whobullds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt fromdicensure under the Contractors' State License Law for the following reason: By my signatue 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 pemlit, I cannot Iegall) sell a s'mcture 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 F rolessions Crde, s available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm u.16br penalty of perjury that I am licensed under provisions of Chapter 9 (commencing 1thiection 7000) of Division 3 of the Businesseanp Professions C e, and my licen a is in full force and etfPct. -ice„se Class License No Date Contractor Signature AURr6FRS' COMFENSATION DECLARATION N✓RNING: 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 ($100,0001, IN ADDITION TO THE rrST ^7 JOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm Lnde, penalty of perjury one of the following declarations: , nave and w9l 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 th oefj;n,ance of no work forwhich 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' urance carrier and policy number are: rrier _ Policy Number Expiration Date of Agent certify that, in the perfor ante of the work 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 agre t�Lf I should becom s act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ions. nature of Applicant Date . CLARATION REGAKDIII CONSTRUCTION LENDING AGENCY -reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se ti 3097, Civil Code). ider's Name Lender's Address 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 corr t. I agree to comply with all applicable city and county dinances and to laws relatin o building construction. I authorize representatives of this city or countKto g�he above entifiipA pope or inspection purposes. of _ Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TIRE 40 AND AQMD RULE 1403. PERMIT EXRRED ❑ / SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITCANCELLED PERMITEXTENDED PERMITFINAL CERTf9CATEOF SIGNATURE: OCCUPANCYISSUED