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Home My WebLink AboutH2018-0582 - PermitsCity of Newport Beach - Building Division III 111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach,,^ A 9268& H 2 0 1 8 0 5 8 2 Permit Counter Phone (949)644-3288 Job Address: 413 MARIGOLD AVE BIdg:1 Floor: Suite: Description of Work: MECH INSTIL (2) A/C UNITS 2 THE ROOF DECK "TAMPER RESISTANT CAP REQ" A/C #2 NH4A4-48 Inspector Area:5 Code Edit: 2016 Legal Description: CORONA DEL MAR BILK 439 LOT 5 Owner: 413 MARIGOLD LLC Contractor: Address: 428 OLD NEWPORT BLVD Address: NEWPORT BEACH CA 92663 Phone: Phone: Con State Lie: Issued Date:09/19/2018 Lie Expire: \ Bus Lie: Processed Lie Exp Date: MECHANICAL Permit: H2O18-0582 Project No : 0600-2017 Inspection Requests Phone (949)644-3255 QUALITY AIR Worker's Comp Insurance - 293 N STATE COLLEGE BL #3008 Carrier: STATE COMP ORANGE CA 928685718 Policy No: 9017366 714-718-2946 Expire :07/04/2019 908428 31/2019 BT3' $i3JECT TO FIELD INVF.CI 10R'uv 01/311//201199 REVIEW AND APP2 811ItO�� r®®aco a a m as®• e o u o 0 •a 0 HVAC Items FEES FurnacesBoilers &Compressors Ventilation Other a as 40 11 Up to 100K BTU/hr. 0 $0.00 Up to 3HP: 2 $36.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 a $O.G6 " Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.0d"C 1 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 � moos+.+ v 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 Investiga9er::a 0 ` ` $0.60 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Cheek: • $31.31aa- Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: RA1636B Issuance: $33.00 " Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: RHEEM Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $137.82 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $137.82 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. 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 Ackmark(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 (_) all of or (_) 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 1t was not built or im roved 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 ap 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). I 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 legall) 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 70.0.0)_ of Division 3 of the Business and ofessions Code, and my license is in full force and effect. License Class License No Contractor Signatur WORKERS' COMNSATION DECLARATION i EARNING; 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 ($700,000), IN ADDITION TO THE ii Q%TAF,COMPENSATION, ®AMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rhhereby affirm UnCel$ penalty of perjury one of the following declarations: 11 J;Ile and wilt 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 118iT mance of the work for which this permit is issued. Policy No. e 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' compensatioi 144 rJce carrier 9nJ policy number are: Carl er..... "" Policy Number Expiration Date e�• • A l oe My t performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and Arat.. Yi ould becom subject to the workers' compens�rovis' on 3700 of the Labor Code, I shall forthwith comply with thos`provisions. ' ' iECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this ender's Name 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 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 and state laws rata' to building construction. I authorize representatives of this OW—Gr—county to enter the abPve-15pn I p y for inspection purposes. ;--f— ire ,.r D.. 4. , n..,,,or H Ao.et Print Pmnedv Owner's or Author!; ACTION DATE BY r.v.x v, wry+rus:.rw.. n.... w.+aer FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMITEXPIRED I SUBMITFEDASSESTOS NO7IFICATION TO: ❑ EPA 13 AQMD PERMITCA.NCELLED PERMIT EXTENDED ❑ ASBESTOS NODRCAIIOMIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED (Section 3097, Civil Code).