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Home My WebLink AboutH2020-0575 - PermitsCity of Newport Beach - Building Division III III 11111111111111111111111111111111111111111 off. 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 7 5 Permit Counter Phone (949)644-3288 Job Address: 414 CARNATION AVE BIdg:1 Floor: Suite: Description of Work: MECH A/C CHANGE OUT ON ROOF AND FURNACE CHANGE OUT *TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit: 2019 Legal Description: CORONA DEL MAR LOT 16 BLK 331 ALL -INC FOR ABAN STADJ- Owner: LEE DALPHINE Contractor: Address: 414 CARNATION AVE Address: CORONA DEL MAR, CA 92625 Phone: 949-929-5550 Phone: oeo Con State Lie: Issued Date:10/07/2020 Lie Expire: Bus Lie: Processed By: Lie Exp Date: WE CARE 41085 GOLDEN GATE CIR MURRIETA CA 92562 951-600-0700 779604 06/30/2022 ST30038344 02/28/2021 MECHANICAL Permit: H2O20-0575 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : SERVICE GROUP Policy No: WCO27117658 Expire :07/01/2021 e oeemme 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. e ° oeo aemmoo e .°m mmmm FEE 0 0 doom m °ee ° FurnacesBoilers&Compressors Ventilation o c 00000 mo a 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. HVAC Items FEE 0000c FurnacesBoilers&Compressors Ventilation Other Up to 100K BTU/hr: 1 $21.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ° ° ° ° $O.QB ° ° ° 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 ° ° ° ° ° ° 0.00 ° ° ° $0.06- Wall/Floor Heaters: Wall/Floor 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: $36.54 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: GSX11404811(Issuance: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: GOODMAN Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $161.79 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $161.79 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. 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) Iction 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the 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 movements 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 moved for the purpose of sale). 1, 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 )Iy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://Ww .leginfo.ce.govtcalaw.htmi. nature of Property Owner or Authorized Agent Date TENSED CCAISRACTOR'S DECLARATION IrebX affirm under pisnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S tion 7000 of Pivision 3 of the Business and Pr es Is ons Code, and my license is in full force 1 effect. .... Brise -Class • ..... License No Date `V L Contractor Signature ORkERS' COMPENSATION DECLARATION .. tNING: FAILURE 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE40 CRIMINAL PENALTIES AND CIVIL FINES TO ONE HUNDRED THOUSAND DOLLARS (S100,01KI), IN ADDITION TO THE IT OFFOMPEN941jq `4�6AMAGES AS PROVIDED FOR IN SECTION ins OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. relry affirm rjndel; @%malty of perjury one of the following declarations: I mare 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 bhRance of the work for which this permit is issued. Policy No. •havg and yvjl►mplhjain 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' compensation t`nce carrierend policy number are: .. .. ner . .... Policy Number Expiration Date Agent •••• Phone # JI certify that, in the Performa ce of the work f r whit rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pen ation laws of California, and agre iat, if I should become s je o the wor enation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi ns. ignature of Applicant Date. �D iECLARATION REGARDf G "STRUST30h LENDING AGENCY hereby affirm under penalty of peq at there is a construction lending agency for the performance of the work for which this permit is issued ( ec on 3097, Civil Code). 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 pro ' correct. I agree to comply with all applicable city and count or inane an a laws relating to building construction. I authorize representatives of this city or county nter the e -identified property for inspection purposes. /� ignsture of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name L/^�y D ACTION DATE BY DECLAPArfONOFCOMPIJANCEMTHCODEOF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMORULE1403. PERMITEXPIRED ❑ f SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCEdLED PERMITEXTENDED ❑ ASSES OS N01 RCA170MIS NOT APPLICABLE TO OL PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: m M 1 r l EJ N Z A $ 9 V a CO n�n S 0 O d (/1 ? _ i1i' pN h n Dn N C Z m r- ° 0 m N D m 0m x �N n m� my tim m m r l EJ N $ 9 m m r l EJ N