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Home My WebLink AboutH2022-0115 - Permits�w IAA City of Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 1 1 5 w Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O22-0115 Project No : 0289-2018 Inspection Requests Phone (949)644-3255 Job Address: 2889 WAY LN Bldg:1 Floor: Suite: Description of Work: MECH (3) NEW A/C UNITS *TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit: 2019 Legal Description: CORONA DEL MAR LOT 1 BLK C-33 AND LOT 2 BLK C-33 Owner: ANIA LOWENTHAL Contractor: MOLA BUILDERS INC Worker's Comp Insurance - Address: 31441 SANTA MARGARITA PKWY Address: 3334 E COAST HWY Carrier: SEQUOIA INSURANCE "• RCHO STA MARG, CA 92688 NEWPORT BEACH CA 92625 Policy No: QWC1167999 • : e. m o . m Phone: 310-709-4476 Phone: 714.924.3137 Expire:08/30/2022 O6 •° e Con State Lic: 831729 Issued Date:03/03/2022 Lic Expire: 02129/2024 9999 •i J Bus Lic: BT30048402 Processed By: Lic Exp Date: 09/30/2022 ee ° m V •` ° .e..;, mm mm „ • mee�o 09 00R6'C. i^ HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 3 $66.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 ' " $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 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 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: $57.42 Up to I BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO 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. JWNER-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 `) 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 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 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 legally 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 CpB9,+i9 gvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of PrOif-" Owner or Authorized Agent ate 161G LASED E0141IiACTOR'S DECLARATION I hereby affirrr.under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr a sion Cod and my license is in full force 0rLd Effect. . ^�' ZOZ.Z Licame Class e-+ License No Date Contractor Signature WQRjSERS'taNIPtNSATION DECLARATION (/ wARAMG: FAILUPE TO SXCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Cp$'( $1F COMPENSAWION,�DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Pill affirm underpenalty of perjury one of the following declarations: ++1+hive and 4fll rpyntain 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 perlormence of -the avoCk for which this permit is issued. Policy No. + F PIS and wi4l 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' compensation Aceyfl'yi'e�tll' numb e: Carrier Policy Number Expiration Date me of Agent """ I certify that, in the perf an a oft 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, if I should become s j ct o th orkers' nsation provisions of Sectio a Labor Code, I shall forthwith comply with those provi i/gns. 2 Inature of Applicant Date Y �� 7 ZJ Zy CLARATION REG D CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (SeCD n 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: 1 am the property owner or authorized to act on thefnr y o er's behalf. I have read this application and the information I hded s correct. I agree to comply with all applicable city and countces no state laws relating to building construction. l I authorize representatives of this city or couRtylto ove-idd3liitified pro spec rposes. n of ACTION I DATE I BY Print Prooertv Owners or FEDERAL REGULATIONS PART 61 OF T17LE40AND AOMD RULE 9463, ❑ ]SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD —ASBESTOS N07IRCA7I0NIS NOT APPLICABLE TO PROPOSED DEMOLITION: OCCUP+ANCYIOSSUED t I U' I I SIGNATURE:.