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HomeMy WebLinkAboutH2022-0309 - Permits (3)�r`„, : City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MECHANICAL Permit: H2O22-0309 �' dy 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 2 0 3 0 9 Project No : 0676-2021 ,,, Permit Counter Phone (949)644-3288 9Y `'�'ytr�,ou�'g Inspection Requests Phone (949)644-3255 Job Address: 5302 NEPTUNE AVE BIdg:1 Floor: Suite: Description of Work: MECH (2) NEW A/C UNITS ON ROOF *TAMPER PROOF CAP REQ* TIMER REQ ON #2 Inspector Area:1 Code Edit: 2019 Legal Description: RIVER SECTION LOT 11 BILK 53 POR OF LOT Owner: BOTTINI MARK Contractor: Address: 5302 NEPTUNE AVE Address: NEWPORT BEACH CA 92663 Phone: Phone: Con State Lic: Issued Date: Lic Expire: Bus Lic: Processed By:_ __Lic Exp Date: BALL CHRISTOPHER COMPANY 1650 BABCOCK ST COSTA MESA CA 92627 949-637-1665 759894 �A 03131/2023 BT30059548 �® ��®,� 11/30/2022 a Worker's Com ce - Carrier � ULTY CO POlic ��____�� AAAA� E Al ;l HVAC Items FEES FurnacesBoilers & Compressors Ventilation Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $44.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 1 $Jd 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 .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: $38.28 Up to 1 M 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: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $172.28 P?F.f?MITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hoyts: ka nda;,%Fr1'6fy 7:00�®.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. t T 4 O i i f S i tl tl C fi F Z Gtlo p �) Dy G W tl� Bp4 0 4 •f•ptl i!tl INER-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) ction 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 Iicensure 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, ;mass 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 rovements 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 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 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' State License Law). J I am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 in ell 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 app 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ;ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and effect is ' %L Contractor Signatl� icense Class License No Date VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H101 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: Tents covered by this permit, I cannot law, Section 7044 of the Business and and my license is in full force THOUSAND DOLLARS ($100,000), IN ADDITION TO THE I 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 �rmance 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' carrier and policy number are: Policy Number of Agent Date ]I certify that, in the p4GC'VN work r 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 agree rat, if I should becomers ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.^r �/ rZ ignature of Applicant Date W L'i �Z DECLARATION REGALENDING AGENCY hereby affirm under pt there is a construction lending agency for the performance of the work for which this permit is issued ( ction 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 prop a owner's behalf. I have read this application and the information I haveMh rect. 1 agree to comply with all applicable city and county otate laws relating to building construction. I authorize representatives of this city or county to enentified property for inspection purposes. £�� ( / ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name X 'rl t-'CI Date ACT70N RY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TI%E40 AN. U. AQMD RULE 1403. • • c ••••L SUBMITTEDAI&Si05 AV7 PIQA-n*Qh' TO:,'PERMIT ❑ EPAPERMIT ❑ AQMD❑ PERMIT EXPIRED CANCELLED ZDATEE EXTENDED ASBESTOS NOTIRCAIIOIVIS NOTAPPLICABLE TO PROPOSED DEMOLITION. , ... •:• • '•� PERMIT FINAL CERTIFICATE OF SIGNATURE: • '�, OCCUPANCYISSUED �•