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Home My WebLink AboutH2022-0284 - PermitsL City of Newport Beach - Building Division . . . . . . 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 6. H lllll lllll Illll IIII1>�Il llll Illl Illl 4 Job Address: 227 JASMINE AVE BIdg:1 Floor: Suite: ®107 / - *_W.1 j Description of Work: MECH INSTALL A/C UNIT @THE ROOF DECK *TAMPER R M1 IVA Inspector Area:5 Code Edit: 2019 Legal Description: RESUB OF CORONA QM'fM AR LOT(:2& 1311NALZ?O'T(AND SWILY 10 FT LOT 1 ICAL Permit: H2022-0284 P roj 0, Inspection Re hone (949)644-3255 X Owner. DANZ TAD Conti' IGFgW- �]P-OMF_, RV-jQES Wb*er'sCQfflP D Address: 9716 WINTER PALACE!, R 52 Add' "i's 21 i��4riet- BERTY-IM&I O'C;iUl LAS VEGAS NV 89145 %-14 Al, "Vlff E 9 Policy No: WA763D508631011 Phone: 714-328-6666 Phone."' 8ZO MMM 49/0112022 %E iU�rj Con State Lic: 765074 Issued Date:06106I2022 9 y Lic E7109M M_ 4g%fflgn2q;�� 09 Bus Bt 23 Processed By: Lic E3 Date OW 2 :,i:;, P Da q auz urnacesBoilers & Compression p to 1 OOK BTU/hr: 0 $0.00 iver I OOK BTU/hr. 0 $0.00 fall/Floor Heaters: 0 $0.00 eat Pumps & Package Units p, to 1 OOK BTU1hr: 1 $22.00 iver 500K BTU1hr: 0 $0.00 p to I M BTU1hr: 0 $0.00 p to 1.75M BTU/hr: 0 $0.00 ver 1.75M BTU/hr-. 0 $0.00 'AN; t) r C-_ FEES an-, t! c�)% Fr% Fr OR22. ircbrn Fan: L§j $to L*,;D5iip&.s:- g' 1000 >3F.1ptol6i Exhaust Fan: $0.00 Gaslfr` $0.00 rd�>15HPto3hHP: ' ei''to"-. b'/ Attic Fan: 0 $O(CrQo w@.4f:ir&jPja, 'j 0 $0.00 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Air Handling Units Gom i in fr) i ni< rFNA- n -50.00 Repair/Alter/Add: 0 $0.00 Model: _0xeL1 QK CFM: 0 i-6- 1111 1 VA 0 U 0 , r 0 $0.00 $0.0w„ ooao A fe�ft�igatip'ho.0,0,$0.00 nt hecl�! -4038.28' dnce: $38.003 0 0 g PC: $52.00, V TOTAL: $172.28 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $172.28 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT70N Construction Hours: Monday -Friday 7.00 a.m. to 6:30 p.m.and Saturday from 8:00-a.m. to 6:0.0 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 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 signedj,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 dr 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 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 purposeof sale).' ❑ I, as owner of the property,!, am exclusiVbly contracting with lice sed Con actors construct the project (Section 7044, Business and Professions Code: The Contractors' S: to tense Law does not apply to an owner of property who builds or mproves thereon, and co act for h o1e with a licensed Contractor pursaan4p,tL;e;(�oL4pe rs' State License Law). s By my signature below I acknowledge ontraEtora I am exempt from Iicensure wledge that,k-xcept for my personal esiden in wh ch I must have resided for at least one year p to co(I letionof I h Apra fs �ents s ov edy t?permit, I cannot legal sell a structure that I have budti as an ouunebuildLifi�ot beenructeci Its ee3aretyy lip_ csundersta fitlp�sflthe apiail Iasel 7 44 o�e Business and Professions Code, is availa'b[e'upon re wheRthis app motion is"ubrtedrrthewrrig 1 sl �ht# llwww LInfo.ca.gov/calaw.htmf. Signature of Property Owner or Authorised gents �} d N E a Date LICENSED CONTRACTOR'S DECLAkATI6N x � � 1 ` 1, _:._ to $,+�'a 90m: -- I hereby affirm under pe of pequrythat am%er provlsYois ohapte9 commencing with Section 000) #Division 3 of the Business and Professi de, ad myense is in full force and effect. License Class ' L'-� -:.: = ==-_. Contractor Sign WORKERS' COMPENSATION DEGLJRA y YW D,� f-1 WARNING: FAILURE TO SECURE WORKERS' CrOMPEtSATi V GS UNLIIFU , ANDRyE,,L SC`r ArEMPE"fl12.T0IMINAL F'IALT AND CIVIL FINES UP TO ONE DRED THOUSAND DOL S ($1000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PRO ED OR IN CTIO OF THECAE fRRST, AND PjO6EY'SXES,f.- - - I hereby affirm under penalty, of, pepurysone f thelpa; clarations: h have and will maintain a' certificate consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 37 of Labor Code, for th pe rmance of the work for which thrse is issued Policy No. eq q ave and -will minta;in workers corpp sati i uan streclSeiiol e Labor Cod for ire prtaaocegoflorlfo which tiirei�n Is issued M v�iorkers' compensatior £ .� ra,vice carver and policy number arm. a x Policy Number . d e s .: ... ,trxpxatian ate? l Name of Agent k, ° 9 �° s _ _ 'Phone` °� a Or certify that,rip the performance of r which this pe -iss cT, I shall not employ any person in any manner so as to become subject to the workers' WMp satio [av s ;California, and agre :hat,°jf I should becor ie s bject tot cr s'o ° - n provisions of Section 3700 of the Labor Code, I shall forthwith com I with those rovisions. r C , Signature of Date iOe�C`iARATICcN Ru`A NG C R ION LENDING AGENCY t' P. t t iti€r`eby affirm under en perury at Ilere is a cons ruction ending agency for the performance of the work for which this permfs issued �ectt¢a 30. Lercd —'s Name By mycsignature bclorr, I certify to: each of the following: • r F am the propert,y,owner or authorized to act on the property owner's behalf. c .It lave readthisaipplication and the information I have provided is correct. 1 agree to comply with all applicable city and county ordinances ate laws relating to building construction. I authorize representatives lof this city or count to ente above -identified pro n purposes. (>! Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name L&Lnate (f/ AC77Oa ;y DECLAR4TION OF COMPLIANCE MM CODE OF FOR OFRiCE U5E 01WY FEDERAL REGULATIONSPART51 OF T17LE4 SAND C1i�rDi t 03 PEliMITEXP. � ❑ I SUBMITTED ASBESTOS NOiIFIGATION TO.: ❑ EPA ❑ A' QM& PERA.41TC4AICELLED ` l PE:�A iFTI dTE� DED ❑ ASBESTOS M07IRCA7I0NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PE€ WIT FI A t 4 EIW737f 1iCA TE OF SIGNATURE.. OCCi�Tf�7�a1 `t��,��Ji-c�T