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Home My WebLink AboutH2020-0629 - PermitsCity of Newport Beach - Building Division III 11111111111111111111111111111111111111111111 ov' �G1y 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 6 2 9 y Permit Counter Phone (949)644-3288 .m �'+ctvc;uN'b Job Address: 304 NARCISSUS AVE BIdg:1 Floor: Suite: Description of Work: MECH/ A/C ON DECK "TAMPER RESISTANT CAP RECI" MECHANICAL Permit: H2O20-0 Project No : 0371-2019 Inspection Requests Phone (949)644-3255 INI MP Lz%C Inspector Area:5 Code Edit: 2019 Legal Description: CORONA DEL MAR BILK 241 LOT 6 Owner: LIS LEON Contractor: RC A/C & HEATING Worker's Comp Insurance - Address: 699 BA Y PL Address: 169 IN MAPLE ST STE D Carrier: STATE COMP S MARINO A 91108 CORONA CA 92880 Policy No: 1354374 Phone: Phone: 961-735-8046 Expire :07/01/2021 Con State Lic: 657924 Issued Date:10/27/2020 Lic Expire: 06/3012021 \ Bus Lic: BT30066849 Processed By: \ Lic Exp Date: 04/30/2021 HVAC Items FEES FurnacesBoilers & ompressors Ventilation Other Up to 1 OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $ Over 1 OOK BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $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: $ Over 5110K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0,00 Plan Check: $1 Up to 1 M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: 4SCU2aLX148P-1 Issuance: $3 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: LENNOX Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $ TOTAL: $122.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $122.52 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 6:00p.m. NO CONSTRUCTION WORK OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 U 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). ❑ 1 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://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CCF!TP,1kCTOR'S DECLARATION L� I 'lereby iffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Be"n 7000) of Division 3 of the Business and Professi nsC9cle`, annmod/r/�li nse is in full force and License Class License No Date S //(/ Zgontractor Signature J WORKERS'COMPENSATION DECLARATION WARNING: FAILURE TO SEt URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDCIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COS -OF COMPENSATION, 01MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: pe Ave and vai;l 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 ce of the work for which this permit is issued. Policy No. I hav and will mafmain 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' compensatiol Ipsure carrier al,d policy number are: Policy Number of Agent Date VI certify that, in the performance of the work for which this p rmit 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 that, if I should become subject t the orkers' compe do revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // 9 Signature of Applicant Date DECLARATION REG DING CONS UCTION L D NG AGENCY I hereby affirm under p nalty of perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 law la'Rg to building construction. I authorize representatives of this city or couptv`to�R4 tth�b:o identifle 9 nspection purposes. Signature of Property Owner or Authorized Agent �F--�l��'>'ir� /%7 Print Property Owner's or Authorized Agent's Name \ i"w +aU'W ACTION DATE BY DECLARATION OFCOMPUANCE WITH CODE OF FOR OFRCE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMDRULE 1403. PERMIT EXPfRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMO PERMITCANCELLED PERMITEXTENDED M ❑ ASBESTOS NOTIRCATIOMIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERWRCATEOF SIGNATURE:. OCCUPANCYISSUED