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Home My WebLink AboutH2021-0307 - Permits�¢µ,.r,�j City of Newport Beach - Building Division 111111111111p11111p11111111111p1p11111p1111p MECHANICAL Permit: H2O21-030 ,4 , b 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 3 0 7 Project No : 1232-2020 ` r Permit Counter Phone (949)644-3288 ` ryy'µN�> m Inspection Requests Phone (949)644-3255 Job Address: 401 15TH ST BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL (2) A/C UNITS 45dB & 42dB (AC PRO; AUD36W-A-D(U) & AULD60W2/A-DU(U) InspectorArea:3 Cade Edit: 2019 01 Legal Description: N TR 1218 LOT 31 .�;••q Owner: FLORIANI DAN Contractor: SOLSTICE HEATING & A/C Worker's Comp Insurance - Address: 1130 DOLPHIN TER Address: 310 W AVENIDA GAVIOTA Carrier: SECURITY NATIONAL INS CO NEWPORT BEACH, CA 92625 SAN CLEMENTE, CA 92672 Policy No: SWC1328473 M Phone: Phone: 949-573-3607 Expire :0311912022 i Con State Lic: Lic Expire: 938888 �"1 l,.,d Issued Date:05/73/2021 1 Bus Lic: ST300417 BT30041721 �kj Processed By: Lic Exp Date: 02128/2022 VAC Items FEES irnacesBoilers & Compressors Ventilation Other p to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 ver 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $38.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 (all/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 eat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 p to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: $0.00 ver 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $51.33 p to 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $b.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $37.00 p to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: ver 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $193.58 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $193.68 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.rri 6:30 p".,and;Saturday from 8:00 a.m. to 6:00 p.m. )WNER-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 ie 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 nprovements 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 nproved 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 pply 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: 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 improvements covered by this permit, I cannot legally 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 applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .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 Busines4HURED si C and my license is in full force nd effect. .icense Class License No Dat j 3 2I Contractor Signatu PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OHOUSAND DOLLARS I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 'ormance of the worVXr which this permit is issued. Policy No. have and will mainkin 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' "ante carrier and oo]Xy number are: lia A .�) Date certify that, in the performance of the 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury 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 Ina and state laws relating to building construction. I authorize representatives of this city or count e thi bo -identified property for inspection purposes. I Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na J D (-.. ow I Date S" I� Z ACTION DATE By DECLARATION OF COMPLIANCE MTHCODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RJLE 140?. PERMIT EXPIRED M 1 S6BMITTFDASB=STOS NJTJFI('ATION TO: C EPA El AOM_- PERMITCANCELLED PERMIT EXTENDED NOTIFI El ASBESTOS P OPOSEDDEMOLITOCLATiOn!yNCTAPPLICABLE TO PERMITFINAL ��— b— �j CERTIFICATEOF OCCUPANCYISSUED SIGNATURE,