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Home My WebLink AboutH2017-0669 - PermitsCity of Newport Beach - Building Division III'�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII .� 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 7 0 6 6 9 Permit Counter Phone (949)644-3288 Job Address: 37 AVIGNON Bldg:1 Floor: Suite: Description of Work: MECH/BATHROOM FAN & EXHAUST FAN InspectorArea:6 Code Edit: 2016 Legal Description: N TR 14571 LOT 29 FEES Owner: SPOKOYNY FELIX E Contractor: POWER ELECTRICAL INC Address: 37 AVIGNON Address: 19528 VENTURA BLVD #386 NEWPORT COAST, CA 92657 TARZANA CA 91356 Phone: Phone: 866-769-3709 Other Con State Lic: 941020 Issued Date:11121/2017 Lic Expire: 12/3112017 0 $0.00 Bus Lic: BT30061310 Processed By: Lic Exp Date: 11/30/2018 MECHANICAL Permit: H2O17-0669 Project No: Inspection Requests Phone (949)644-3255 in7 Worker's Comp Insurance - Carrier: STATE COMP FUND ` Policy No: 9029249 L Expire :07/2012018 n HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 2 $18.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 1 $9.00 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: $0.00 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $33.00 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: $0.00 TOTAL: $60.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $60.00 PERMITS EXPIRE 180 DAY$AFTRt1SSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.w.to 64b p.Rand eaWday from 8:00 a.m. to 6:00 p.m. 40 00 • . o0 oc o O m • 6' �+ O O E BO• O • • O.O 00 O O f O G f g 6 f y C 00 O O 00 O 040 Oy 00 O O 000 •10 )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 1e 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 Irofessions 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). 7 1, 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, lusiness 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 nf�roved for the purpose of sale). J 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). 7 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 legall) 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature 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 Business and Professions Code, and isense is in full force nd effect. .icense Class C .-\,O License No G`Dat ZI Contractor Signature 1IORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDOLLARS ($100,000(, IN ADDITION TO THE OST 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: 1 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 th p/formance of the work for which this permit is issued. Policy No. have andill aintain 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 trance Gerrie s d policy nu rare Tier li N bar Expiration Date ne of Ag Phone # certify that, in the performance of the work for which thi 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 I. if I should become subject to the workers' compensation provisions of Sectio of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat 1,t�21,1�1 CLARATION REG =G CONSTRUCTION LENDING AG Y :reby affirm under penalty of perjury that there is a constr Ing ncy for the performance of the work for which this permit is issued (Section 3097, Civil Code). for, Ider's Name Address 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. 1 I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above-idenf ' perty for inspection purposes, nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Z nth c.�.M Dat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY . FEDERA& REGGLATgVS P4RT 01 OFTITLE40AND ;AQMDijULEJ&3. . PERMITEXPIRED • P a I S.NMMVT�D•ASE�STOSV077FICATION TO: ❑ AOMD [I ASEIESTOS NOTT13CARONIS NOTAPPLICABLE TO •RNOP@SEJWfhL0LJTMr PERMITCA.NCELLED • PERMITEXTENDED PERMIT FINAL 14,i • CERTIFICATE OF OCCUPANCYI5SUED S16tLAfU({E: