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Home My WebLink AboutH2020-0109 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 0 9 Permit Counter Phone (949)644-3288 Job Address: 611 CARNATION AVE BIdg:1 Floor: Suite: Description of Work: CHANGE OUT EXTG FURNACE (SAME LOCATION) 1/2 UNIT InspectorArea:5 Code Edit: 2019 Legal Description: CORONA DEL MAR BILK 630 LOT 11 Owner: HARRISON MICHAEL Contractor: Address: 6111/2 CARNATION AVE Address: NEWPORT BEACH CA 92625 Phone: Phon Con tom Issued Date:02/10/2020 Processed rnacesBoilers & Compress rs to 100K BTU/hr: 1 $20 or 100K BTU/hr: 0 $0 0 ill/Floor Heaters: 0 $0.00 at Pumps & Package Units to 100K BTU/hr: 0 $0.00 or 500K BTU/hr: 0 $0,00 to 1M BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00, :r 1.75M BTU/hr: 0 $0.00 TOTAL:$ Exp MECHANICAL Permit: H2O20-0109 Project No: Inspection Requests Phone (949)644-3255 _� aii Ce. RIG ME HOMESERVICE� 11��pinsurance- 1 MCGAW AVE fl0% OY RTY I .... IRVINE CA Q Po5086310 m 714- 00 Ex2020 °, . °•°•°° 5074 _ �O *4l0 0Wo C82 ° f B m®moo mmnon ..gym.. � _., s m e c o Ventilation, �°.''Up`to 3HP -00 0Bat - Fan: �f'Andl'in4l' H+ i0 Exhaust Fan: 0 H $D. 0 Attic Fan: $0.00 Down -Draft Fan: 0 $0.00 e 9P I Hood: A Units o od: up to 10K CFM: 0 . rVO ,,,,Repair/Alter/Add: Over 10 F��,,��y�n+� In � .�0 ��plemental Fee: '°Aitvi. VAV 0x: rSKr $Os0 l 55.0 Ian Check Rai ther s m°mom 0 $0.00 , F' e �: $0.00 0 = $0.00. 0 $0. $0.00 0. a al F'��,ee 0 0 .00 Be$ rqf A7lgt Fee: 0 , $0.00 M'Xdditional Fee : 0�.lnveWtigation: $0.00 0 $0.00 t J_?4at1"Check: $0.00 0 $0.00 Mom ssuan0 $35.00 Zoning PC: $0.00 Fee Due at Permit Issuance : $55.00 L'M-O DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. 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 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 l_) 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 im 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 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 legally 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://www.leginfo.ca.gov/calaw.html. Signature of PropBQwQwner or Authorized Agent Date 410ENSED COWTMCTOR'S DECLARATION khecsby�ffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit ecti n 700) of Division 3 of the Business and P s Code, and my license is in full force Ad effeet. • • • I liCe�nse Class •• • License No Da/ 0 Contractor Signature 1NOItKiRS' COAPENSATION DECLARATION ARNIINF' FAILURIN Pa SWJJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,0001, IN ADDITION TO THE y COST"tOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. lbamlay affirm Vaderpenalty of perjury one of the following declarations: • •I•Ifave and win 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 elf rmance of th0 work for which this permit is issued. Policy No. • • .• e and NlII 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' compensatlol OrCe carrier and policy number are: CdrMEr • • •. Policy Number Expiration Date ne of Agent - ' ""'-" certify that, in the perfor ancee-a ork for which this permit is issued�Ishall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become s jectto 3700 of the Labor Code, I shall forthwith comply with those provisions nature of Applic Date CLARATION REGARDIN ON LENDING AGENCY ireby 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). Ider's Name Lender's 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. I agree to comply with all applicable city and county ordina n to laws relating to building construction. I authorize representatives of this city or coun ove-iden 1 spection purposes. nature of Prooertv Owner or Authorized Print Property Owner's or Authorized Agent's Nam to ACTION AIt nr FEDERAL REGULATIONS PART GI OFTITLE40AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS M071FICATION TO: ❑ EPA ❑❑ AQMD ❑ ASBESTOS N077RCAFtONJS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERT10CATEOF OCCUPANCYISSU£D