HomeMy WebLinkAboutH2020-0337 - PermitsCity of Newport Beach - Building Division III III 1111111111111111111111111111111111111111111
a 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 3 3 7
Permit Counter Phone (949)644-3288
Job Address: 2831 BAYVIEWDR BIdg:1 Floor: Suite: HERS
�R e M/�'�'�Ai+,
Description of Work: MECH/CHANGE OUT (E) F.A.U.
Inspector Area:5
Legal Description:
Code Edit: 2019
RFSIIR OF CORONA nFl MAIQ RI K 34 1 OT 19
Owner: HEPNER EDWARD
Address: 2631 BAYVLFW-,DR
Phone:
Issued Date:06/241
Processed By:
p to 100K BTU/hr..
ver 100K BTU/hr::
fall/Floor Heaters::.
eat Pumps & Pac(cegl
p to 100K BTU/hr 0
ver 500K BTU/hr i.0
p to 1M BTU/hr 10
p to 1.75M BTU/hr: ° 0
ver 1.75M BTU/hr: -,!D
:L MAR, CA
$0.00
$0
$00
$0.
$0.00
$0.00
MECHANICAL Permit: H2O20-0337
Project No :
Inspection Requests Phone (949)644-3255
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SMART CHOICE HEAT�f N&&1 AIR((s t
P_ 0 Boy 122 Or ❑ r e4Q N RGUAR
ONTARIO CA 91761 Q $Q% Policy No: SMWC19
0 "b-COExppir�e:06/t2JJ B�2w4--
CO
Q.313
06/30/2021
Up t � 0 $0.00
I> 3 HP to 15 HP: 0 $0.00
>15 HP to 30 HP: 0 $0.00
>30 HP to 50 HP rpt
Sir�ad I mts$
up to 10K. F farted) $0.00
Ovel(ll& F 0 $0.00
VAV Box: 0 $0.00 _
NO
Bathroom Fan: 0 . $0.0020 �e:11 Q
Exhaust t C�
Attic Fa Met I Fi lace: 0
Down st 0 c(g��I� l t Fee:
Residentia od: 4fii0 Additional Fee
Comm. Hood: 0 $0.00
Repair/Alter/Add: 0 $0.00 Model '- L
Suppl�tal� .00- Manutt[PAc„
Otisp. I
Z
U)
M
co (7
J WORK DO
Other
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00 Investigation:
$0.00
Plan Check:
$0.00
$35.00
Zoning PC: $0.00
$0.00 Fee Due at Permit Issuance: $55.00
PERMITS EXPIRE 180 QAYS.AFTER ISSUANCE ORL AST VALID INSPECTION
Construction Hours. Monday- Fr/etayt7P0,a.m4a 6:30 �.m.amiSelorday from 8:00 a.m. to 6:00 p.m.
m e eo�m m c c c e t o
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IWNER-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)
lection 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
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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 (_) all of or U 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
nproved 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
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
'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 00 f Division 3 of the Business and Pr ` arls'�or-fa, and my license is in full force
nd effect.
icense Class License No Date Contractor Signatur
IIORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H HOUSAND DOLLARS ($760,0061, 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: ;
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 th
eZa rmance of the work for which this permit is issued. Policy No. - -
pl have and alntain 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' compensatioi
Isurance tarnAanh policy number ar -
,..,e. _ ..C Pli nh.hPr Expiration Date _
is of Agent lam, � ,��ii'i Phone#
certify that, in the performance of the work for whicq>wrermit is issued, I shall not employ any person in any manner so as to become subject to the workers' com
if I should becomeTu!/ye. ct to the workers' COl p sation provi ' f Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
IatureofApplicant 7V 7
Ireby affirm under pe ally of perjury that there is a n 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 ordinances arV state I s g to building construction.
I authorize representatives of this city or county o �7,rt-er the ab ed property for inspection purposes.
nature of Prooertv Owner or Authorized Agent 1( ] Print Property Owner's or Authorized Agent's N
ACTION DATE BY
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PERMIT CANCELLED
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PERMITEXTENDED
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PERMIT FINAL
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laws of California, and
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