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Home My WebLink AboutH2020-0704 - PermitsCity of Newport Beach - Building Division H2O20-0704 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 387 VISTA BAYA BIdg:1 Floor: Suite: Description of Work: MECH REPLACE DUCTS AND REGISTER Inspector Area:3 Code Edit: 2019 Legal Description: N TR 2609 LOT 15 Owner: DOBSON LES Contractor: Address: 381 VISTA BAYA Address: NEWPORT BEACH, CA 92660 Carrier: STATE COMP INS Phone: Phone: NEWPORT BEACH CA 92663 Con State Lic: Issued Date:12/02/2020 Lic Expire: UkVIR-Lic Bus Lic: Processed By: Exp Date: MECHANICAL Permit: H2O20-0704 Project No: 2048-2020 Inspection Requests Phone (949)644-3255 I N S Re LECT HVAC Items SANTANIELLO JAMES Worker's Comp Insurance - O 00 3419 VIA LIDO #115 Carrier: STATE COMP INS NEWPORT BEACH CA 92663 Policy No: 9266012 eeea ° 714-815-5097 Expire :01/01/2021 Other 361862° 0 a °°°°° 08131 /2022 Bathroom Fan: mCC BT30035015 $0.00 Over 100K BTU/hr: 03/31/2021 $0.00 .° 0 $0.00 Exhaust Fan: 0 $0.00 C °CCN. $0.00 Wall/Floor Heaters: 0 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 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 10oK 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 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 1 $21.00 Model: Issuance: $37.00 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: $58.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $58.00 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 6:00 p.m. DWNER-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 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 (_) 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 ownerof 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: BV""Ignature below.lacknowledge 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 legal s@ll a strdcture tgej j AaV built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and P1011salo•ns 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 Propehy Owner or Authorized Agent Date LICENSED COMPACTOR'S DECLARATION I teteby affirm un8r4r1pknalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec Ion 7000) of Division 3 of the Busine s d Professio s Code, an my license is in full force .. License glass • • • • ! License No Z° L Contractor S Stu re • • • • • RS' COMPENSATION DECLARATION I RRINGE iM1RRING:FAIWRE Tb S�aU2E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU KED THOUSAND DOLLARS ($700,000(, IN ADDITION TO THI C ST OF OMPENSAjIQ DtMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 16erbb j $ffirm unlW.Vnalty of perjury one of the following declarations: ❑... I have and wiN vnaintain 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 tl krformance of the work for which this permit is issued. Policy No. have and will 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' rance carrier and policy number are: Policy Number ie of Agent Date certify that, in the performs of the work for t:h 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 agree t, if I should become subject t the workers' c ensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those visions. nature of App\1� I at /ZU CLARATION Fi€GARDI C R ON LENDING AGENCY )reby affirm under pe y, of perju hat there is a construction lending agency for the performance of the work for which this permit is issu (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 1 hav rovided is correct. I agree to comply with all applicable city an ounty, rdinanc and state laws relating to building construction. I authorize representatives oft ' oil ounty t r th e -identified property for inspection purposes. nature of Properly Owner or Au ed Agent Print Property Owner's or Authorized A 's Nam Da (l I ACDON DATE L DECEARATIONOFCOMPLIANCEINIT CODEOFFOR OFRCE USE ONLY FEDERAL REGULATIONSPART 6T OFTITLE40AND PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTfFICATION TO: ❑ EPA ❑ AOMD PERMIT CANCELLED PERMfTEXTENDED ❑ ASBESTOS N011flCA770M IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL CERTIFICATEOF SIGNATURE. OCCUPANCYISSUED