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Home My WebLink AboutH2021-0597 - PermitsCity of Newport Beach - Building Division III 111111111p11111p11111111111IN11111111111p 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 5 9 7 a. Permit Counter Phone (949)644-3288 Job Address: 219 CEDAR ST BIdg:1 Floor: Suite: Description of Work: SFR DUCTWORK InspectorArea:1 Code Edit: 2019 Legal Description: TR 772 LOT 3 BILK 4 AND SWLY 4 FT LOT 4 BILK 4 SURFACE AND 500 FT Owner: MITCHELL CURT Address: 219 CEDAR ST NEWPORT BEACH, CA 92663 Phone: 949-290-3892 Issued Date:10/19/2021 Processed Bv:�AV� Contractor: SERVICE CHAMPIONS HTG Address: 3150 E BIRCH BREA CA 92821 Phone: 714-777-7777 Con State Lie: 799170 Lie Expire: 10/3112021 Bus Lie: BT01080105 Lie Exp Date: 07/31/2022 MECHANICAL Permit: H2O21-0597 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance- °°°o• Carrier: EVEREST NATIONAL INS CO �t Policy No:RM8WC00054211 Expire 410112022 :0 ° ° °• , �+jj • JJB°° pE� y O°pp6° HVACltems 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 1 o0K 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 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 1 M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 1 $22.00 Model: Issuance: $38.00 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 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. ER -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) !ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for 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 rfessions 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 )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 )ly 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: 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 legalh 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 iessions Code, is available upon request when this application is submitted or at the following Web site:http://wewd. leginfo.ca.gov/calaw.html. nature of Malt Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION ;4y affir "iler�penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) f Division 3 of the Business and Professio Code, and m nse is in full force 1 effect. .... Bose Class License No Date Contractor Signature 3RKERS' GOMRENSATION DECLARATION Zra,NG: FAILLFA't8 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE J}}F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ;teby affirrlaunder ;enalty of perjury one of the following declarations: Qtlave and vy ll 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 ra once of the virk for which this permit is issued. Policy No. , and t;Oialtain 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 x--Te carnej and policy number are: Mr .....Policy Number Expiration Date ne of Agent Phone # UI certify that, in the performance of 10e1vork for ' VrtM?; 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 )at, if I should become S Jett to th ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr vision ignature of Applicant D n IECLARATION REGARDRUX.GiftMUCTION LENDING AGENCY 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). Ender's Name Lender's Address y 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 a d county ordinanc state laws relatin toDgaelrstmctfon: I authorize representatives of this city or county to ente ove-ide party for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIOMSPART 61 OF TITL€40AND AQMDRUL€ 9403. PERMIT EXPIRED ❑ 1 SUBMITTEDASBESTOS N071FICATIOM TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMtTEXTENDED ❑ ASBESTOS NORTICATIONISNOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFIIVAL ' t/Z CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED