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Home My WebLink AboutH2021-0681 - Permits��y�xcrrsk� City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 6 8 1 n; Permit Counter Phone (949)644-3288 V � 1W Job Address: 216 20TH ST BIdg:1 Floor: Suite: Description of Work: MECH/CHNAGE OUT (2) (E) F.A.0 InspectorArea:1 Code Edit: 2019 Legal Description: R BK 60 PG 16 PAR B Owner: ERIC SPITZ Contractor: Address: PO BOX 241426 Address: LOS ANGELES CA 90024 Phone: Phone: Con State Lic: Issued Date:12/02/2021 Lic Expire: y Bus Lic: Processed By: Lic Exp Date: MECHANICAL Permit: H2O21-0681 Project No : 0344-2020 Inspection Requests Phone (949)644-3255 HERS VERIFICATION REQ z W ABC HEATING AND A/C Worker's Comp Insurance - M 306 COLLEN PL Carrier: STATE FARM COSTA MESA CA 92627 949-756-0064 Policy No: 92GOG2871 Expire :09/2412022 940181 11/30/2023 BT30043258 03/31/2022 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 2 $44.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over IOOK 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 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $12.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $0.00 TOTAL: $56.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $56.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Fri ft 7„OQ a.m.to 6:Ba p.m:zi nd 3616rday from 8:00 a.m. to 6:00 p.m. "a ep yfb a f•• ••O • n •e e q a 9 � )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 'he 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 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 lot 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, 3usiness 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 mprovements 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 mproved for the purpose of sale). I 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. Ii 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 Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70o0) of Division 3 of the Business and Professi� s Code, a d my license' in full force and effect. / 2 - Z _Z' (� License Class License No Date Contractor Signature; WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 perfor ante 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' compensatiol osurance Carrier an pohnumber are: 1 III ,,rA., Expiration Date ie of Agent � certify that, in the performance of the Ark for which this , if I should become subject to tqVmprkers' compensatio 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 ,ions of Section 3700 of the Labor Code, I shall forthwith comply with those vlslons. ignature of Applicant yvLivv Date Z 'Z' Z DECLARATION REGARDING C NS RUCT109 LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 and county ordinances and state laws relating to building construction. I authorize representatives of this city or couniNtyPe er the ovg-I en ied prope& for inspection purposes. nature of Property Owner or Authorized A, ACTION DATE PERMTTEXP€RED PERMIT CANCELLED PERMIT EXTENDED AERMIT FINAL CER77FIC47FOF OCCUPANCY ISSUED BY or ART Op OF •.. ••• this permit is issued (Section 3097, Civil Code). -.❑ d SUBMIJ?ED;SVESTO5 NOTIFICATION TO: EPg ❑ A ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSEDj)EMOLI TION. C 6 6•• n � _5TGNAL-ftR� o FOR