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Home My WebLink AboutH2021-0056 - PermitsCity of Newport Beach - Building Division H2O21-0056 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O21-0056 Project No : Inspection Requests Phone (949)644-3255 Job Address: 518 BEGONIA AVE Bldg:1 Floor: Suite: Description of Work: MECH INSTALL A/C UNIT @ THE SIDE YARD "TAMPER RESISTANT CAP REQ" REPLACE FURNACE AND DUCT REPAIR Inspector Area:5 Code Edit: 2019 "OR Legal Description: CORONA DEL MAR BLK 530 LOT 20 Owner: HEARD SHARON Contractor: Address: PO BOX 9215 Address: NEWPORT BEACH CA 92658 Phone: Phone: Con State Lic: Issued Date:02103/2021 Lie -Expire: Bus Lie: Processed By: % Lie Exp Date: ANDREW COOPER CO Worker's Comp Insurance - 0000 543 E CENTRAL PARK AVE Carrier: NORGUARD INS CO o o:,o oo ANAHEIM CA 92802 _,-,,Policy No: WCO27118414CA 714-991-4700 Expire-:07 021 o 220551 ,, CONS ;.� . 03/31/2021 t.; .,r, �% � ^ T e �s Oe Y° BT30074103 `'j� _ 01 01/31/2022 n VAC Items FEES urnacesBoilers & Compressors Ventilation p to 100K BTU/hr: 1 $21.00 Up to 3HP: 1 $21.00 Bathroom Fan: 0 $0.00 ever 100K BTU/hr. 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 lall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 eat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 p to 100K BTU/hr 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 ever 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 p to 1 M BTU/hr 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 1 $21.00 p to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 ever 1.75M BTU/hr 0 $0.00 VAV Box: 0 $0.00 Fire Dampers: Gas Line: Metal Fireplace: Record Mgt Fee: Additional Fee: Model: Manufacturer: gyp@[► A6d�`� r N RDA o° °o •_o J o o ° o Other °°°° I � ° 0 $0.00 0 $0.00 0 $0.00 $0.00 $18.22 Investigation: Plan Check: 24AHA4-241ssuance: $37.00 CARRIER Zoning PC: TOTAL: $164.47 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $164.47 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. $0.00 $0.00 $0.00 $0.00 $46.25 rNER-BUILDER DECLARATION I hereby affirmiunder 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 fhe applicable item(s) lion 7031.5; Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any st ucture, prior -to its issuance, also requites the applicant inr 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 fessions 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 ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_ ) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ,iness and' Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the irovements are riot' intended or offered for sale. if, however, the bulding or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Proved for the purpose of sale), 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State license Law does not )ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1. i am exempt from lcensure under the Contractors' State License Law for the following reason: y my signature below l acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally all st&ggture that!I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and rafess one Code, is available upon request when this application is submitted or at the following Web site:http:flwww.leginfo.ca.gov/calaw.htmt. ignature` of. Property Owner or Authorized Agent Date --EI$.S'EJ CONTRACTOR'$ DECLARATION he'sby afirm under penalty oak C20f perjury that I am licensed under provisions of Chapter 9 (commencing with S n 7 0) of Division 3 Of the Business an P fessions and m license' IU11 force nd Pffect 2 icense Class License No - i' > Contra o4ignature 'rORK EI ERS COMPENSATION DECLARATION d � DARNING- FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJFCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO S D DO 100,0041, IN ADDITION TO THE bST OF v'OMFENSATiION, DAMAGES AS PROVIDED FOR IN SECTION 3TQ6 OF THE LABOR CODE, INTEREST, AND ATfORNEVS FEES. horeb afrm under penalty of perjury one of the following declarations: have and wills 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 the ce of the work for which this permit is issued. Policy Ne. 1havo and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this er7X0 d. My workers compensatiol ran carrier and poll number a : +.\ (�j L aK _ Policy Number WC, 02 I � ��"f l� Expiration Date 1, lame of Agent Phone # i ]i certify that.lin the perf nce of�thehbforw h this permi is issued, I shall not employ any person in any manner so as to become subje D the worke ' co ensation laws of California, and agre fat, if i should become su je to the co a cation visions of Section 3700 of the Labor Code, i shall forthwith comply with thus at visions. signature of Ap nt IECLARATIt2NARDIN ONSJVU73T, N LE DI Cs AGENCY hereby affirm under penalty of perju I t e is construction lending agency for the performance of the work for which this permit is issued (Section 3197, Civ Code). .endefs Name Lender's Address Iy my signature below, 1 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 infom3ation I ha ravided is carrec 1 agree to comply with all applicable city and c un a Inan $tat la s relating to building construction. i j /p 1 au#honze1representafrves of this OITy4o(r co my to nt r h a e erty far inspection purposes. r onlr1 T'1Jitt`iL �Ig --A AP FEDERAL REGULATIONS PART61 OF TITiE40AND PERMIT WIRED AQ11iD RULE 1:403. ® 1 SUBMITIED ASBESTOS N071FICAT 0M TO, PERPtrif'C,ifICE.LED ❑ .EPA PERIWITEXTEMJ0-97 ❑ AQM0 PEWIT FINAL !Ji -1 l -1 A /d P OPOS O DDEM MON itOIV IS NOT APPLICABLE T(7 --- I I I I SIGNATURE,