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Home My WebLink AboutH2021-0027 - PermitsNaN ow -" City of Newport Beach - Building Division III EIIIIIIII1IIIIIIIIIIIIIIIIIIII ugl p 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 0 2 7 Permit Counter Phone (949)644-3288 ('��irrNP'a Job Address: 986 BAYSIDE COVE W Bldg:0 Floor: Suite: Description of Work: MECH/CHANGE OUT (E) A/C UNIT 49.5c1B (LENNOX; EL16XC1-036) Inspector Area:2 Code Edit: 2019 Legal Description: TR 8073 LOT 2 UNIT 603 B G OF PROJECT LOCATED ONAP 50-383-09 Owner: DEWITT RICHARD Contractor: SERVICE CHAMPIONS HTG Address: 9089 CLAIREMONT MESA BLVD #301 Address: 3150 E BIRCH SAN DIEGO, CA 92123 BREA CA 92821 Phone: Phone: 714-777-7777 Con State Lie: 799170 Issued Date:01/1112021 Lie Expire: 10/31/2021 Bus Lie: BT01080105 Processed By: Lie Exp Date: 09/30/2021 MECHANICAL Permit: H2O21-0027 Project No : Inspection Requests Phone (949)644-3255 Worker's Comp Insurance - Carrier : EVEREST NATIONAL INS CO Policy No: RMBWC00054201 Expire :0410112021 (3 F1 0 �I 0 �)J HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $21.00 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 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: $18.27 Up to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 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: $46.25 TOTAL: $122.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $122.52 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:C0 a.-m.+o 6:30,p.m.and Saturday from 8:00 a.m. to 6:00 p.m IYYII hereby affirm Under penalty o.Perj I hereby.affirtn under penalty of perjury that) 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 Rem(s) iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altar, imp•ove, derrolish; ar 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 3f CIE .. .Jrlracto,s Stale License Low (Gnapter 9 (commencing with.. Section 7000),of Division 3 of the Business and !rofessfons,Gods) or.that he or she isexempt from licensors and the basisfor the allegeli eremp'.ion..Any'Tolaticn of Secton 7051.5 by any applicant for permit subjects the applicant 10 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 U all of or U portions of work, and the structure is not intended or offered for sale (Section7044, usiness and Professions Code: The Contractors' State License Law does not apply an owner of property who, through employees' orpersonal 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-Builderwill have the burden of proving -that it wasnot but# or �n roved for the purpose :ofsale). 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 pplyto an Omer of property who builds or improves thereon, and who contracts; for the projects with a licensed Contractorpursuant to. the Contractors' State license Law). =1 am exempt from licensure:under the Contractors' State License law for thefollowing reason: lymy signature below I acknowledge that, except for my personal residence in. which 1 must have resided for at least one year prior to: completion of the: improvements coveted by. this permit, I cannot legal ally structure that I have built as an owner -builder if it has not beenconstructed in its entirety by licensed contactors. I -understand that a copy of the applicable :law, Sedlon 7044 of the. Business and 'tofessions Cade, is available upon request when thisapplication is submitted or at the. following: Web site:httpJ/www.leginfo.ca.gov/calaw.html. Date itgnature of Property Owner or Authorized Agent .ICENSED-CONTRACTOR'S DECLARATION C siress and Professions C hereby affirm under. penalty of perjury: that I am licensed. under provisions of Chapter 9 (commencing with Sectio 7 ) of Division 3 of the Bud I.aat(d my license is in full force and effect. Icense ClanLicense No Data. ConlractorSignature YORKERS' COMPENSATION, DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION cOVERAGE IS UNLAWFUL, AND SNALL SUBJECT AN: EMPLOYER TO CRIMINAL PENALTIES AND CIVIL . PINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000), IN AOOmON TO TH *ST OF COMPENSAnON, DAMAGES AS PRWOED FOR IN SECTION 0709 OF THE LABOR: CODE, INTEREST, ANO ATTORNITSFEES. hereby affirm under penalty ofperjury one of the following declarations: I I he. 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 Cade, for it errfronnance of the work forwhich this permit is issued. Policy No. QI: 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' compensatie Date ne of Age • "' .... certifythat, )n the perfor nanceof w hich 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 If I should become su ' ct to thew i s. comp n rovislons of Section 3700 of the Labor Code, 1 shall forthwith comply wtth those provisi ns. �J nature of Applicant <<—y—"� Date f v CLARATION REGA IN CON UCTION LENDING AGENCY Ireby 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,. Ckdl'Code) " Ider's Name Lender's: Address my signature below, I certify-16 each of the following: I am the.property owner or authorized to act on the property o efs behalf. I have read this application and the: information I have.provid this -correct n %,/�� ,/� /�� I agree to comply with all applicable city and coun ordina and state laws relafing to buildingconstrucdon. �Dr/I G��k!lY Jre�, I authorize representatives this. city or cou ty t .enter tit ab ve-ide t for Inspection. purposes. ��//((�NV �I u �lL1LYr1 A,.e.., , Print Prone tv Owner's or Authorized ADent's Name __ _— D 4,77 ACTION I DA7E 01 BY OCCUPANCYf55UED GULAf7ONSPART 61 OFTITLE 40AND 1401 TEDASBESTOS A077FICATIOIV TO: A M � 0 N RCArnON IS NOT APPLICABLE TO