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Home My WebLink AboutH2020-0132 - PermitsCity of Newport Beach - Building Division III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 1 3 2 Permit Counter Phone (949)644-3288 Job Address: 1966 PORT WEYBRIDGE PL BIdg:1 Floor: Suite: Description of Work: MECH DUCT WORK ONLY Inspector Area:4 Code Edit : 2019 Legal Description: N TR 6623 LOT 103 Owner: CODORI ANITA Address: 1966 PORT WEYBRIDGE PL NEWPORT BEACH, CA 92660 Phone: 949-413-6468 Issued Date:02/20/2020 Processed `/VIV\_ Contractor: SERVICE CHAMPIONS HTG Address: 3150 E BIRCH 4 BREA CA 92821 Phone: 714-777-7777 Con State Lie: 799170 Lic Expire: 10/31/2021 Bus Lic. BT01080105 Lie Exp Date: 07/31/2020 MECHANICAL Permit: H2O20-0132 Project No: Inspection Requests Phone (949)644-3255 HVAC Items n 1P1411 ECT�m• ®...� 4 FEES .• 6 Worker's Comp Insurance- �•� •, , a Carrier: EVEREST NATIONAL INS CO ` Policy No:RMBW000044191 �•®�•� .mmo^ Expire :05/29/2020 •°°° `mmmco 0 $0.00 }9 O • e U m • O 4 C Fire Dampers: 0 $0.00 $0.00 0000 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 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 1 OK CFM: 0 $0.00 Repair/Alter/Add: 1 $20.00 Model: Issuance: $35.00 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: $55.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $55.00 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. 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 is 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 'rofessionsCode) 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 of 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, lusiness 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 nprovements 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 nproved for the purpose of sale). I, as owner of tte property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ip cy to en ownetdf"phloerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I armoexempt iroxllleensure under the Contractors' State License Law for the following reason: ly my.signature 69Iowt 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 e 471ucture 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 'jofesplons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignatufe of Proparfy Qwner or Authorized Agent Date ICLNSED CQNTBACTOR'S DECLARATION terety affirm t9gerSRnalty of perjury that I am licensed under provisions of Chapter 9 (commencing withctlon 000) o Division 3 of the 7Signatu� e r a rrylicense is in full force M'effect. 2 Tr as Class License No Date 2a Contractor VORKERS' C0MRNSATION DECLARATION WhAff4 : 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 ffiiO COMPEaSARIDNrDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm "SPpenalty of perjury one of the following declarations: I 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 ormance 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' compensa Trance carrier and policy number are: Policy Number of Agent Date ]I certify that, in theA te of th for which this permit is issu not employ any person in any manner so as to become subject tIthe workers' compensation laws of California, and agre¢ tat, if I should becom visions of "Section of the Labor Code, I shall forthwith comply with those prov' ions. f2U / ignatu re of ApplicanDa G/ / oo iECLARATION REGONSTR ION LENDING AGENCY hereby affirm underperjurythat there is a construction lending agency for the performance of the work for which this permit is issu d (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 h ,IVOvide I agree to comply with all applicable city and countyrdin res and state laws relatino to building construction. /") p I authorize representatives of this city or county ��F�� ntified property for inspection purposes. / / , nature of Property Owner or Authorized A ACTION DATE PERMIT EXPIRED PERMITC4NCELLED PERMITEXTENDED PERMIT FINAL CERPRCATE OF OCCUPANCYISSUED BY ❑ i SUBA411TEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTITICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: