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Home My WebLink AboutH2021-0475 - PermitsCity of Newport Beach - Building Division III EI11111p111i1p11111111111p111111111p11111 �Sy,¢9"' tkgF �+ 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 1 0 4 7 5 Permit Counter Phone (949)644-3288 Job Address: 27 RUE CANNES BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT (E) HEAT PUMP 42dB (LENNOX; VPB060H4M-3P) InspectorAreaA Code Edit: 2019 Legal Description: N TR 7519 LOT 13 Owner: MCDEVITT RONALD Contractor: SERVICE CHAMPIONS HTG Address: 27 RUE CANNES Address: 3150 E BIRCH NEWPORT BEACH CA 92660 BREA CA 92821 Phone: Phone: 714-777-7777 Con State Lic: 799170 Issued Date:08/1312021 Lic Expire: 10/31/2021 Bus Lic: BT01080105 Processed By: Lic Exp Date: 09/30/2021 MECHANICAL Permit: H2O21-0475 Project No : Inspection Requests Phone (949)644-3255 PzP� Worker's Comp Insurance - V J Carrier: EVEREST NATIONAL INS CO Policy No: RMSWC00054201 M Expire :04/01/2022 DO HVAC Items FEES Furnaces Boilers & 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: 1 $22.00 >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: $19.14 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $38.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $52.00 TOTAL: $131.14 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $131.14 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. o• oy •e Yf• o° ego O s ° ° � y OE -f0 OWNER -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 items) (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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 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. I 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 7A 00) f Division 3 of the Business and Professions C my license is in full force and effect. License Class License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: 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 I$100,0001, 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: ❑ 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 the prmance of the work for which this permit is issued. Policy No. have and IIf- ,aintain workerss-;Qmpensation insuranceAas required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Date of I certify that, in the performance of th),work for which this er shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become subj ct to the workers' co on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Pirdi_ r� nature of Applicant ate L711 CLARATION REGAR IN ST CTION LENDING AGENCY—r �reby affirm under penalty o t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address 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 orrect. I agree to comply with all applicable city and county ordinances d siat relating to building construction. ,�r,�/�( I authorize representatives of this city or county t e ter he ove-' ntified property for inspection purposes. pr-1�l _ I✓J1 nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's N e ate ACTION DATE BY DECLARATION OF COMPLIANCE tMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATIONTO: • ^�'❑ EPA PERMIT CANCELLED • ❑ AQMD " PERMIT EXTENDED • • �• . • �• ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PMPOSEDDEMOIJTION. PERMIT FINAL • ' CERTIFiCATEOF SIGNATURE: OCCUPANCYISSUED / 0 I LU w E §§ It Qz w a a \� w\ V- LL w } ®d Z Q 0 ( {) a. O U LL O W 2 � � J §.. ek.. LL b§ }E \ k) �§{E 0. £) \ 2 z ! # % � } \ j \ g�OE & & § E § ) 2 \ - k LU § § \\ < b � O < ) / - [§{ _ ! ! \ A LU § a EL\ !,£r ) }Ao y«, § .§ - LL ,eo T HWE LY _. e. 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