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HomeMy WebLinkAboutH2022-0624 - PermitscWvoR City of Newport Beach III I I I II I II I II IIII I I II II Mechanical Permit : H2O22-0624 r Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 11/03/2022 newportbeachca.gov/inspections Inspection Area :4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1948 PORT ALBANS PL Legal Desc : N TR 6565 BILK LOT 23 Description : MECH: REPLACE FURNACE @ GARAGE. Owner: TIMOTHY SCHOENBERG Contractor : KEMNITZ A/C & HEATING INC 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Address : 1948 PORT ALBANS PL NEWPORT BEACH, CA 92660 Address : Phone : (949) 453-8500 Phone : Con State Lic : 695874 Applicant: KEMNITZ A/C & HEATING INC Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Phone : (949) 453-8500 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: �� SPECIAL CONDITIONS: Lic Expire : 09/30/2024 Bus Lic: BT30010593 Bus Lic Expire:07/31/2023 Workers' Compensation Insurance Carrier : NORGUARD INS CO Policy No: KEWC350773 W. C. Expire : 2/1/2023 Fire Hazard Zone : NO Manufacturer Model# : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, after, 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 3 of the Business and professions Code) or that he or she is exempt from Iicensure 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 ponatty of iot more than five hundred dollars ($500). 1 1, as owner of the property,or my employees with wages as their sole compensation, will do L) 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). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors Slate License Law does not rp 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). I am exempt from Iicensure under the Contractors' State License Law for the following reason: _ _ ion of th 3y my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to complete improvements covered by this permit, I cannot legall, tell 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 >rofessions Code, is available upon request when this application is submitted or at the following Web site:http://m .leginfo.ca.gov/calaw.htmi. iignature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 70001of ivision 3 of the Business and Professions Code, and my license is in full force Ind effect. License Class License No Date 1.-'L Contractor Signature J YORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 fh performance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number — _ _ Expiration Date of Agent JI certify that, in the performance of the work for which 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 agn tat, if I should become subject to the workerScompensaXon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant `t _... Date__ \� IEPI PPP't ION RECARDIING CONSTRUCTION LENDING AGENCY heeby 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, Civil Code), endcr's frame Lender's Address y my signature below, I certify to each of the following: I '1m the property owner or authorized to act on the property owner's behalf. hav read this application and the information I have provided is correct. i avrgA to comply ^with ill applicable city and county ordinances and state laws relating to building construction. I aclhnnze representatives of this city or county to enter the ah�r�,vte-identified property for inspection purposes. ignatwe of Property Uwner or Authorized A ent I/ L. Print Property Owner's or Authorized Agent's Name I ACT'ON PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED I PERMIT FINAL CERTIFICATEOF : OCCUPANCYISSUEO BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEi REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS S 1 ❑ ASBESTOS NOTIFICATION 15 NOT APPUCAB A III PROPOSED DEMOLITION SIGNATURE: FOR OFFICE USE ONLY