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Home My WebLink AboutH2023-0141 - PermitsCity of Newport Beach III II I III III IIIIII I III I II ,1/JpF a A Community Development Department - Building Division flU i_ Permit Civic C Counter Phone: rive, Newport Beach, CA 92660 (949) 64 -3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Mechanical Permit : H2O23-0141 Plan Check No: Work Class : Other Issued Date : 02/27/2023 Inspection Area : 3 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: 22 BAYCREST CT Legal Desc : N TR 12362BLK LOT 1 UN 6 TR 12362 LOT 1 UNIT 6 OF PROJECT L OCATED ON AP Description : MECH - R/R FURNACE Owner: Address: GLADYS B GABRIELIAN LIVING TRUST 1826 PORT CHARLES PL NEWPORT BEACH, CA 92660 Contractor ; phones SERVICE CHAMPIONS HTG 150 (7 4) 7 BIRCH BREA. CA 92821 -7777 Phone : Con State Lic : 799170 Applicant: SERVICE CHAMPIONS HTG Address: 3150 E BIRCH BREA, CA 92821 Phone : (714) 777-7777 owner/Builder: Address: Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone: X Use Zone : PC - Bayview n PROCESSED BY: SPECIAL CONDITIONS: Lic Expire : 10/31/2023 Bus Lic: RM8WC00054221 Bus Lic Expire: 04101 /2023 Workers' Compensation Insurance Carrier : EVEREST PREMIER INS CO Policy NO: RM8WC00054221 W. C. Expire: 4/1/2023 Fire Hazard Zone : NO Manufacturer Model# : I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) indicated below by the checkmark(s) I have placed next to the applicable items) Gion 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 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 7p00) of Division 3.of the Business and feselons 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 penalty of more than five hundred dollars ($500).. I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or (_) portions of the work, and the structure is not: intended or offered for sale (Section 7044, iness and Professions Code: The Contractors' Stale License Law does not apply to an. owner of property who, through employees' ar personal effort, builds or improves theproperty, provided that the rovements 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 roved for the purpose of saki). 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 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). £ am exempt from Iioensure under the Contractors' State License Law for line following reason: my signature Wow I acknowledge that, except for my personal residence in which I must have resided�for at least one year prior to completion of tfia Improvements covered bythis permit, I.eannot lagafl, a structure that I have built as an owner-buildor it it has not been Constructed In its entirety by licensed Contractors" I understand that copy of tire. applicable law, Section 7044 of the Business and 'esswns Coda Is. available upon request when this application is submitted or at the following Web site:http/lwww.leginfo.ca..gov/calaw.html. mature of Property Owner or Authorized Agent.. nPra hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f/ i i the Business and Pr Code,. and my license i and effect. License Class License. No Date Contractor Signstu PORKERS' COMPENSATION DECLARATION fARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1E13D,SBB), IN ADDITION TO T :OSTOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1799 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, 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 ormanco of the work for which this permit is issued. Policy No. aye 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' compensal ffffffssssss r�ce carrier and policy number are: Policy . Number of Agent Date I certify that, inthe performance of the, vict br which this permit is I Sued. £ shall not arri any person in any manner so as to become subject to the workers`compens tion laws of CalifornL and agre t, it 1 should beco a subject to theA rkers' compens wsirb` tarts of Section 3700 of time Labor Code, I shall. forthwith complywith those provisions. nature of ApplIca Dat —"'1"�"�-- CLARATtON itEG T m ;~ 0 LENDING AGENCY /J/ Ireby affirm under p Iry that there is a construction landing 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 t have p is correct. I agree to comply with all applicable city and county inane$ and skate laws relating to building Construction. i authorize representatives of this city or coural, to ente trove-Identfie_8�r inspection purposes. ay 1408 OF COMPLIANCE WITH CODE OF FEDERAL PART61 OF TITLE 40 AND AQMD RULE Nqu M A�DFU ASaESTOS NOTIFICATION 15 NOT APPLICA8LE TO CEERM Rf17 1 TE 6�' �" �, 3 PROPOSED DEMOLITION OCCUPANCY f55UED I ..,- FOR OFFICE USE ONLY