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Home My WebLink AboutH2023-0097 - PermitsCity of Newport Beach IIIIIIIIIIIII IIIII IIII IIII 14EW�o�r Community Development Department- Building Division Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 u�= Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Mechanical Permit : H2023-UU97 Plan Check No : PC2022-1703 Work Class : Other Issued Date: 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 : 1521 KATHLEEN LN Legal Desc : N TR 1806 BILK LOT 4 Description: MECH -INSTALL AIC CONDENSER. TAMPER -RESISTANT CAP & TIMER REQ'D Owner: JERRY/CARA WEICHMAN Contractor : SKY HEATING & COOLING INC Address : 769 N GLASSELL ST ORANGE, CA 92867 Address: 1521 KATHLEEN NEW PORT BEACH, CA 92660 Phone : (714) 883-0623 Phone : Con State Lic : 1045281 Applicant: SKY HEATING & COOLING INC Address: 769 N GLASSELL ST ORANGE, CA 92867 Phone: (714)883-0623 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITIONS: Lic Expire : 12/31/2023 Bus Lic: BT30065983 Bus Lic Expire:02/28/2023 Workers' Compensation Insurance Carrier : NORGUARD INSURANCE COMPANY Policy NO: SKWC`rlagmr} W. C. Expire: 2/1/20$¢ Manufacturer: AMERICAN STANDARD Model# : 4A7A5060N 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 7031.6, 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 the permit to file a signed statement thathe 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 fora permit subjects the applicant to a civil Density of not more than five hundred dollars ($500).. ❑ 1, 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, Business and Professions Code: The Contractors' State License Law does not apply to anowner 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). ❑ 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 apply to anowner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). a I 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 feast one year prior to completlon of the improvements covered by this permlG I cannot legall self 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 Dopy 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 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 D 1 3 of the Business and ?DT8011ANI May, y license is in full force and effect. License Class License. No. Date l/'G Contractor Signat NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE NUN DOLLARS a ori000l, e. Srlp ADDITION TO THE :05T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -1 1 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 Ih Normance of the workfor 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: of Agent Policy Number Expiration Date 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 agre t, if I should become subje to he rk Is' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provistons. nature of Applica Data. ll�i 3 CLARATtON REGAZ`iR CONS UCTION LENDING AGENCY )reby affirm under pe of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Iders Name Lenders 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 correct. I agree to comply with all applicable city and county ordinances a. d state haws relating to building construction. authorize representatives of this city or county to ant @n ifled property for inspection purposes. r I nature of Properly Owner or Authorized Agent v Print Property Owner's or Autharizad Anent'e Nan,. AC9 17 1 //y/, l �C' DATE BY —._PjXLARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 610E TITLE 40 AND AQMD RULE j 1403 PERMIT EXPIRED __ _. e ISUBMITTEDASBESTOS NOTIFlCAT!ON TO PERMJTFINAL /�� ASBESTOS NOT] PICATION 15 NOT APPLICABLE TO CERTIFICATE OF r�,• t / PROPOSED DEMOLITION OCCUPANCYISSUED V �,,,,,,,,,,,,,,�