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Home My WebLink AboutH2022-0705 - PermitsCity of Newport Beach D��EWPO,gT e Community Development Department- Building Division F r ? 100 Civic Center Drive, Newport Beach, CA 92660 s Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �q<iroaT`�P newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date: Inspection Area : 3 H2O22-0705 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 : 38 BAYCREST CT Description: MECH - R/R F.A.U. & A/C CONDENSER. Owner: ANNETTEHELLMICH Address : NEWPORT BEACH, CA 92658 Phone: Legal Desc : N TR 12362 BLK LOT 1 UN 6 TR 12362 LOT 1 UNIT 6 OF PROJECT L OCATED ON AP TAMPER -RESISTANT CAP REQ'D Applicant: K KALKA HTG PLUMBING & A/C Address: 15550 ROCKFIELD #A110 IRVINE, CA 92618 Phone : (949) 837-1776 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone: PC - Bayview PROCESSED BY: SPECIAL CONDITIONS: Contractor : K KALKA HTG PLUMBING & A/C Address : 15550 ROCKFIELD #At 10 IRVINE, CA 92618 Phone : (949) 837-1776 Con State Lic : 677889 Lic Expire : 10/31/2024 Bus Lic : BT30074347 Bus Lic Expire:05131/2023 Workers' Compensation Insurance Carrier : NORGUARD INSURANCE COMPANY Policy No: KKWC252994 W. C. Expire: 12/23/2022 Fire Hazard Zone : NO Manufacturer: GOODMAN Model# : GSX14 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, orrepair 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 Suction 7000) of Division 3 of the Business and professions Code) or that he or she is exempt from (icensum 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 1o€ more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not; intended or offered for sale (Section 7044, 3uslness 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 reproved for the purpose of sale). ZI 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 reasom 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 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 notbeen copstmcted'n its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request w1ben this application Is submitted or at the following Web site:http:/Mn .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 l3 f DIyIsion & of the Business and Professions Cod and my license Is in full force and effect. License Class L€tense, No ) S Contractor Signatu%1 n �� 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: pr�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 formence 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 of Agent 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 agree t, If I should become subject to the war :rs' ompansahon9prylvsions of Section 3700 of the Labor Code, I shall. forthwith comply with chose provisions. ) �[ nature of Applicant Da / ✓- CLARATION REGARDI CONSTRUCTION LENDI-NG"WGENCY treby affirm under penalty of perjury khatthere is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil de), lder'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 correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city orcounty to enter e a ve-idv emit If property for inspection purposes. J LA /'/IA/� nature of ProDertv Owner or Authorized Ane /I� Print Property Owner's or Authorized AcenPs Narn.e : � Mai'UDate ACTION I DATE BY W DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE AO AND AQMD RULE PERMIT £XPIP£D LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCEUED E11PA PERMIT EXTENDED 1_1AQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED ,41 LL/ �P Uh � rr�� &VI-5 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE