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Home My WebLink AboutH2024-0226 - Permits (3)City of Newport Beach III II I III I II II III II III II Mechanical Permit : H2O24-0226 �Fwno�T Community Development Department- Building Division Plan Check No > y; 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1886 Work Class :Other newportbeachca.gov/civic Issued Date : 04/19/2024 9i, cuRN:r ` Inspection Area : 2 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: 2021 BAYSIDE DR Legal Desc : N TR 2094 BILK LOT 10 `� F Description: MECH INSTL A/C UNIT @ TH E SIDE YARD TAMPER RESISTANT CAP REG , REPLACE FURNACE Owner: LEAHY KAY L TR Contractor : SERVICE CHAMPIONS HTG 3150 E BIRCH BREA, CA 92821 Address : 1023 DOLPHIN TER CORONA DEL MAR, CA 92625 Address : Phone : (714) 777-7777 • • , Phone : Con State Lic : 799170 ' , Applicant: SERVICE CHAMPIONS HTG Lic Expire : 10/31/2025 , BT01080105 Address : 3150 E BIRCH BREA, CA 92821 Bus Lic: Bus Lic Expire:07/31/2024 , Phone: (714) 777-7777 Workers' Compensation Insurance Carrier : EVEREST PREMIER INSURANCE COMPANY • , Owner/Builder : Policy No: RMBWC00054231 Address : W. C. Expire: 8/1/2024 Phone: " Code Edition : 2022 Fire Hazard Zone : NO Manufacturer : AC PRO Model# : AULD36W2/A-D(U) Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Front: 10, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIO S: 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 thathe or she is licensed pursuantto the provisions of the Contractors State Licerso Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 131, as owner of the property, Gr my employees with wages as their sole compensation, will do U all of or U portions of the work., and the structure is notintended or offered for sale (Section 7044, Business and Professions Coda: 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). 111. as owner of the properly, 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 licensors 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 legall Set 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 avaiiable upon request when this application is submitted or at the following Web site:httpilwwhv.leginfo.ca.gov/calaw.html, 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 Sec; ie 000) Divis n 3 A f the Busin s and Professio e, and my license is in full force and effect. LicerI Z:ass License. No Date Contract rSignatu iVORKFRS' COiV,FLNSATION DECLARATION YAlkWb: FAILURE to 4:CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP O ONE HUNDRED THOUSAND OOLLARS ($100,000), IN ADOMON TO THE 1OST OF COMPENSATin N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby gffirm under penalty of perjury one of the fallowing declarations: I 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 Ice of Ilse work for which this permit is issued. Policy No. and Will maint in 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 carrier e.cd policy number are: of Agent _,_ Policy Number ;ccif7 that, in the performance of the work for which this permit is If I Sttof become subject to the workers' compensation provrsio ature of\A�lplicant / / �� Expiration Date Phone I not employ any person in any manner so as to become subject to the wort Is' compensation laws of California, and agre 3700 of the Labor Code, I shall forthwith comply with those provisions. .Ly,� Dt 7k/ ereby affirm finder pen that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder's 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 and state laws relating to building. construction. I authorize representatives q s ty or.9oatirty to enter the above-ident'ffed-property for inspection purposes, lature of Property Owner oriAutho Agent�y� _.. Print Property Owner's or PERMIT "PIRED BY ATICN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY g REGULATIONS PART 61 OF TITLE 40 AND, RULE 1403 SUBMITTED TO PERMfFINAL DL �0l- I UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICAre Of p PROPOSED' DEMOLITION OCCUPANCY ISSUED CW @ SIGNATURE: