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Home My WebLink AboutH2024-0403 - Permitsf`�eWPogT City of Newport Beach III I I I II I I II II II II III I Community Development Department - Building Division Mechanical Permit: H2O24-0403 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No pq= Permit Counter Phone: (949) 718-1888Work Class: Other newportbeachca.gov/civic �, tq ,^,;- .a Permit Status: Issued Issued Date : 07/10/2024 Inspection Area : 6 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 : 17 CHATELAINE Legal Desc : N TR 14571 BLK LOT 57 Description: MECH R/R HEAT PUMP AT SIDE & FAU **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: COLE MARC A TR COLE FAMILY TR Contractor : KEMNITZ A/C & HEATING INC Address : 17 CHATELAINE NEWPORT COAST, CA 92657 Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Phone: Phone: (949)453-8500 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 : 2D22 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: Lic Expire : 09/30/2024 Bus Lic: BT30010593 Bus Lic Expire: 07/31/2024 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INSURANCE COMPANY Policy No : PSIC0701257502 W. C. Expire: 2/1/2025 Fire Hazard Zone : NO Manufacturer : CARRIER Model# : 38MURA-60K TIMER " P _.r ' a_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors Stale License Law for the reason(s) 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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for le 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 'rofessions 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovemenls are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion. the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon. and who contracts for the projects with a licensed Contractor pursuant to the CGntmctols' State License Law). 7 I am exempt from licensure under the Contractors' Stale License Law for the following reason: ly my signature below I acknowledge that. except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and "rofessions Code, is available upon request when this application is submitted or at the following Web site:htlp:liw .leginfo.ca.govlc law.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of D- ision 3 of the Business and Profession ode, v eem$a is in full force nd effect. License Class License No Date Contractor Signature VORKERS'COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TTIOUSAND DOLLARS 15100,000). IN ADDITION To THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perury 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 IN erformance of the work for which this permit is issued. Policy No. have 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 ranee carder and policy number are: Policy Number Date me of Agent Ynone R 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 I. if I should become subject to the wor ers' corn ensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ _ _ _ _ Date CLARATION REGARDING ST ION LENDING AGENCY :reby affirm under penalty perjury t there Is a construction lending agency for the performance of thework for which this permit is Issued (Section 3097, Civil Code). ider'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 stale laws relating to building construction. I authorize representatives of this city or county to ant entified property for inspection purposes. / �J/,�`/' �! nature of ProDertV Owner or Authonzed ADent _ Print Property Owner's or Authorized Agent s Name JA Qf,,/' Lu `Ti Y 0 Date ACTION DATE BY RATION PLIANCL WITH CODE OF FEDERAL : FOR OFFICE USE ONLY REGULATIONS ART 610F TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED Mi SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA L�PERVIT EXTEPDED PERMIT FINAL DL -`ot- ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO /06/Zy CFPTIFICATE OF OCCUPANCY ISSUED I� PROPOSED DEMOLITION RL SIGNATURE_