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Home My WebLink AboutH2023-0405 - Permits�agWPogT City of Newport Beach p Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u S Permit Counter Phone: (949) 718-1888 a•� newportbeachca.gov/civic °'u coaN�r Mechanical Permit Plan Check No: Work Class : Other Issued Date : 06/20/2023 Inspection Area : 6 H2O23-0405 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 : 1412 KEEL DR Legal Desc : P BK 24 PG 17 PAR B P.M. 24-27 PAR. B Description: MECH - R/R F.A.U. & A/C CONDENSER. TAMPER -RESISTANT CAP & TIMER REQUIRED Owner' RI HARD DOWFI I Contractor : SERVICE CHAMPIONS urn Address : 1412 KEEL DR CORONA DEL MAR, CA 92625 Address : 3150 E BIRCH BREA, CA 92821 Phone: Phone: (714)777-7777 Con State Lie: 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 : Front: 21, Side: 6, Side: 6, Rear: 6 Flood Zone: X Lie Expire: 10/31/2023 Bus Lie: BT01080105 Bus Lie Expire:07/3112023 Workers' Compensation Insurance Carrier : EVEREST PREMIER INS CO Policy No: RM8WC00054231 W. C. Expire: 8/1/2023 Fire Hazard Zone : NO Manufacturer: LENNOX Model# : ML18SX2-048 Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) EQUIPMENT �,EQUIREQ C ANC A.M• SINtGR ' EN 10 P.M• PROCESSED BY : TO S"UT QFF 13ev SPECIAL CONDITION . IGHBOR LETTER ATTACHED TO PLANS 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 item(s) 'ection 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 Is 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 Plvision,3 of the Business and rofessions 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 for a permit subjects the applicant to a civil penalty of of more then five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sale compensation, will do () all of or O portlons of the work, and the structure is notintended or offered for sale (Section 7044, usiness 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 properly, provided that the nprovements 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 n roved 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason:..----�.— y my signature below I acknowledge that, except formy personal residence In which I must have resided far at feast one year prior to completion of the improvements covered by this permit, I cannot legal) all a structure that I have built as on owner -builder If it has not been constructed in itsentirely by licensed contractors. I understand that copy of tho 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:llwww.leginfo.ca..govlcalaw.html. ;ignature of Properly Owner or Authorized Agent us' _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000*fDithe Business and Prof as' a, and my license is in full force:nd effect. License Class License.No DateDntractor SI not VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370e 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 tabor Code, for int flAirmance of the work for which this permit is issued. Policy No. itieve and will maintain workers' compensation insurance, as required by $action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior 3su nee carrier and policy number are: :artier Policy Number Expiration Date tame of Agent Phone fF :1I certify that, in the performance of the wor lir which this pemtit Is issued, 1 shad not employ any person in any manner so as to became subject to the workers' compens Ion law • of California, and agree 'tat, If I should become subject to the wo leers' compensation ns of Section 3700 of the labor Code, I shot! fcdhwith comply wktit those provisions. Signature of Applican��. n{ . DECLARATION REGARDING C CT10N LEf401N0 AGENCY hereby affirm under pen perju Fihere is a construction lending agency for the panotmance of the work for which this permit is issued (Section 3097, Civil CDde). .enders Name Lender's Address 3y 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 1 have provided is correct. I agree to comply with all applicable city and county ordinenaes state laws re g-to-b0ilding construction. I authorize representatives of this city or county t Dior above4 property for inspection purposes. Ii nature of Pro ert Owner or Authorized A aril Print Pro err Owner's or Authorized A eat's Nam 1CTION DATE BY -C ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY :OUiATIONS PART fit OF TITLE 40 AND AQMD RULE PERMIrEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCECLED EPA PEflM1T EXTENDED QMD PERMLENNAC OS/(Q/z3 DL Tor ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOr PROPOSED DEMOLITION OCCUPANCY ISSUED C5 SIGNATURE: _