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Home My WebLink AboutH2023-0222 - Permitsp��EWPp�T City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 f�? = Permit Counter Phone: (949) 644-3288 .�.< Inspection Requests Phone: (949) 644-3255 CgG�pnpN�P newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 03/31/2023 Inspection Area : 6 H2O23-0222 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 : 1601 BAY CLIFF CIR Legal Desc : N TR 7247 BLK LOT 24 TRACT NO 7247 LOT 24 AND POR ABAND STIR (BAY CLIFF Description: MECH - SFR INSTALL (2) HEAT PUMPS *PROVIDE TAMPER -PROOF CAPS AS REQD Owner: HONGBINZENG Address: 1601 BAY CLIFF CIR CORONA DEL MAR, CA 92625 Phone: Applicant: C C C C HEATING & AC INC Address: 606 E LINCOLN AVE ORANGE, CA 92665 Phone : (714) 637-7021 Owner/Builder : Address Phone: Code Edition: 2019 Type of Construction Occupancy Groups: Fire Hazard Zone : YES Building Setbacks: Front: 10, Front: 10, Front: 10, Side: 6, Side: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 6 (_ SPECIAL CONDITIONS: Contractor : C C C C HEATING & AC INC Address : 606 E LINCOLN AVE ORANGE, CA 92665 Phone : (714) 637-7021 Con State Lic : 451863 Lic Expire : 01/31/2024 Bus Lic: BT30029124 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Carrier : CHUBB INDEMNITY INS CO Policy No : 000071772565 W. C. Expire: 11/11/2023 Manufacturer: SAMSUNG Model# : CXH24ADB 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 checkmari 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, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisionsofthe 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure Is notintended or offered for sale (Section 7044, Business and Professions Code: The Contracterss' 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). ❑ 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 ant exempt from licensure under the Contractors State License Law for the fallowing 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 legalh sell a structure that I have built as an owner-buildar 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 available upon request when this application Is submitted or at the following Web site.hUp:ll"ww.leginfo.ca..govlcalaw.html. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of Di 'sign 3:of the Business and Professions C my lip ' • in full force and effect. License Class License No Daie Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 LASOR CODE, INTEREST, "a ATTORNEY's FEES, hereby affirm undc• penalty of perjury one of the following declarations: I ffi�ve and win o,emlom 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 th p af,S.a.Ice of Cie wak 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` ,ance carrier and policy number are: Policy Number of Agent Date 3. cE ; fy that, ii. I p formance of the work for w 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 a', �f I should become subject to th)wa]ker ' - an provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A�, ynacwp of Apfiifranl Date .: � j _� �_...-.IN .E _._...,_ -I IcCLARATION �2EGATRUCTION LENDING AGENCY hcr1�y cffirm underpenal of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). erdep c Name _ Lenders Address ly my signature oelow. I certify to each of the following: I am the property owner or authorized to out on the property owner's behai . I have read this application and the information I have provided is C006, I agree to comply with all applicable city and county ordin ce state laws relating to building construction. I authorize representatives of this city or county to bove-Identi r arty for inspection purposes. t\II �� tiongliffaeti-Preoedv Owner or Authorized Atlen �% PrinLProperty Owner's or AuthorizediAgent's Name nAn / Zt4ti Daie,.(�`�/.`t-� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 1 FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE 1403 Ph"RMiT EXPIRED } LJ I SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CANCELLED I EPA F'£RM1T Ek7ENAED AQMD PERMIT FINAL 06�) A214 � fbi,- ASBESTOS NOTIFICATION 15 N PPLICABLE TO OCCUPANCY ISSUED t�t RL t 5jGNATURE:EMO J1B�l ,/