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HomeMy WebLinkAboutE2023-0218 - Permits��6WPOR� City of Newport Beach p - Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i) }r► r Permit Counter Phone: (949) 644-3288 C9�OM1N\P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspecflons 111111111111111111111111 �1111111111111JillElectrical Permit Plan Check No : Work Class : Other Issued Date : 03/20/2023 Inspection Area : 6 E2023-0218 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: 8 VILLENEUVE Description: ELEC A/C DISCONNECT Owner: THOMPSON THOMAS S TR Address : 8 VILLENEUVE NEWPORT COAST, CA 92657 Phone: Applicant: KEMNITZ A/C & HEATING INC Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Phone : (949) 453-8500 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY SPECIAL CONDITIONS: Legal Desc : N TR 14617 BLK LOT 46 Contractor : KEMNITZ A/C & HEATING INC Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Phone: (949)453-8500 Con State Lic : 695874 Lic Expire : 09/30/2024 Bus Lic : BT30010593 Bus Lic Expire:07/3112023 Workers' Compensation Insurance Carrier: NORGUARD INS CO Policy No: KEWC350773 W. C. Expire: 2/1/2024 Fire Hazard Zone : NO Occupancy Groups : 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) (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 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 Professions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work; and the structureisnot 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 improvements Bra not intended or offered for sale. if, however, the building or improvement is sold within one year of Completion, the Owner-Builderwill 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 consbvctthe 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). I am exempt from licensure 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 Iegall sell a structure that I have built as an owner-bulldar if it has not boon constructed in itsentirety 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:http://www.leginfo.ce.gov/calow.html. Signature of Property Owner or Authorized Agent_ Date LICENSED CONTRACTOR'S DECLARATION p I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiol 0 of Divi orr}},,3 of the Business and �.gr9s�ie d my ' ense is in full force and effect. License Class License No Da Z0 2-5 Contractor Signalur /� 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 ISIDQ000), IN ADDITION TO THE COST OF COMPENSATION, DANAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 Labor Code, for IN Ve formance of the work for which this permit Is issued. Polley No. I 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' compensatio i sumnce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone N ©1 certify that, in the performance of the work for 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 ogre that, if I should become bject to rep soli ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. N Signature of Applicant - _ Datr�,4-_,�O��i� DECLARATION REG DING TION DING AGENCY I hereby affirm under penalty of perjury that there is a construction lending ageney for the performance of the work for which this permit. is issued (Section 3097, Civil Code), Lender's Name Lender's Address By my signature below, I certify to each of the followfng: I am the property owner or authorized to act on the properly 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 GOLD y ordinances and s ays rolatng to building construction. 1 authorize representatives of this city or,, r0 enter n a -i property fo ' ioopurposes. ' Signature of Pet Owner or Authorized. Agent Print Property Owner's or Authorized Agent's Name ✓ f Qtf W A r eta .� Z(7 ACTION DATE BY I DEL ON OF COM AN WITH CODE OF FEDERAL FOR OFFICE USE ONLY , REGULATIONS PART ITLE 40 AND AOMD RULE 1403 PERMITEXPIRED ISUPt,'I'TE1) ASBESTJMiJOTI, (CATION TO PERMITCANCELLED -� PERMIT EXTENDED _ ___�_'-1LW4MJ _.__ PERMIT FINAL E LIASRESIOS NOTIFICATION IS PIDTAPPUCA9LE TO CENUFmATEOF '11 '>Z� VJ ti%`- ! PROPOSED DEMOLITION OCCUPANCY ISSUED 9GNATURE