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HomeMy WebLinkAboutH2023-0187 - Permits��EWPoRT City of Newport Beach e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9G/pppN�P newportheachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 03/20/2023 Inspection Area : 6 H2O23-0187 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 : 6 VILLENEUVE Legal Desc : N TR 14617 BILK LOT 42 TRACT NO 14617 LOT 42 AND POR LOT L AN D FOR ABAND Description: MECH CHANGE OUT FURNACE AND A/C UNIT `TAMPER PROOF CAP REQ' Owner: ` \NOW-a�h. \ � Address: gl 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 Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Newport Ridge PROCESSED BY SPECIAL CONDITIONS: Contractor : KEMNITZ A/C & HEATING INC Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Phone: (949)453-8500 Con State Lie : 695874 Lie Expire: 09/30/2024 Bus Lie: BT30010593 SITBJECT TO Bus Lie Expire:07/31/2023 Workers' Compensation Insurance FTFLD TNSPF,CTOF,,S TtbVIEW AND APPROVAL Carrier: NORGUARD INS CO Policy No: KEWC350773 W. C. Expire: 2/1/2024 Fire Hazard Zone : NO Manufacturer : CARRIER Model# : 24VNA6 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 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_I portions of the work, and the structure Is notintended or offered for sale (Section 7044, (Business and Professions Code: The Contractors' State License Law dons not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the iiImprovements 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.❑ 1, as owner of the property, ant exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not iapply 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), iQ 1 am exempt from licensors under the Contractors' Slate License Law far 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 Iegalll '..sell a structure that I have built as an owner -builder If it has not been constructed in ila 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:http:l/www.loginfo.ca.gov/calaw.html. Signature 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 Section f Divi on 3 of the Business and Pr sions In � a ice s full force .and effect. License Class License. No Data 2 l i% Contractor Signalur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (b100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the fallowing declarations: 111 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 thr qo/ormance of the work for which this permit is. issued. Policy No. 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' compensation insurance carrier and policy number are: Canter policy Number Expiration Date Name of Agent Phone # ©I certify that in the peFie manse 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 agree that, If I should becom jest to the r ' inn of Section 3700 of the Lobar Code, I shall forthwith comply with those provisions. Signature of Applicant Dat �ZQt2 3 DECLARATION REGARDING S - CTIDN LHN _- PENCY I hereby affirm under penalty of Iry thatihere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci I Code), Lender's Name Lenders Address _ By 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 aaLLstata laws relating to building construction. / I authorize representatives of this city or count enter in ove-ide ti' erty for in purposes. Signature of Property Owner or Authorized Agent ` Print Pro ert Owner's or Authorized Agent's Nam d N I J Dat / / j Z ( - ACTION DATE BY DECLARA OF COMPU WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGUI ON5PART 61 TLF. 40 AND Ai RUI PERMlrfXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EKT€NDED PERMITFINAL CERTIFICATE Or __L_®rLPA r,,,,t 4Qr4D — ASBESTOS NOI IFICATION 15 NOT APPLICABLE TO PROPO5E0 DEMOLITION OCCUPANCYLSSUEO j SIGNATURE: