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Home My WebLink AboutH2023-0248 - Permits�wroRT City of Newport Beach d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 �'. Inspection Requests Phone: (949) 844-3255 °gc�ro RN`° newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 04/13/2023 Inspection Area :5 H2O23-0248 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 : 24 BAFFIN BAY Legal Desc : N TR 15851 BLK LOT 20 Description: MECH CHANGE OUT HEAT PUMP *TAMPER PROOF CAP REQ` Owner: VUCHINICH K MARK TR Address : 24 BAFFIN BAY NEWPORT COAST, CA 92657 Phone: Applicant: 1ST CHOICE HEATING & A/C Address : 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630 Phone: (949)305-5754 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY X PC - Newport Coast SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : 1ST CHOICE HEATING & A/C Address : 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630 Phone : (949) 305-5754 Con State Lic : 1006824 Lic Expire : 08/31/2023 Bus Lic : BT30064046 Bus Lic Expire:08/31/2023 Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE COMPANY Policy No: TWC4228415 W. C. Expire: 2/15/2024 Manufacturer: LENNOX Model# : EL22XPV 4YYIY L'f1�[Jw,lw uw w.w� � I hereby affirm under penalty of perlury 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) 3eclion 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 io permit to file a signed statement thathe or she is li cri pursuantto 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 ticensure 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 3€ more than Five hundred dollars ($500). 1 I, 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 structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Cant I actors' 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold wtUhln 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). 11, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ppiy 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 I and exempt from ticensure under the Contractors' State License Law for the following reason:- y 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 legallt all a structure that I have built as an owner -budder 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:http7lwww.leginfo.ca.gov(calaw.htmi, ignature 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 0) of Division 3of the Business and Pro. dons Code, and my li rase is in full force rid effect. License Class L€tense. No Date `l-t�S�'Z-S Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: PAILLAS TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS S1DD,eDO), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STD$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and 411 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 th Zmance of the work for which this permit is issued. Policy No. Lve 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' compensatiol hsurance Canter and policy number are: Policy Number Date he of Agent rl tune rr certify that, in the performance of the Work for which thispermit is issued.. I shall not employ any person in any manner so as to become subject fo this Workers' ompensation laws of California, and agre bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I, if I should becomm nature of Applican GLARATION F D1N ONSTRUCTION LENDING AGENCY Ireby affirm under penalty of penury that there is a construction lending agency for the performance of the work for which this permit is Issued (Seoiion 3097, C'rvi Code). Iders Name Lender's 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 Wrath all applicable city and county rdinances and slate laws relating to building construction. ` I authorize representatives of this city orcounly, o Prier the above -identified Rio arty for inspection purposes. /j // _ / , .,.,, ,., ,.r o.,.,,en, n,.,.,o..., n, m..r�,.an nnam �T ) Print Procarty Owner's or Authorized Agent's Namdt/ -71 �S GJ�-6�-� / ate L"i -2� ACTION DATE. BY %y 3MLAR.ATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 of TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY 1403 PERMIT EXPIRED i I SUBMITTED ASBESTOS NOTI FICATION TO PERrv11T CANCELLED1E^A PERMIT EXTENDED 1�AQMD _-___ RERMIT FINAL CEIRPFICATE OF �1 AOIESTOS NOTIFICATION 15 Nor APPLICABLE TO PROPOSED EMOIITIDN OCCUPANCY SUED _ ,� SIGNATURE: