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Home My WebLink AboutH2023-0327 - Permits^EwPok, City of Newport Beach °1 9 Community Division p``;;r � I.� Y Development Partment-Buildin 9 > eV P n 100 Civic Center Drive, Newport Beach, CA 92660 �` 2. Permit Counter Phone: (949) 718-1888 r newportbeachca.gov/civic r�<i FoxN. Mechanical Permit Plan Check No: Work Class : Other Issued Date : 05/16/2023 Inspection Area : 4 H2O23-0327 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: 2906 CAROB ST Legal Desc : N TR 5018 BILK LOT 115 Description: MECH, CHANGE OUT A/C AND FURNACE; TAMPER PROOF CAP REO'D; TIMERS PROHIBITED ON HEAT PUMPS Owner: TURNER STEPHEN GRANT TR Contractor : KEMNITZ A/C & HEATING INC Address : 2906 CAROB ST NEWPORT BEACH, CA 92660 Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 ; Phone: (949)422-8896 Phone: (949)453-8500 Con State Lic : 695874 Applicant: KEMNITZ A/C & HEATING INC Lic Expire : 09/30/2024 Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Bus Lic: BT30010593 Phone: (949) 453-8500 Bus Lic Expire:07/31/2023 Workers' Compensation Insurance Owner/Builder : Carrier : NORGUARD INS CO Address : Policy No : KEWC350773 Phone: W. C. Expire: 2/1/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: CARRIER Type of Construction : Model# : 38MURA Occupancy Groups: Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) r TQ T'L'LB INSPI PROCESSED BY : F<F V1�W ANND APPROVAL SPECIAL CONDITIONS: TIMERS PROHIBITED ON HEAT PUMPS 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, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he 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 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 U all of or (_) portions of the work, and the structure is not 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 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). ❑ I am exempt from licensors 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 legally sell a structure that I have built as an owner -builder 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:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under cenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 DQ� Devi io 3 of the Business and Professions tense is In full force an6 effect License Class License No Date - / z Contractor Signature/ _ WURKEASCOMI FNSATION DECLARATION NARNINGAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,11W), IN ADDITION TO THE CO"T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under onnalty of perjury one of the following declarafions: ;' 1 haa,; 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, 3erlcrr rice of the work for which this permit is issued. Policy No. :ime 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' a.Ia -anner and policy number are: tier Policy Number Date one of Agent , _ Phone # fo ieh 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 certify that. in -I-- performance of the work 1, if I should become subject lot Cpm s ion provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. /N - nature of Applicant / _ _ _..—.. .._—_ ___ Date CLARATION REG/KRUING O T UCTIO LE DING AGENCY 777--- areby affirm under penalty eh ry r that th a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ides s 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 with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to ante t edi!propert inspection purposes. _i 4jw nalwe of Property Owner or Authorized Agent D,v _ _ Print Property Owner's or Authorized Agent's Name(„ ACTION I DATE i BY DEAL RATION OF CCHI JAflCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED 3''rEPA 'QAQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED 7a,2 OASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: