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Home My WebLink AboutH2023-0433 - Permits2EWnU?r City of Newport Beach III I I I II I III II II IIII II II Q4 - -�' A Community Development Department- Building Division Mechanical Permit > `�' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: u Permit Counter Phone: (949) 718-1888 Work Class : Other U S newportbeachca.gov/civic Issued Date : 07/05/2023 0�4 roaN'� Inspection Area : 6 H2O23-0433 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 : 15 JASMINE CREEK DR Legal Desc : N TR 8426 BILK LOT 45 Description : MECH - C/O FURNACE Owner: KAVIANIAN HAMID R TR Contractor ; HOME COMFORT USA HEATING & COOLING Address : 15 JASMINE CREEK DR CORONA DEL MAR, CA 92625 Address: 1120 N TUSTIN AV ANAHEIM, CA 92807 Phone: Phone: (714)632-8789 Con State Lic : 1106323 Applicant: HOME COMFORT USA HEATING & COOLING Address : 1120 N TUSTIN AV ANAHEIM, CA 92807 Phone: (714)632-8789 Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : 2022 Front: 15, Side: 5, Rear: 15 X PC - Jasmine Creek PROCESSED BY: ?, SPECIAL CONDITIONS: Lic Expire : 06/30/2025 Bus Lic: BT30082061 Bus Lic Expire:07/31/2024 Workers' Compensation Insurance Carrier : LIBERTY MUTUAL FIRE INS CO Policy No: EB2C51292549063 W. C. Expire: 4/1/2024 Fire Hazard Zone : NO Manufacturer Model# : I hereby affirm under penalty of perjury that I am exempt from. the Contractors' State License Law for the reasons) indicated below by the checkmark(s),I have. placed next to the applicable Items) Section 7031.6, 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 to permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3. of the Business and rofessions Cade) or that he or she is exempt front licensure and the basis for the alleged exemption. Any violation of Section 7031:6 by any applicant for s permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500), 3 I, as owner of the property, or my employees with wages as their sole compensation, will do {_) all of or f ) portions of the work; and the structure Is not intended orpffered for sole (Section 7044, usiness and Professions Code: The Contractors' State License Law does notapply to an owner of properly 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 within one year of completion,. the Owner -Builder will have the burden of proving that It not built or nyproved for the purpose of sale). .7 1, as owner of the property, am Exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and. Professions Code: The Contractors' Stale License Law does not ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuan€to the Contractors` State License Law). J I am exempt from licensure under the Contractors' State License Lawfor the following reason: q 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 oil a structure that I have built as an owner -builder if it has not boon constructed [nits entirety by licensed contractors. 1 understand that copy of the applicable. law, Section 70" of the Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:blip;/fwww.leginfo.ce.,govlcalaw.html. signature of Property Owneror 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 7000 jib, of the Business and fesSIG ae4 , end my license is In full force no effect. License Class License. No Data L. G Contraoror 5ignatur t'ORKERS' COMPENSATION DECLARATION 'ARNINW FAILURE TO SECURE WOWERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE63THOUSAND DOLLARS (3100.0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a certtfieate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 37DO Of the Labor Code, for th e5(ormance of the work for which this permit is. issued. Policy No. and wilt maintala 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' carder and policy number are: Policy. Number Date Earea. of Agent Phone # ]I certify that, in the performance of the work for which this permit is issued; I shall not employ any person In any manner to as to become subject to the workers' oompansation laws of California, and agro tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,: I shall forthwith comply with those provisions. /� ignature of Applicant _____ __, _ DNta✓ ? r ZO IECLARATION REGARDING CONSTRUCTION LENDING AGENCY — N hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the. work for which this permit is issued (Section 3097, CN11 Code), endor's Name Lender's Address ;y my signature below, i certify to each of the fotiowmgf, I am the property owner or authorized to act on the property owners behalf. I have read this application and the information i have provided is correct WI!i I agree to comply with all applicable city. and county ordinances End state laws relating to budding construction. U I authorize representatives of this city or county to enter the above -identified property for Inspection purposes.- ionmure of ProDedv Owner or Authorized AcePrint Prooerty Owner's or Authorized Aaent's Name �s/�'.� _ �l Date 9Y PERMIT CANCELLED PEAMITEXtENDEo PERMIT FINAL v CERTfFICATE Or �•? .25 ®r''i�� OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 Of TITLE 40 AND AQMO RULE I--I�..-.WQMD W ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION