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Home My WebLink AboutH2023-0269 - Permitse��WPORT City of Newport Beach D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C,[rppp��P newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 04/25/2023 Inspection Area : 2 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 : $09 AMETHYST AVE Description: MECH 2 NEW FURNACES IN ATTIC Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 17 LOT 32 Owner: KATHLEEN MATTHEWS Address : 309 AMETHYST AVE NEWPORT BEACH, CA 92662 Phone: Applicant: EVEN FLOW HEATING & AIR INC Address : 1700 CENTERY AVE RIVERSIDE, CA 92506 Phone : (954) 684-4979 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: Contractor : EVEN FLOW HEATING & AIR INC Address : 1700 CENTERY AVE RIVERSIDE, CA 92506 Phone: (954) 684-4979 Con State Lic : 917275 Lic Expire : 06/30/2024 Bus Lic : BT30076923 Bus Lic Expire:10/31/2023 Workers' Compensation Insurance Carrier: NORGUARD+INSURANCE+COMPANY Policy No : EVWC312529 W. C. Expire: 6/20/2023 NO Manufacturer Model# : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from. the ContractorsSlate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicabletaints) 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 i0 permit to file a signed statement that he or she Is licensed pursuantto the provisions of the Contractors' State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofesslons 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 of more than five hundred dollars (S500).. 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Conl factors' 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 np(ovements 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 n roved 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 poly 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 am exempt from licensure under the Contractors' State License Law for the following reason'. ly 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 all a structure lhat 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 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca.govYcalaw.html. iignature of Property Owner or Authorized Agent Date ,ICEMSED CONTRACTOR'S DECLARATION hereby affirm under penalty of Perjury that I am licensed under provisions of ha ter (tom g with Section 0 0 f ivisi 3 of the Business and Pr ssi C nd my license is in full force no effect License Class _C a�r� L€€tense. No /�. � DaT Contractor Signatu VORKERS'COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 th rformance of the work for which this permit is issued. Policy No. eve 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 sure a carrier and policy number are: Policy Number of Agent Date certify that, inthe pert mane f thwe wfor which this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensatlon laws of California, and agre t, it 1 should becorrl s tact t. a ror' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply WI••••.th those provisions. nature of Applicant __ _ Cat CLARATION REGA DI CONSTRUCTION LENDING AGENCY ireby 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, Ci d 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 CormCL I agree to comply with all applicable city and county ordinan and slat vs relating to building construction. I authorize representatives 0( this city or count ,`Ar`o e%nter t hove -id ed property for inspection purposes. nature of Pmnartv Owner or Authorized Anent \ / — _/�.i Print Prooertv Owner's or Authorized Anent's Name PkNMir EXPIRED DATE BY V LARATION OF COMPLIANCE WITH CODE OF FEDERAL j FOR OFFICE USE ONLY REGU TIONS PART 61 DF TITLE 40 AND, RULE j ,5U BMIT�TEO ASBESTOS EPJ A FERAIIi EMENDED AOMD PERMIT FINAL b-9'Z7jASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: __