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HomeMy WebLinkAboutH2023-0467 - PermitsCity u of yNewport t Beach nt- Budding DivisionCommmtDevelopmenDepartme 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 0477.7 III I I I II I III II I IIII I i newportbeachca.govlcivic ILA I ut Mechanical Permit : H2O23-0467 Plan Check No : 1605-2022 Work Class : Other Issued Date: 07/19/2023 Inspection Area : 4 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 SAIURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 7 SEABLUFF Legal Desc : N TR 15478BLK LOT 33 Description: MECH INSTALLHEAT PUMP **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED` (XR2023-0769) Owner: MITCHELL WEXLER Address : 7 SEABLUFF NEWPORT BEACH, CA 92660 Phone : (949) 500-6701 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: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone : PC - Bonita Canyon Contractor : KEMNITZ A/C & HEATING INC Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Phone : (949) 453-8500 Con State Lic : 695874 Lic Expire : 09/30/2024 Bus Lic: BT30010593 Bus Lic Expire:07/31/2023 Workers' Compensation Insurance Carrier : NORGUARD INS CO Policy No: KEWC350773 W. C. Expire: 2/1/2024 Fire Hazard Zone : NO Manufacturer : CARRIER Model# : 38MHRC PROCESSED BY: �/ �1'VI RS PROHIBITED PUMPS O I IT D .. IV SPECIAL CONDITIONS: HEAT 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 TO 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 tho Business and rofesslons Code) or that he or she is exempt hand iicensure and the basis for the alleged exemption, Any violation of Section 7031S by any applicant for a parnit subjaots the applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner Clone property, or my employees with wages as their sole compensation, will do (_) all of or I_) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, lusknass and Professions Cade: The Contractors' State Licemae Law does not apply to an owner of property who, through employees' or personal effort, huilds or improves the property, provided that the nprovemonis 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 uprovad for the purpose of sale). I, as uwoer of the property, am exclusively contracting with licensed Contractors to construct (he project (Section 7044, Business and Professions Code: The Contradicts' State License Law does not pply 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 licensee under the Contractors` State License Law for the following reason below I xacht rsonal idence in niusL have r at letion of the ell aFstruucture©h t I have quilt as Annowner bu defor itth s not beenecon constructed incitslent entirely by licensed coon ractors, I understast one year lor to nd that�a copy of he applicable law,ts Covered by this Secton 7044 of the Business andt, Cannot )¢gall) 'rofassions Code, is available upon request when this application Is Suomi ted or at he following Web site:http:liw .leginfo.ca,govlcalaw.himl. Ignature of Properly Owner or Authorizert AgaiT! ...___._._.....,.._M �. Dato..__ ._......_._._._..._____.__.__. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter-9 (Commencing with Section 7 p pf I sieJ1,r 3 of the BuSnass and Profess) ,CDo my license is in full force nd effect. License Class License No Date l 2 S Contractor Signature/f VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tSie4G051, IN ADDITION TO THE OST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following der€orations: I have and will maintain a certificate of consent to self -insure for workers' o'omponsotion, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for in orformaoce of the work for which this permit is issued. Policy No. ___ have and will maintain workers` compensation lnsuranCo as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued_ My workers' ranee Canier and policy number are: Policy Number Expiration Date of Agent certify that. to the performance 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 ogre if I should become subject to tire workers' cornpeosalfon provisions of Section 3700 of the Labor Cods I shall forthwith comply with those provisions. iature of Applicant .. /_/ Dete 7L Z tECLARATiON REGAROING ;i UCTI NDING AGENCY ,._. ______._.._...._....._.._.___._.__.-_.�_...._..____�. ._._....._...�___ .._. hereby affirm under penalty bury that 9 is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), Tinder's Name Lender's Address ly my signature below._I certify to each of the following_ t am ilia property owner or authorized to act an the properly owner's behalf. I have read this application and the information I have provided is correct. l agree to comply with all applicable city and county ordinances and state laws rotating to building construction. I authorize- remus-ntatives of this city or county to an d property for inspection purposes. ;igna'rire of Property Owner or Authorized Apart Print Prooery Owner's or Authorized Anwnfs Name J.4JbN S C-e VfNJ ACTICN DATE BY AIUI'TION Or LIANCEWITHCODEOFFEI7ERAL FOR OFFICE USE ONLY RFGULATIONS 61 ;DF TITLE 40 ANDAQMD RULE 1303 P€RVIT EXPIRF& I I Eh SURMITTFD ASAFSTOS NOTIFICATION TO PER44q E.YiENntll I .. r OAgMD. PEN^A,7 FINAi _ ❑A5RESTOSNOUHCAi[0NISNOf APPLICABLE TO tERTJI.GffE OF -iy-YS+/v, PROPOSED DEMOLITION CCfll?ANCYV53JE{)_ SIGNATURE. Date