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Home My WebLink AboutH2023-0505 - PermitsD�aEwaoRr City of Newport Beach A Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 718-1888 <.. S newportbeachca.gov/civic �i ro RN Mechanical Permit Plan Check No: Work Class : Other Issued Date : 0810812023 Inspection Area : 6 H2O23-0505 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 BELLEVUE Legal Desc : N TR 14895 BILK LOT 57 Description: MECH CHANGE OUT A/C UNIT & FURNACE *TAMPER PROOF CAP REQ* Owner: KAI-YIN CHUNG Address : 15 BELLEVUE NEWPORT COAST, CA 92657 Phone : (310) 567-8062 Applicant: EMALEE JOSEPH Address: 26111 YNEZ RD, C3 TEMECULA, CA 92591 Phone : (877) 600-0123 Owner/Builder : Address Phone: Contractor : NEXGEN A/C INC Address : 5472 EAST LA PALMA AVENUE ANAHEIM, CA 92807 Phone : (657) 208-1987 Con State Lie : 1011173 Lie Expire : 07/31/2025 Bus Lie: BT30055503 Bus Lie Expire: 06130/2024 Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INSURANCE COMPANY Policy No: 212075500 W. C. Expire : 10/112023 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AMANA Type of Construction : Model# : ASZH404810A Occupancy Groups Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 - Flood Zone : X Use Zone : PC - Newport Ridge = PROCESSED BY: ;)J SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that Pam exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) >ection 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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 licensors 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 ($500), 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the nprovemenls 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 nf�roved for the purpose of sale). ,J 1, 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 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), 7 I am exempt from licensure under the Contractors' Stale 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 legall) ell 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 'rofessions Code, is available upon request when this application Is submitted or at the following Web site: http:tA M .leginfo.ca.gov/calaw.htmi. ignetum of Properly Owner or Authorized Agent ____ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter (Cornmene4ng with Section 70 0) o Nisi 3 of the Business and Professions,-69de, and myjicense is in full force nd effect. License Class License No Date j ti Contractor Signature /(D , ae 7 WORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS L$100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3785 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: and will mair,ain 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 :a of the work for which this permit is issued. Policy No. have 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' ranee carrier and policy number are: er _ _ _ Policy Number Expiration Date a of agent ___- Phone#_ Terrify that. in ;he 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 . if I should be.omn subject to the worr)at s' compensa€ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, 21Lrj of Date 0 f e 1''�1_2 �raby affirm urJ it penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Idar's Name _ Lenders Address my signature helnw, I certify to each of the following I am the property owner or authorized to acton the property owner's behalf. I have read this application and the Information I have provided is correct. I agree to comply with ail applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count/ to entELqT"bCVe-i5sD1iJJscLoroperty for inspection purposes. nature of Property Owner or Authorized Agent / `D /l Print Proporty Owner's or Authorized Aoent's Name E� P,5;, ACTION I DATE I 6W REGULATIONS PART PEA TOFI OF TITLE 40AN0 DE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CRNCELLED EPA PERMIT FINAL � p i U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFIC4TE OF �� II PROPOSED DEMOLITION OCCUPANCYlSSUEO I ? SIGNATURE: Civil Code). u— Date a ( q)