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Home My WebLink AboutH2023-0524 - Permits��eWNoRr City of Newport Beach D Community Development Department- Building Division y }�' 100 Civic Center Drive, Newport Beach, CA 92660 U µr T Permit Counter Phone: (949) 718-1888 o- newportbeachca.gov/civic Cq</FORN`P Mechanical Permit : H2O23-0524 Plan Check No: PC2023-1683 Work C Issued Date : 08/18/2023 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 : 133 TOPAZ AVE Legal Desc : A TR BALBOA.ISLAND RESUB SEC 1 BLK 11 LOT 19 Description : MECH INSTL NEW FURNACE *FRONT UNIT* Owner: CHARLESLEHMAN Address : 133 TOPAZ NEWPORT BEACH, CA 92662 Phone : (310) 975-9219 Applicant: QUALITY PLUMBING HEATING AND AIR Address : 19009 LAUREL PARK RD, 266 COMPTON, CA 90220 Phone: (310)977-9111 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; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY SPECIAL CONDITIONS: Contractor : QUALITY PLUMBING HEATING AND AIR Address : 19009 LAUREL PARK RD, 266 COMPTON, CA 90220 Phone : (310) 977-9111 Con State Lic : 932201 Lic Expire : 05/31/2025 ; Bus Lic: BT30081633 #' f"E'.1 j Bus Lic Expire:05/31/2024"pR Workers' Compensation Insurance Carrier Policy No : CWC01395600 W. C. Expire: 12/15/2023 .... , NO Manufacturer Model# t 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 itero(s) :Secton 7031.5, Business and Professions Cade: 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 the 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a. permit subjects the applicant to a civil penalty of net more than five hundred dollars I$500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation. will do (_j all of or L) 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, holds 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 sole).. ❑ I. as owner of the property, am exclusively contracting with licensed Contractors to construct kis project (Section 7044, Business and Professions Code: The Contractors` State License Law does not a ply to an owner of property who bullds 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 legalh sell a structure that 1 have built as an owner -builder it it has not been constructed in itsentirety by licensed contractors. f understand that a copy of the applicable law, Section 7044 of the Businoss and Professions Coda, is available upon request when this application is submitted or at the following Web site:http:ii%ww.leginfo.ca..govtcalaw.html. Signature of Property Owner or Authorized Agent ____ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with SEE C' n ) of Imi n of the Busin d Pro .,'on`s Co a, and my li • rise is t I for and affect License Class License No Lio 1 ' Contractor Si atur 11 WORKERS' COMPENSATION DECLARATION / iNARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CluMINAL PENALTIES AND CIVIL FINES UP TOO I4UND D THOUSAND DOLLARS gt00.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37013 OF THE LABOR CODE., INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury ins of the following declarations: -1 1 have and will maintain a cenifFome of consent to SelNnsure For workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th VA rmance of the work tov which 'his permt is issued. Policy No, ve and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensahol rant carrier and policy number are Tamar Policy Number Expiration Date Jame of Agent _ _ _ _ Phone # ❑1 certify That, in the paAarmanes o' ilia work for which this permit is Issiled. I shall not employ any person in any manner so as to become subject to the war ors' compensation laws of California, and ogre hat, if i should beaomg subject to tV workers' oo pansetianclarloo3700 of fha Labor Cade, I shall farthwtlh comply with those provlstnns;tgneture D(Ap D'u _. _...� �_..- __.__...____.._._..........__..._.._._......._... ..__,._�. )ECLARATIIJN GAR TRUC 6N L DINC A; CY hereby affirm u del pcnalt f of p,-rtury List there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _enders Name _ _ Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf, ,n I have read this application and the Information 1 have provided is correct. I agree to comply with all applicable city and county ordinalinces and state laws relating to tru' 'rig Canstructon. (<•L Imo' I authorize representatives of ihi. cy or coup t erfter t above -id n'tied props y for in n purposes. r 31 nature of Pro e!F Owner ar Autifori "ad en ri t Property Owner's or Authprized nt's Nam ate ACTION DATE BY DECLARATION OF COMPLIANCE WITH CO , &FEDERAL FOR OFFICE USE OIN I RFGUtATIONS PART 51 OF TITLE 40ANI AIaMD MULE pt RMl r f XPiRED PERMiTCANCEUED PERMIT EXiFNQEQ PERMIT FINAL § SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 1 ��j PROR05£D DEMOLITION OCCUPANCY ISSUED ! � "' � Ii SIGNATURE: