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Home My WebLink AboutH2023-0543 - PermitsEwPOR, City of Newport Beach II I II II I III Mechanical Permit : H2O23-0543 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Work Class : Other Issued Date : 08/2312023 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 SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1418 NEWP jf.L W YW Y Legal Desc : N TR 1501 Description: MECH R/R HE'Ar UNIT AT SIDE YARD. R/R FURNACE (ATTIC). Owner: DOUGLASLABAHN Address : 1418 NEWPORTER WAY NEWPORT BEACH, CA 92660 Phone: Applicant: ENERGUY INC Address: 26111 YNEZ ROAD C3 TEMECULA, CA 92591 Phone: (877)600-0123 Owner/Builder Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: 2022 Front: 10, Side: 5, Side: 5, Rear: 10 PC - Newporter North PROCESSED BY: g5 SPECIAL CONDITIONS: 1 BLK LOT 31 `TAMPER RESISTANT CAPS REQUIRED — Fire Hazard Zone : NO Contractor: LEWIS AIR INC Address : 29716 AVE DE LAS BANDERAS#A RANCHO SANTA MARGARITA, CA 92688 Phone: (714)287-3737 Con State Lic : 575873 Lic Expire : 09/30/2023 Bus Lic: BT30079764 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Carrier: EMPLOYERS COMPENSATION INSURANCE COMPANY Policy No: EIG502538301 W. C. Expire: 6/24/2024 Manufacturer: TRANE Model# : 14tw19060a1xxxb L,�� q-24 zo lr t' N A I TIMERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable iternls) 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of [he Contractors' State License Law (Chapter 9 (commencing with Social 7000) of Division 3 of the Business and Professions Code) or that he of she is exempt from llcensure'and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500), ❑ 1, as owner of the property, or my employeeswith Wages as their sole compensation, will dot) all of or (_) Portionsofthe 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, builds or improves the property, provided that the Improvements are not intended or offered for sale. IG however, the building or Improvement is sold within one yearof completion, the Owner -Builder will have the burden of proving that It was not built or Improved for III purpose of sale). ❑ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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 Ilcensure under the Contractors' Slate License Law for the following reason -__._.. _ .. _-------- _ ..._ __._ ...._____ ...... ___ ..._.._.... ._.......... By my signaluro below I acknowledge that, except for my personal residence in which I must have, resided for at loost one year prior to completion of the Improvements covered by this permit, I cannot legally sell a structure thal I have built as on owner -builder if it has not been constructed in itsentirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Is available upon request when this application is submlited ore- the following Web site:http;/Iwvr.leginfo.ca.govicalaw,html. Signature of Property Owner or Authorized Agent Date, LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chaluer9 (Commencing with Section '70) of Do3 of the Business end Prof essi A ode. and license is in full force and effect Liccnse Clans License No Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS -COMPENSATION COVERAGE IS UNLAWFUL r AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION sins OF THE LASOR CODE., INTEREST', AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a. certificate of consent to self -insure for Workers' compensation, Issued by file Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of tho work far which this permit is issued. Policy No. hive and w it na,hror 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' renca carrier and policy number are, Policy Number Date is of Agent _Phone H certify that. in 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 Califomla, and , If I should become subject tyrOkle workers' compensation provisions of Section 3700 of the Labor Code, I -shall farlhwilh comply with those provisions. m hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097 e 17-t) I z3 Civil Code). enders Name _ Lender's Address y my signaluro below, dertlfy Id each of dIa follDwifag:� I am the properly owner or authorized to act oil the properly owner's behalf - I have read this application and the Information I have provided is correct, I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter th -' o/"e-ildentified or early for inspectlon purposes. _ lanatum of PtoDetty Owner or Authorized Aoent �/v \ � Pont Property Ovrri or Authorized Agent's Name �1C �oSC P ACTICIJ DATE BY 0ESWIiTION OF COMhYANCE WILL CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART Sl. OFTITLE 40 ANI7 AQ44D'RULF 1403 PE-7ItT EXPIRED I Rf1BMITTFD ASBESTOS NOTIFICATION TO PFRN1iTCANCPd.F.I) CPA - - PE f4rT EA7ENOtfJ I I L1AQMD I'L 117FINAL A 'y ❑ASHLS'IOSNOIIHAYIONISNO'r APPLICABLE TO CER`hr LATE OF �� PROPOSED DEMOLITION - OCCURANCYISSUED VV7 j SIGNATURE! Dale I 1 216