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Home My WebLink AboutH2023-0477 - Permits04,171 City Newport Beach Mechanical Permit Community Development Department- Bwlding Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888newportbeachca.gov/civic Work Class : Other Issued Date : Area Inspection Area : 3 H2O23-0477 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 : 20281 BAY VIEW AVE Legal Desc : N TR 1507 BLK LOT 19 L- +- 3— Description: MECH REPLACE A/C UNIT @ THE SIDE YARD, TAMPER RESISTANT CAP REQ Owner: KIMBERLY ROBINSON Address : 20281 BAYVIEW NEWPORT BEACH, CA 92659 Phone : (949) 433-8629 Applicant: SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone : (714) 777-7777 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone: SP-7 - Santa An Height Specific Plan PROCESSED BY : SPECIAL CONDITIONS: Contractor : SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 • •, Phone : (714) 777-7777 - Con State Lic : 799170 ' Lic Expire : 10/31/2023 Bus Lic : BT01080105 Bus Lic Expire:07/31/2023 ' Workers' Compensation Insurance " Carrier : EVEREST PREMIER INS CO Policy No : RM8WC00054231 W. C. Expire: 8/1/2023 Manufacturer: LENNOX Model# : XC20-060 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable hearts) action 7031.5. Business and Professions Code: Any city or county that requires a permit to construot, alter, improve: demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to fife 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 �fessions Code) or that he or she is exempt from lioensure 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 more than hive hundred dollars ($500).. I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044, siness 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 xovements 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 roved for the purpose of sale). 1, as owner of (tie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License law does not )€y 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). J I am exempt from licensure 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 cover sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent Date, LICENSED CONTRACTOR'S DECLARATION I hereby affirm inner p=natty of perjury that I am licensed under provisions of Chapter 9 (commenoing with Section 7) rvv on of the Busine d Pro n do. and effect. Llcen.,a Class License No DaiR' l Contractor re JVORAcRS' COMPENSATION DECLARATION NARNING: FAILURb i0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION 1.O THE CUFT OF CC MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under ^Pnaity of perjury one of the following declarations: J 1 haze and wul maintain a certificate of consent to self -insure fdr workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ,)performance of the c:crk for which this permlt is issued. Policy No. QQ 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' compensatioi ANNance carrier and policy number are: Car. fer Policy Number Expiration Date Name of Agent Phone # Eli lify that, ;, t'Ie pcdormancP of .work for which ermit Is issued, i shall not employ any person in any manner so as to become subject io the worker ' Com nsation laws of California, and agre that, L should become sybleG lot '.varkers ar eabon or of Section 3700 of the Labor Code. I shall. forthwith comply with those provisions. Z Siprio ure of Applice �... ... ...._ .._. _.._...... _.�.� _- D• a_ DECLARATION REDING S CTION LEN.bING AGENCY �� I hereby affirm under p Iry that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code), Lender's Name _ Lender's Address ly my signature below, I certify to each of the following I am the property owner or authir izBo to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable ccty and county o ances and state la I authorize representatives of this city cr,DQuni elTrUrthe-4ove- iderilliji Ds4ei to building construction. property for inspection purposes. Print Prooerm Owner's or Authorized ACTION DATE BY [C ION OF COMPLIANCE W17H CODE OF FEDERAL .GULATIONS PART 51 OFTITLF. 40 AND AQMD RLJLF. 1403 PERMIT EXPIRED j I LJ ISUBMITTFD ASBESTOS NOTIFICATION TO PERMIT EXTENDED ❑AQMD PFRVNT FINAL rny� ❑ASBESTOS NOTIFICATION 15 NOI APPLICABLE TO CERTIFICATE OF , ZZ,ti� PROP05ED DEMOLITION OCCUPANCY ISSUED 1• / / SIGNATURE: FOR OFFICE USE ONLY his permit, I cannot of the Business and and my license is in full force