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Home My WebLink AboutH2023-0080 - Permits¢a�WPoRr City of Newport Beach D Community Development Department - Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U S Inspection Requests Phone: (949) 644-3255 Cq�/FORH�P newportbeachca.gov/inspections II II III I II II Mechanical Permit Plan Check No: Work Class : Other Issued Date : 02/03/2023 Inspection Area : 6 H2O23-0080 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: 4 AMADOR Legal Desc : N TR 15491 BLK LOT 2 Description: MECH CHANGE OUT A/C UNIT & FURNACE *TAMPER PROOF CAP REQ* Owner: RONALD HOOVEN Address : 4 AMADOR NEWPORT COAST, CA 92657 Phone: Applicant: BAKER ELECTRIC HOME ENERGY Address: 2120 HARMONY GROVE RD ESCONDIDO, CA 92029 Phone : (760) 546-6000 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone: X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : YES Contractor : BAKER ELECTRIC HOME ENERGY Address : 2120 HARMONY GROVE RD ESCONDIDO, CA 92029 Phone: (760)546-6000 Con State Lie : 858088 Lie Expire : 04/30/2023 Bus Lie: BT30078039 Bus Lie Expire: 01131/2024 Workers' Compensation Insurance Carrier : OLD REPUBLIC INSURANCE COMPANY Policy No: MWC31255522 W. C. Expire: 3/1/2023 Manufacturer: CARRIER Model# : 24SPA6 0 .-1-1 C. J � 4 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 item(s) 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 is 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 Irofeseions Code) or that he or she is exempt from licensure 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). 3 I, as owner of the property, or my employees with wages as thelr sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State Llcanse Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 nproved for the purpose of sale). 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 P,ply 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 Contracters' State License Law for the following reasom ly 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) all 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 7044 of the Business and 'rofessions Code, is available upon request when this application Is submitted orat.the following Web site:http:ll w .leginfo.ca..gov/calaw.htmt. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Of ision 3-of the Business and Profes ons C e, and my license is in full force nd effect License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15r00,000), IN ADDMON TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEESr 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 the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance of the work for which this permit is issued. Policy No, have and will maintain workers' compensation insurance, asrequiredby Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa Trance carrier and policy number are: Policy Number of Agent Date I certify that, in the pert mane of the work for which this permit 1 is I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre I, if I should becom ject to th4 workers' compensation provis s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ nature of Applicant CLARATION REGA r I ONSTRUCTION LENDING AGENCY Ireby affirm under pe ally of perjury thatihere is a construction lending agency for the performance of the work for which this permit Is issued. (Section 9 ,Civil Code). orders Name Lender's Address my signature below, I certify to each of the following: I am time property owner or authorized 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 city and caun ordinances and state laws relating to building construction. I authorize representatives of this city or cou t t enterthe ab ve identified property for inspection purposes. I / 1�� -� nature of Prooerty Owner or Authorized Aoe I t Iv Print PrODPhV Owner's or Authorized Anent's Name v J Dat ACTION DATE BY ' ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY C \ ( R, tATIONS PART 61 OF TITLE 40 AND AOMD.RULE. 14o3 PERMIT EXP)FED I St.'9MITT=P ASBESTOS NOTIFICAT^N TO PERMIT JFXTENOED 'gC„ME — _ Fes,, . AStlEST05 NOTIFICATION IS NOT APPLICABLE TO TO 'PROPOSED PERMIT FINAL c14-27 CERPI'MATEOF J I I DEMOLITION OCCUPANCY ISSUEO SIGNATUPS