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Home My WebLink AboutH2022-0642 - Permits��EWPORT City of Newport Beach @ Community Development Department- Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqG/FepN�P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 11/14/2022 Inspection Area : 4 H2O22-0642 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 : 2444 VISTA HOGAR Legal Desc : N TR 5798 BILK LOT 74 TR 5798 (L.L.84-245722) PAR 74 Description: MECH - R/R EXIST'G WI (1) NEW INTERIOR FURNACE Owner: ELAINEFOXX Address : 2444 VISTA HOGAR NEWPORT BEACH, CA 92660 Phone: Applicant: SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone: (714) 777-7777 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: ) Fire Hazard Zone 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: RM8WC00054221 Bus Lic Expire:04101/2023 Workers' Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No: RM8WC00054221 W. C. Expire: 4/1/2023 NO Manufacturer Model# : SPECIAL CONDITIONS: ^.r- ,n7 ,1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031-5, Business and Professions Code: Any city or county that requires o permit to Construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for mo permit to file a signed statement that. he or she Is licensed pursuant to the provisions of ilia Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Yofesslons 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). I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Ownar-Builder will have the burden of proving that it was not built or nproved for the purpose of Sale)- 3 I, 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' Slate License Law). 3 1 am exempt from ficonsure under the Contractors' State License Law for the following reason: iy my signature bolow 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:/lwww.leginfo.co.gov/calaw.html. 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 7000) of Ddvi i f e Business and Profession Cod meld' y license Is in full force ad effect. License Class License No Date Oc- corrector Signature IS VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND clvrL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: L have and wrli 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 'or rance of the work for which this permit is issued. Policy No, e and will maintair 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' compensa vnnre Perrier anrr policy number are: Policy Number of Agent Date JI certify that, in the Performance of work for which this pe it is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ha:, It l should become sLSject to t workers' compon ' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those. provisions. 1 >Iy.:mrl-are of Applicant _ ..m.a..__.._..... ...._ _. .___.._._...®._.__._.-..........._. Dat,_ v 3Egt_ARAi ION REGARJAG CONS ION LENDING AGENCY hereby affirm under i,am of hatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CivilCode), _ec7e :s Nime Lenders Address 3y my signature belnhq I carllfy to each of the following' - I am the properhr owner or authorized to act on the property owner's b . I have read this enpliceticn and the information I have provided i - erect. I agree to comply with all applicable city and county ordinan s and state laws umg t0 building construction. I authorize representatives or this city or county to enter the =dent ' property for inspection purposes. 31 nature of Property Owner or Authorized Agent /L Print Property Owner's or Authorized A ent's Name lic.vwr Date' G ACTION DATE BY N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY C OLATION5 PART 61 OF TITLE 40 AND AQMD RULE. I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT E,YiENDEU UAQMD PERMIT FINAL I(SBESTOS N.. M ATION 15 NOT CERTIFICATE OF y •21-%.3 ;6POSED D ION OCCUPANCY ISSUED . Ir.NATuaw /