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Home My WebLink AboutH2022-0600 - PermitsD��EWPOR e City of NDewport Beachnt-Building Division I I I I I II I II II II I I II Mechanical Permit : H2022-0600 Community�y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO ' S Permit Counter Phone: (949) 644-3288 Work Class : Other e� Inspection Requests Phone: (949) 644-3255 Issued Date : 10126/2022 cqG cOA��P newportbeachca.gov/inspections Inspection Area : 6 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: 101 HARBOR WOODS PL Legal Desc : N TR 11935 BLK LOT 3 UN 10D TR 11935 LOT 3 UNIT 100 OF PROJE CT LOCATED ON AP Description: MECH: REPLACE HEAT PUMP & COMPRESSOR. **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: JEFFREY BOLEMAN Address : 101 HARBOR WOODS PL #101 NEWPORT BEACH, CA 92660 Phone: (949) 239-3632 Applicant : Energuy Inc Address : 26111 Ynez Road C3 Temecula, CA 92591 Phone : (877) 600-0123 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups : Building Setbacks : Flood Zone: X Use Zone : RM - Multiple Residential PROCESSED BY: 65 SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : NEXGEN A/C INC Address: 700 N VALLEY ST STE K ANAHEIM, CA 92801 Phone : (657) 208-1987 Con State Lie : 1011173 Lie Expire : 02/29/2024 Bus Lie: BT30055503 Bus Lie Expire:06/30/2023 Workers' Compensation Insurance Carrier : OLD REPUBLIC GENERAL INSURANCE CORPORATION Policy No: AICWA0011502 W. C. Expire: 3/1/2023 Manufacturer: AMANA Model# : ASX160181 F OWNER -BUILDER DECLARATION I hereby affnn under penally of perjury that I am exempt from the Contractors' State 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 a permit to construct, alter, improve, demolish, or repair any atructure, prior to its Issuance, also requires the applicant for to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from Ilcensure 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). 11, as owner of the property, or my employees with wages as their sole compensation, Will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, usiness 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, fife Owner -Builder will have the burden of proving that it was not built or nproved for the purpose or sate), 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 mot 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' State License Law). .J I am exempt from lfcensure under the Contractors' State License Law for the following reason: y 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 legal) all a structure that I have built as an owner -builder if It has not been constructed in its entirely 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:htlp:Ilw-leginfo.ca.gov/calaw.html. ignelore of Property Owner or Authorized Agent Date ,ICENSED dONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) Divisi n 3 of the Business and Professions bde, and my he n, e n full force nd affect. License Class License No Data Contractor Signature VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORxEW COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS. (Ffe@DDU), IN ADDITION TO THE DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNE)I'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certlfcale of consent Io self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erf rmance of the work for which this permit is issued. Policy No. It 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' compansatle Isurance carrier and policy number are: amer Policy Number Expiration Date ame of Agent Phone N ]I certify that, in the performance "a work for which this ermit 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 cal, if I should become subje t workers' comp n n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % ignature of Applicant__ „_,___ Zk�l7 / _ Date Cr'1 AD AT] r1AI a=l A,D 1r.11 MMCTDI c,`Z n t Cldl KU1— Ar']Cr.11`Y hereby aMrs. h,Ge, :penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _enders Name Lenders Address 4y my Signature celow, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I lave read G its application and the information I have provided is correct. I agree to campiy with all applicable city and county ordinan and state relating to building construction. i-uthorize -Epresintahves of this city or county to IT above d proper! Inspection purposes. l L/ y FFF Slgnatura of Prcfe,Y; .Owner or Aut horzed A ent Print Pro ertOwner's or Authorized A enCs Name / (/(/ /�/ Date / ACTICN DATE j BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY t-; REGUTATIONS PART 51 OF TITLE 40 AND AOMD RULE FENMITEXTEND, LJAOMD PERMIT FINAL 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I PROPOSED DEMOLITION I I OCCUPANCY ISSUED SIGNATURE- �EwaoRr City of Newport Beach III I I I II I II I II II II II II Mechanical Permit: H2U22-O600 II D� A Community Development Department- Building Division y ''' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No D u r Permit Counter Phone: (949) 718-1888 Work Class : Other o- cy«ro a" �p newportbeachca.gov/civic, ,i J LI ' f3 T Issued Date : 10/26/2022 Inspection Area : 6 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: 101 HARBOR WOODS PL Legal Desc : N TR 11935 BLK LOT 3 UN 100 TR 11935 LOT 3 UNIT 100 OF PROJE CT LOCATED ON AP Description: MECH: REPLACE HEAT PUMP & COMPRESSOR. "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED" Owner: JEFFREY BOLEMAN Address : 101 HARBOR WOODS PL #101 NEWPORT BEACH, CA 92660 Phone: (949)239-3632 Applicant: Energuy Inc Address : 26111 Ynez Road C3 Temecula, CA 92591 Phone: (877)600-0123 Owner/Builder Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone: RM - Multiple Residential PROCESSED BY: 8:; SPECIAL CONDITIONS: Fire Hazard Zone Contractor : NEXGEN A/C INC Address : 5472 EAST LA PALMA AVENUE ANAHEIM, CA 92807 Phone : (657) 208-1987 Con State Lie : 1011173 Lie Expire : 02/29/2024 Bus Lie: BT30055503 Bus Lie Expire:06/30/2023 Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INSURANCE COMPANY Policy No : 212075500 W. C. Expire: 10/1/2023 NO Manufacturer : AMANA Model#: ASXH503610A � M I hereby affirm under penalty of perjury that t am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmaric(s) I have placed next to the applicableitem(e) ction 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 permit to files signed statement thathe 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 licensors andthe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work., and the structure is not intended or offered for sale (Section 7044, dress 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 movements are not intended or offered for sale. If, however, the building or Improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or moved 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 )ly to an owner of prop" who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). I am exempt from licensureunder the Contractors' State License Law for the following reason: my signature below I acknowledge that, excopt for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permlL I.cannot Iegaih a structure that I have built as an owner -builder If ithas not been constructed In Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of theBusiness and fessions Code, is available upon request when this application Is submitted or at the following Web site:http://wwwJeginfoxa.gov/cEllaw.html. nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION ireby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3:of the Business and Professions Code, and my license is In full force I effect. License Class License. No Date Contractor Signature )RKERS' COMPENSATION DECLARATION WING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL F9IES UP TOONE HUNDRED THOUSAND DOLLARS (E100.000), IN ADDITION TO THE a OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 xmance of the work for which this permit is issued. Policy No. 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' compensa, ranee carrier and policy number are: Policy Number Expiration Dale of Agent Phone # _ I 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 California, and agre t, It I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date, CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that -there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rder s Name Lender's Address my signature below, I certify to each of the following: I am the property owner of authorized to act on the property owner's behalf. I have read this application and the information l have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construcfion. I authorize rep.eso� natives of this city or county to enter the above -identified property for inspection purposes. ,lafu,e of Prope,tu womer or Authorized Agent Print Property Owner's or Authorized Aaent's Name Date ACTION. DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 ANO AOMO RULE 1403 reNL117£dPiR£D P`PPVT OVAL L_I A58ESTOS NOTIFICATION 15 NOT APPLICABLE TO C•:AIIPC6rr Or , '� Z'� PROPOSED DEMOLITION OCCUPANCY ISSUED I fill^^^ SIGNATURE: