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Home My WebLink AboutH2023-0351 - Permits�tiwPORr City of Newport Beach III II I III III II IIII III I II Mechanical Permit : H2O23-0351 p4 b Community Development Department - Building Division 100 Civic Center Drive,. Newport Beach, CA 92660 Plan Check No: i) S Permit Counter Phone: (949) 718-1888 Work Class : Other .t,� newportbeachca.gov/civic Issued Date : 0513012023 CgL/FppN�P Inspection Area : 7 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: 39 CHANNEL RD Description: MECH: RELOCATE FURNACE TO ATTIC Owner: GLORIA FOLLICO Address : 39 CHANNEL RD NEWPORT BEACH, CA 92663 Phone: (949)233-2456 Legal Desc : T MHP LIDOPA MSP 127 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone: PC - Lido Peninsula - Amendment413 PROCESSED BY: SPECIAL CONDITIONS: Contractor : SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone : (714),777-7777 Con State Lie : 799170 Lie Expire : 10/31/2023 Bus Lie: BT01080105 Bus Lie Expire:07/31/2023 Workers' Compensation Insurance Carrier : EVEREST PREMIER INS CO Policy No: RM8WC00054231 W. C. Expire: 8/1/2023 NO Manufacturer Model# : OWNER -BUILDER DECLARATION I. hereby affirm under penalty of perjury that I am exempt from. the Contractors` State License Law forthe reasen(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5. Business and Professions Coda: Any city or county that requires a permit to construct, after, 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 'rofesaions 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 fora permit subjects the applcant to a civil penalty of pt more than five hundred dollars ($500). 1 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 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 employeesor 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 dmoved for the purpose of sale). 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 iy 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 licensors under the Contractors' State License Law for the following reason: ly my Signature batow 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 can -not legal) ell a structure that I have built as an Owner -builder If it has not been constructed to its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, isavailable upon request when this application Is submitted or atthefollowing Web site:http,'i/ w .leginfo.ca.gov/calaw.htmi, 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 Sectloof 3 of the Business and Profs ' r a and my license is in full force nd effect. License Class License. No DatteeL Contractor Sionafu WORKERS' COMPENSATION DECLARATION ( t. NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIRSNAL PENALTIES AND CIVIL FINES UP TO ONE H HOUSAMU DOLLARS du00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION a7" OF tHE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and Pul maintain a certificate of consent to self -insure far workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN pert imance of the work for which this permit is issued. Policy No. �JLk�vae .and will maintain workers' compensation insurance, as: required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued.. My workers' compensaior insurance, carrier and policy number are: Carrier Policy. Number Expiration Date Name of Agent _ Phone tf -1I certify that, in the performance of the work for which this permit Is�SURNI,-Bi n em }-shploy any per$on in any manner so as to become subject to the workers' dampen tion laws of California, and egret '.hat, if I should become subject to the worke ' mien we�ons of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. Signature of Applicant Date So Z,3 DECLARATION RE gJNRUCT(tON LENDING AGENCY hereby affirm er f try that thane is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), ender's Name Lenders Address 3Y my signature below, I certify to each of the following: I am the proper'y cv,ner or authorized to act on the property owner's behalf. I have read this effication and the information I have provided incorrect. �yr1^ to comply with all applicable city and county ordinances to laws relating to bulk ing-camdruoticn. I authorize rep esentatives Of this city or county to ant above-identified_p[operty-for-inspection purposes. '/r/(�7p�I �r r 7� Z SinE;vre of Pro arty' Owner or Authorized A ant Pnnt PropertyOwner's or Authorized Agent's Name [t'v ` IiWv Date ACTION DATE BY ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ULATIONS PART 61 OF TITLE Aft AND AOMD RULE _ 1403 pEtiM1T 1P7rtE0 tSUBMITTED ASBESTOS NOTIFICATION TO Pf17MlT GAN{£ICED-. L.JEPA_-.. F.:Rt.9a C:-MNDED J QMD PEROT FINAL ' ASBESTOS NOTIFICATION I5NOT APPLICABLE TO (GRT1FICr.T£or �� (f ,rj OSEDDEMOLITiON OCCUPANCYl551J rr F' L Inc; ATIIRF,