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Home My WebLink AboutH2023-0381 - Permits��EwPoRr City of Newport Beach III I I I II I III II IIII I uu I II Mechanical Permit : H2O23-0381 Community Development Department - Building Division uu rT- 'ty` 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: u x Permit Counter Phone: (949) 718-1888 1 a Work Class :Other c .r., r newportbeachca.gov/civic E e ° ' Issued Date : 06I09I2023 '°< FonN� i1 ey -F 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 : 8 TARASCON Legal Desc : N TR 16037 BLK LOT 31 Description: MECH R/R 2 A/C UNITS AT SIDE AND 2 FURNACES "TAMPER RESISTANT CAPS REQUIRED*" Owner: MAHENDRA JOSHI Contractor : SERVICE CHAMPIONS HTG Address: 8 TARASCON NEWPORT COAST, CA 92657 Address : 3150 E BIRCH BREA, CA 92821 Phone: (949)520-7081 Phone: (714)777-7777 Con State Lic : 799170 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 : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Newport Ridge PROCESSED BY: �� SPECIAL CONDITIONS: Lic Expire: 10/31/2023 Bus Lic: BT01080105 Bus Lic Expire:07/31/2023 Workers' Compensation Insurance Carrier : EVEREST PREMIER INS CO Policy No: RMBWC00054231 W. C. Expire: 8/1/2023 Manufacturer : LENNOX Model# : EL18XCV-036 TIMERS PF RKOM $5, 1TE ON HEST q UMPS I hereby affirm under penalty of perjurythat I am exempt from. the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicableitem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires apermit to construct, alter, improve; demolish, or repair any structure, prior to its Issuance; also requires the applicant for the 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 Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation or Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of 'not more than five hundred dollars (S500). 0 I; as owner of the property, or my employees with wages as their sale compensation, will do U all of or (_,) portions of the work; and the structure is not intended or offered for sale (Section 7044, 'Business 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 theproperty, provided thatthe improvements 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 Srmiroved 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 apply to an owner of property wbo, builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 I am exempt from licensure under the Contractors' State License Low for the following reason: By my signature below t acknowledge that, except for my personal residence in which I must have resided far at least one year prior to completion of the improvements covered by this permit I cannot legally sell 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 Businessand Professions Code, Is available upon request when this application Is submitted or at following Web site:hap:l/www:leginto.ca.govlcelaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I herebyaffrmi under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) f 3 of the Business and Profeselo ode, and my Ik ense is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOR7$JO SAND DOLLARS (N06,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN BECTON 379E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 fo"ance of the work for which this permit is issued. Policy No. i and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' e carder and policy number are: Policy. Number Expiration Dale Agent Phone # IJI certNy that, in the performance of Me work for which th rmit Is issued, I stall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agrel SignIf I should became subject for the workers' corm anon provisions of Section 3700 of the Labor Cede, I shall for07wi1h comply with those provisions. — Signelureo(Applicant Dafe DECLARATION REGAROIN TION LENDING AGENCY hereby affirm underpanalty of fur�t atthers is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, CiWI Code). Lender's Name /�/ Lender's Address By my signature below491069dify to each of the following: I am the prope-ty owner or authorized to act on the property owner's behalf. I have read this application and the information I have providetl correct I agree to comniy wltn all applicable city and county ordinan s and s aws relating to building construction. I authorize rep, esel,tdtives of this city or county to enter a abov entitiedproperty for inspection purposes. ^T Si nature of Pro ert Owner or Authorized AGE Print Property Owner's or Authorized A enfs Name Date Z l ACTI')N DATE BY E ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY TIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT £X. IRED 1 51,18MITTED ASBESTOS NOTIFICATION TO PEPA4IT CANCELLED EPA PEYMrr EX'FNDEO ILJACMD PE^P1'T Fb'AL CEHTIrIrAiEOF OCCUPANCYISSUEt, c �9-.i? i t)�c-.►L__ +' iASBESTOS NOTIFICATION 6 NOT APPLICABLE TO PROPOSED DEMOLITION 5lGNATifRE: