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Home My WebLink AboutH2023-0087 - PermitsCity of Newport Beach ��EWIPORT o 9 Community Development Department - Building Division r ,. 100 Civic Center Drive, Newport Beach, CA 92660 I ``-- ` n > Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °111101 N`P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 02/07/2023 Inspection Area :2 H2O23-0087 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: 1 RIPTIDE CT Description: MECH FURNACE CHANGE OUT Owner: CURL BETTY J TR Address : 1 RIPTIDE CT NEWPORT BEACH, CA 92663 Phone: Applicant: SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone : (714) 777-7777 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone : PC - Newport Terrace - UP 1621 PROCESSED BY: 4, Legal Desc : N TR 8835 BILK LOT 2 UN 1 TR 8835 LOT 2 UNIT 1, P-1, G-1, CP- 1 OF PROJECT 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 : RM8WC00054221 Bus Lie Expire:04/01/2023 Workers' Compensation Insurance Carrier : EVEREST PREMIER INS CO Policy No : RM8WC00054221 W. C. Expire : 4/1/2023 Fire Hazard Zone : NO Manufacturer Model# : SPECIAL CONDITIONS: �rN DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the reasons) indicates ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolis :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption, Any violation of Section not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the v Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complelk improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu: apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pur ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: _. ___. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year sell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under. Professions Code, is available upon request when this application is submitted or at the following Web site:http:11Www.leginfo.c Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 O) and effect. License Class License No Data WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES COST OF COMPENSATOR, DXIAGES AS PROVIDED FOR IN SECTION 7705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I he�eby affirm under penalty of perjury one of the following declarations: G I hu':e and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Inc ,per'ormance of the osc.6, for which this permit is issued. Policy No. Lif' have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfor ina,ua.tce carrier and poi,cy number are: Ca, da. Policy Number ,a of Agent certify that, iiI the performance gtibe work for which this permit is issued, I shall not employ any person in any manner so i, I should become subie the workers compQDsatiarrprovisions of Section 3700 of the Labor Code, I shall forthwith c nature of Apr Earl _ CLARATION REG G C UCTION LENDING AGENCY Ireby affirm u r pe o perjury that there is a construction lending agency for the performance of the work for which Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided' correct. I agree to comply with all applicable city and county or cas and state laws r g to building construction. I authorize representatives of this city or county o n a -Ide property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Aut TION DATE BY , D TION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE GULATIONS PART 61 OF TITLE 40 AND AQI RULE I SUBMITTED PERMIT EXTENDED I I I LIAQMD PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO f£RT0CAT£OF gg PROPOSED DEMOLITION OCCUPANCYISSUED I�IZ7 NATURE: below by the checkmark(s) I have placed next to the applicable item(s) , or repair any structure, prior to its issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division 3 of the Business and )31.5 by any applicant for a permit subjects the applicant to a civil penalty of K, and the structure Is not intended or offered for sale (Section 7044, sea' Or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date f the Business and Profe' 9, and my license is in full force Contractor Sign i CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, and agree 71y with those provisions. Date --> 71,� permit is issued (Section 3097, Civil Code). ONLY 7