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Home My WebLink AboutH2023-0506 - Permitska PQR� City of Newport Beach p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 926BO Z. Permit Counter Phone: (949) 718-1888 o- newportbeachca.gov/civic Cq(IFgpN�P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 08/08/2023 Inspection Area : 4 H2O23-0506 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 : 19 CERVANTES Legal Desc : N TR 15517 BLK LOT 49 Description: MECH R/R A/C UNIT AT REAR **TAMER RESISTANT CAPS REQUIRED** Owner: KATZ DANIEL TR KATZ FAMILY TR Contractor : SEARS HOME IMPROVEMENT Address : 19 CERVANTES NEWPORT BEACH, CA 92660 Address : PO BOX 522290 LONGWOOD FL 32752, CA Phone: Phone: (657)465-0038 Con State Lic : 1055034 Applicant : EMALEE JOSEPH Lic Expire : 06/30/2025 Address : 26111 YNEZ RD, C3 TEMECULA, CA 92591 Bus Lic: BT30068711 , Phone: (877) 600-0123 Bus Lic Expire:08/31/2023 , Workers' Compensation Insurance ' Owner/Builder : Carrier : A I U INSURANCE COMPANY Address : Policy No: WC080880660 , Phone: W. C. Expire: 8/1/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: ICP COMMERCIAL - Type of Construction : Model# : N4A5S60 Occupancy Groups: a Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone: PC - Bonita Canyon 6 5 PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors.' State License Law for the reason(a) indicated below by the checkmark(s) t 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 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 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 not more than five hundred dollars ($500). El 1, as owner of the property, or my employees with wages as their sole compensation. will do C_) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Coda 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 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 m roved 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 ra ly to an owner or property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). L..1 I am exempt from licensors 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 prior to completion of the improvements covered by this permit, I cannot legali,, sell 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 Professions Coda, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginto.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that l am licensed under provisions of Chapter 9 (commencing with Section 700) f Di ''Sion 3 of the Business and Profe�lorr�ode,,a0or se is in full force and effect. License Class License No Date l Z Contractor Signature Co WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TG f.Ei JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ttne6.000), IN ADDITION TO THE COST OF COMPERSATION. DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I I have and wil: oixitain 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 th Kgp-marce of the v'ork for which this permit is issued. Policy No. have and will ,naon,ain 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' compensatio. 1urjncs carrier a -id i aticy number are: 'an ier_. Policy Number Expiration Data Ja ^tme of „gent Phone # I cg-Ct , that, in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the workers' compensation lows of California, and agre hat, if I s�ioa9d become subj st'tD the wo Hers' pensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3,g, I.tJ, a of Appioani _ Date-- )E::�'i."?ATION RE^,AR CONSTR N LE:NDfNG. AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance cf 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 file property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws rotating to building construction.. I authorize representatives of this city or county to enter e a ove>Idenllie dy far inspection purposes, 31 oature of Property Owner or Authorized Agent Pont Property Owner's or Authorized Agent's Name r'h'-`� �S Date ACTION GATE By [ DZCrARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61, OF TITLE 40 AND AQMD.RULE 1403 PERMIT EXPIRED LJ''.I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED �QEPA PERMIT EXTENIIED s Q M D PLRMIi FfNA1 �SL� r,,,,1ASBESTOSNOTIFICA71UN15'IoTAPPUCABLt r0 CERTIFICATE Of PROPO ED DEMOLITION OCCUPANCYlSSUEO