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Home My WebLink AboutH2023-0544 - Permits�EWPORr City of Newport Beach 0 p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 'y! Permit Counter Phone: (949) 718-1888 .,., newportbeachca.gov/civic C9CIFOR�,P Mechanical Permit Plan Check No: Work Class : Other Issued Date : 08/23/2023 Inspection Area : 3 H2O23-0544 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 : 6 CORMORANT CIR Legal Desc : N TR 12529 BLK LOT 3 Description: **RENEW EXPIRED PERMIT H2O21-0531** MECH CHANGE OUT A/C & FURNACE *TAMPER PROOF CAP REQ* Owner: TAKESH KAMRAN MIRZA TR Address: 25611 INDIAN HILL LN UNITG LAGUNA HILLS, CA 92653 Phone : Applicant: ENERGUY INC Address: 26111 YNEZ ROAD C3 TEMECULA, CA 92591 Phone : (877) 600-0123 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 8 Flood Zone : X Use Zone: PC - Bayview PROCESSED BY: SPECIAL CONDITIONS: Contractor : NEXGEN A/C INC Address : 5472 EAST LA PALMA AVENUE ANAHEIM, CA 92807 Phone : (657) 208-1987 Con State Lic : 1011173 Lic Expire : 07/31/2025 Bus Lie: BT30055503 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INSURANCE COMPANY Policy No: 212075500 W. C. Expire: 10/1/2023 Manufacturer: Model# : I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 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 To permit to file a signed statement that he or she is licensed pursuant to the provislons of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division. 3 of the Business and Irofosslons Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031S by any applicant fore permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). D 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lushness 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 properly, provided that the nprovemants 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 nproved for the purpose of sale). 1 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 ppiy to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). [am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legall, all 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 Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca.gov/ralaw.htM]. 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 Section of Dd ,7000} :1 3 of the Business and Professions Co ,and my tic rise is In full force rid effect. License Class License No Date�� %Z=? Contractor Signature PORKERS' COMPENSATION DECLARATION 'ARRINGn FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE is UNLAWFUL, AND SHALLSUOJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), IN ADDnION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAOOR CODE, INTEREST. AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following dec€arations: 7 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 in erformance of the work for which this permit is issued. Policy No. have and wlll 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' ranee carrier and policy number are: PcHoy Number ExDiration Date of Agent 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 . It I should become subjecttyo}ha workers' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. Ialura of Appiicent� Date •I Are f AM oGr_n''ii nl r rnN erolrr!rinsr I rLl nlcFr_ Arcury )reby 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 Ider's Name Lender's Address my signature below. I certify to each of the fallowing: 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 is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. f authorize representatives of this city or county enter ihe,313ove-idenli ed property for inspection purposes. nature of Property Owner or,Authohzed Agent w w �,Print Property Owner's or Authorized ADent's Name ACTION DATE BY CILARA ONS PART Bl LI TNCE 4p A CODE OF FEDEFEDERAL FOR OFFICE USE ONLY RF Fk HrOrl ExPIRED _I I l LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANL' UV _ EPA PERMtT EXTENDED iJAQM D PERMIT FlAi SBLStOS NOTIFICATION IS NOYAPPLICA9LE TO CER7wFICA7E OF A PROPOSED DEMOLITION OCCUPANCY 155UED 1 SIGNATURE: Civil Code). k