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Home My WebLink AboutH2023-0747 - Permits"E"Vpo"T City of Newport Beach III I III II II II II II II 11 Community Development Department- Building Division Mechanical Permit 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No = Permit Counter Phone: (949) 71 B-1888 Work Class : Other .� newportbeachca.gov/civic cq FoaN�P Issued Date : 1 V29I2923 Inspection Area : 6 H2O23-0747 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 : 18 CLEARVIEW Legal Desc : N TR 14037 BLK LOT 22 TRACT NO 14037 LOT 22 AND PO �k (33 IF` AIh Description : MECH REPLACE FURNACE p a � ��'""a e Owner: KURTZ MICHAEL Z TR KURTZ FAMILY TR Address : 18 CLEARVIEW NEWPORT COAST, CA 92657 . Phone: Applicant: AIR CONCEPTS Address: 801 S. LAKEVIEW AVE #E PLACENTIA, CA 92870 Phone : (714) 779-1000 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY SPECIAL CONDITIONS: Fire Hazard Zone Contractor : AIR CONCEPTS Address : 801 S. LAKEVIEW AVE #E PLACENTIA, CA 92870 , Phone: (714) 779-1000 Con State Lie : 534722 , Lie Expire : 08/31/2024 , Bus Lie: BT30075249 Bus Lie Expire:D5/31/2024 Workers' Compensation Insurance - Carrier : INDEMNITY INSURANCE COMPANY OF NORT14 AMERICA Policy No : C55805544 ' W. C. Expire: 10/1/2024 YES Manufacturer: " Model# : . ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, else requires the applicant for the permit to file a signed statement that he or she is licensod 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 of Section 7031.5 by any applicant for a permit subjects the applieantto a civil penalty of net 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, 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 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 II roved for the purpose of sale). L..I 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 apply 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 licensure under the Contractors' State License Law fat the following reason_ By my signature below I acknowlecigo 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 legal, 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 tho applicable law, Section 7044 Of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/i" .w.leginfo.ca..govlca law. html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 of Dev6sion 3 of the Basin and Professi c e�fa{ld my license is in full force and effect License Class License No — `--Zv2.3 Contract. ignature CCJJ COYPFN4ATION DECLARATION 'A,INING: Ff,ILURE TO SECURE WORNEAS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNOREO THOUSAND DOLLARS pilti"00), IN ADDITION TO THE Oil OF LOMPENSATI JN, DAr1AGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under pendl y of perjury one of the fallowing declarations: I h xe 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 [h a rmance of the Aorl, for which this permit is. issued. Policy No. !s, and will 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' compensatioi Is Lr;] Ga carrier 9h6 nolicy number are: '.ul,iJyj Policy Number Expiration Date L(Iad a.lgBnt Phone N _ 11 certify that, thepe,formance 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 worke compensation laws of California, and agre 'al, d 1 saould be me subject to the workers' compensation provisions of Section 3700 of the Labor Code.., I shall forthwith comply with those provisions. ignature of APp'i^a I. _ - _____. D iECL,ARATIO 4 R AR -NSTRU ION LENDING AGENCY hereby affirm d penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).. enders Name _ _ - Lender's Address y my signature below, I certify to each of the following: I am the properly 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. --- I authorize representatives of this city or county toter the e-idendfled property for inspection purposes. \X/ A :ionature of Prooeriv Owner or Authorized Ruen�/ t Print Pronerty Owner's or Authorized AgenCs�'ahle A iCr cirld2�, 7I1I opt(, Date � � LY'1L)" ACTION DATE A ' 1 DECLARATION OF COMPLIANCE W1711 CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPWED 1J ASaESTOS NOTIFICATION TO PF.RMTTCANCELLED rlvITTFD l EPA PERMIT EXTENDED i 0AgMp PERMIT FINAL CERTIFICATE OF DCCUPANCV ISSUED ��/ � ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO _ e/ PROPOSED DEMOLITION /' SIGNATURE;