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Home My WebLink AboutH2023-0490 - PermitsO�aEWPoRT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U ,= Permit Counter Phone: (949) 718-1888 .a.newportbeachca.gov/civic cgG(FORN`P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 08/01/2023 Inspection Area : 4 H2O23-0490 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 : 23 AUGUSTA LN Legal Desc : N TR 7223 BLK LOT 23 Description: MECH 4 NEW HEAT PUMPS *TAMPER PROOF CAP REQ* Owner: MARC SCHNEIDER Address : 23 AUGUSTA LN NEWPORT BEACH, CA 92660 Phone: (714)345-0575 Applicant: ALL STAR PLUMBING & FIRE Address: 22672 LAMBERT ST #619 LAKE FOREST, CA 92630 Phone: (949)470-0072 Owner/Builder : Address Phone: Contractor : ALL STAR PLUMBING & FIRE Address : 22672 LAMBERT ST #619 LAKE FOREST, CA 92630 Phone: (949)470-0072 Con State Lie : 715588 Lie Expire : 08131/2023 Bus Lie : BT30059737 Bus Lie Expire:07/31/2023 Workers' Compensation Insurance Carrier : FALLS LAKE FIRE AND CASUALTY COMPANY Policy No : FLA01837500 W. C. Expire: 2/7/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: HITACHI Type of Construction : Model# : VAHP060B21 S Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: u� SPECIAL CONDITIONS: p� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State 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 a permit to construct, after, 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 lioensue 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_j all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to on 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 Improved 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 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' Stale 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 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 Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca..gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affi•.rmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section )�Of jvi ion 3 of the Business and Prof o � my license is in full force and effect. License Class License No Date 6 2� Contractor Signature WORKERS' COMPENSATION DECLARATION iWARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED NOUSAND DOLLARS 15100,000j, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37U6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ 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 'ormance of the Work for which this permit is. issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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 agree if I should becom sub` of to t�hee w ers com�setlomgrovl ions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. lalure of Appllcanl`/Date hereby affirm under perl/alty ot'iterjury that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, 'lit Code), enders Name - Lender's Address y 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 is correct.. I authorize representatives of city or c unt tote tertian a setldenfifiedpropertym for tiding construction. agreePY pP Y state laws p y inspection purposes, tunature of PrOD rtv Owner or Authorized fluent Print Property Owner's or Authorized Agent's Name Vv `t'W1rl�'S ACTION DATEBY b LARATION OetWPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE Y 14U3 PERMIT kXWREp —---Ij-- I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED t--�—ESPA FERMIT ExTENDED LIAC,MD PERMITFINAL ASBESTOS NOT IFICArION 15 NOT APPLICABLE 10 OC OF rPROPOSED DEMOLITION — OCCUPANCYUPANCYISSUFO SIGNATURE: __ 2