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Home My WebLink AboutH2024-0085 - Permits (3)�WPo. City of Newport Beach III I I I II I I II II II III III II ?A Community Development Department- Building Division Mechanical Permit u JJJJ�z 100 Civic Center Drive, Newport Beach, CA 92660 Plan Work Class k Other m Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Issued Date : 02/15/2024 Inspection Area : 1 H2O24-0085 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 : 123 25TH ST Legal Desc : A TR NEWPORT BEACH CITY BLK 25 LOT 24 Description: MECH INSTALL (1) A/C UNIT AND R/R FURNACE (CLOSET) **TAMPER RESISTANT CAPS REQUIRED** Owner: DEBRA SIDEBOTHOM Address : 123 25TH ST NEWPORT BEACH, CA 92663 Phone: (714)336-5520 Applicant: CHAGOYA MECHANICAL HEATING AND AIR CONDITIONING Address : 10457 SLATER AVE #103 FOUNTAIN VALLEY, CA 92708 Phone : (714) 243-7843 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: Front: 5, Side: 3, Side: 3, Rear: 5 X R-1 - Single -Unit Residential Fire Hazard Zone SPECIAL CONDITIONS: HIGH DENSITY & LIQUEFACTION ZONE Contractor : CHAGOYA MECHANICAL HEATING AND AIR CONDITIONING Address : 10457 SLATER AVE #103 FOUNTAIN VALLEY, CA 92708 Phone: (714)243-7843 Con State Lic : 1042988 Lic Expire : 08/31/2024 Bus Lic : BT30083647 Bus Lic Expire:02/28/2025 Workers' Compensation Insurance Carrier : STATE FARM GENERAL INSURANCE COMPANY Policy No : 92KNV6342 W. C. Expire : 1/30/2025 NO Manufacturer: AC PRO Model*: AULD36W2/A-D(U) NO CONSTRUCT!ON WORK ON SATURDAYS 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) aection 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 in 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 $action 7000) of Division 3 of tho Business and 'rofesslons Code) or that he or she is exempt from lioervsureand. 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 of more than five hundred dollars (S500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended oroffered for sale (Section 7044, Iusmess 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 nprovements 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, 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 ply 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 Lawfor the following reason. ly my signature below I acknowledge that, except for my personal residence in which I must have resided forat feast one year prior to completion of the improvements covered by this permit, I.cannot legall; ell a structure that I have built as an owner -builder If it has not been constructed In itsentirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessiDns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginto.ca.gov/calaw.html. iignanto 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 Division f the Business and Proles ' ns de, and my license is in full force nd effect. License Class License. No Date70 0) Contractor Signature VORKERS'COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. hereby affirm under penalty of perjury one of the following declarations: I 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 Cade, for th arfgrmance 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 Expiration Date of Agent ]I 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 agrc mat, it I should become subject to th rkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. igneture, of Applicant .,___.___CT/_Date ~/`' ✓�/"/ __ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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, Civil Code). enders Name Lender's Address y my signature. below, I certify to earth of the following: I am the property owner or authorized to act on the property owners behalf. I have read this Lpplicat an and thew formation I have provided is correct. I agree to comply with all applicably city and county ordinances and state laws relating to building construction I authorize representatives of this city or county to eep4erthg above -identified property far Inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUTATION5 PART 61 0E TITLE 40 AND AOMD RULE 1 1403 PERMIT €XPIREV I__i I SUBMITTED ASRFSTOS NOTIFICATION TO PERMIT CANCELLED META PERMI rEXI-ENDED QS/I7/ZTIRCAT€Or 0AQMD PERMIT FINAL /+Or ASHESTOS NO] IFICATION 15 NOT APPLICABLE 10 C€R 4 T PROPOSED DEMOLITION OCCUPANCYISSUEO CMS SIGNATURE: