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Home My WebLink AboutH2024-0639 - Permitso-., City of Newport Beach .fie Community Development Department- Building Division tY )y 100 Civic Center Drive, Newport Beach, CA 92660 u S} Permit Counter Phone: (949) 718-1888 CSt/F00.HaP f newportbeachca.gov/civic III I I I II I I II II II I II II II Mechanical Permit: H2O24-0639 Plan Check No : XR2024-6154 Work Class : New Permit Status: Issued Issued Date : 1010712024 Inspection Area : 4 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 : 2906 CAROB ST Legal Desc : N TR 5018 BLK LOT 115 Description: M3ECH - INSTL HEAT PUMP. TAMPER RESISTANT CAP REQUIRED Owner: JENNIFER TURNER Address : 2906 CAROB ST NEWPORT BEACH, CA 92660 Phone: (949)422-8896 Applicant: KEMNITZ A/C & HEATING INC Address: 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Phone: (949)453-8500 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: Contractor : KEMNITZ A/C & HEATING INC Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Phone: (949)453-8500 Con State Lic : 695874 Lic Expire : 09/30/2026 Bus Lic: BT30010593 Bus Lic Expire:07/31/2025 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INSURANCE COMPANY Policy No: PSIC0701257502 W. C. Expire: 2/1/2025 Fire Hazard Zone : NO Manufacturer: CARRIER Model# : 38MHRC Front: 6, Side: 6, Side: 6, Rear: 6 X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) SPECIAL CONDITIONS: Oil OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate 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 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 licensure 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). ❑ 1, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 70", '.Business and Professions Code: The Contractors Stale 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 improved for the purpose of sale). ❑ I, 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). ❑ 1 am exempt from licensure 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 legall 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:llwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent ._ Date _--- -- LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7070 f D mon 3 of the Business and Professio and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 IS100.000), IN ADO NON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for WorkersCompensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code. for thf pgrformance of the work for which this permit is issued. Policy No. have 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 rance carrier and policy number are: Policy Number Date ame 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 agree tat, if I should become subject t em' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. %� — ignature of Applicant ____ _ Date___ DECLARATION REGARDI ONS CTION 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 Lenders Address — y my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners 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 to e9 the dentifie property for inspection purposes. Llf6 N Q L.� 7(� innature of Prooertv Owner or Authorized ADenl Print Property Owner's or Authorized Agent's Name -%/I i'Date /(y 7/Zfc ACTION DATE BY IOCCARATION<SrCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLEG_ I UEPA PERMITFINAL / ! LJASBEST05 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF �i�'j I PROPOSED DEMOLITION OCCUPANCY ISSUED _ _ _ - - _ - SIGNATURE: