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Home My WebLink AboutH2023-0489 - Permits��gWPORT City of Newport Beach Community Development Department- Building Division > Fy 100 Civic Center Drive, Newport Beach, CA 92660 T Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic cgcicoa`'�P IIIIIIIIIIII IIII IIIIII II Mechanical Permit: H2O23-0489 Plan Check No : PC2022-2294 Work C Issued Date : 0810112023 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 : 2012 PORT CHELSEA PL Legal Desc : N TR 6624 BLK LOT 92 Description: MECH 2 NEW A/C UNITS `TAMPER PROOF CAP REQ" Owner: STEPHENWIECHERT Address : 2012 PORT CHELSEA PL NEWPORT BEACH, CA 92660 Phone: Applicant: 5 BLOX Address: 22287 MULHOLLAND HWY, #176 CALABASAS, CA 91302 Phone : (844) 500-1326 Owner/Builder : Address: Phone : Code Edition: 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Contractor : 5 BLOX Address : 22287 MULHOLLAND HWY, #176 CALABASAS, CA 91302 Phone : (844) 500-1326 Con State Lie : 1036356 Lie Expire : 02/29/2024 Bus Lie: BT30080396 Bus Lie Expire: 01/31/2024 Workers' Compensation Insurance Carrier : STATE FUND - Policy No : 9313098 W. C. Expire: 2/5/2024 - 1. Manufacturer: GOODMAN Model#: FLEXX36HP23OVlBH 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-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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended oreffered 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 theproperty, provided that the Tlprovements 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 reproved 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 Ipply 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' Slate 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 Iegalll .ell a structure that I have built as an awner-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:/ANww.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio pf Iv' ' n 3 of the Business and Profe I de, and my lic e i I force and effect. License Class License. No Date 'C f 3 Contractor Signatures /t VORKERS' COMPENSATION DECLARATION ,)` CANNING: 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, DAMAGESAS PROVIDED FOR IN SECTION 3706 of THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: -1I 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 th performance 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 3I certify that, in the pert rmance of the work for which this permit Is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and ogre tat, if I should broom s toc tite workers' co p nsaWEN s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Fgnalure of Applicant _M DatEJ'. 2� bECLARATiON REG DING CONSTR CTION LENDIN�� hereby affirm under nalty of perjury that there is a consI agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address _ ly my signature below. I certify to each of the Following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city end county ordinances and state laws relating to building construction. I authorize representatives of this City or CO11 n r the she -iden ifs property for inspection purposes. ',,�// p unnahlrR of PrnnRdv Owner or Authorized Aoenf X /1�-.,n :� p.�p y Print Prooerty Owner's or Authorized Acent's Name n �� n q � )�CA m I ACTION DATE BY I I DECLARATION OF Lt9MPLFANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I R€GUI.ATIONS PART 61 OF TITLE 40 ANDAOMD RULE 1403 PERMIT EXPIRED +<LJ ISUBMITTF.D ASBESTOS NOTIFICATION TO PERMIT CANCELLED UFPA - PERMIT FMENOED - OM.D PERMITFINAL 011 l� ;t ( CA54E`TOS 401'IFICATION 15 NOT APPLICABLE 10 CTRTIFICATE OF PROPOSEDDEMOLITION I OCCUPANCY ISSUED f\I C._ Ilk! SIGNATURE; EATUR