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Home My WebLink AboutH2022-0351 - Permits (3)e �wPo�T City of Newport Beach d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 4�roaN�P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : Inspection Area H2O22-0351 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 : 133 AGATE AVE Description: MECH - R/R HEAT PUMP & AIR HANDLER Owner: AURIGNAC PATRICK Address : 133 AGATE AVE NEWPORT BEACH, CA Phone : Applicant: SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone: (714)777-7777 Code Edition : 2019 Type of Construction Occupancy Groups: Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 7 LOT 19 Fire Sprinklers : NO Fire Hazard Zone : Y Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 2; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: Contractor : SERVICE CHAMPIONS HTG Address : 3150 E BIRCH BREA, CA 92821 Phone : (714) 777-7777 Con State Lic : 799170 Lic Expire : 10/31/2023 Bus Lic: BT01080105 Bus Lic Expire 07/31/2022 Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Manufacturer: Model# : gd 9 rw p., 777 I!y I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable hems) ;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 Ile 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 licansure 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (J 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 mproved for the purpose of sale). ID 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 aP,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) 1 am exempt from licensore under the Contractors' Stale License Law for the following reason. ------ By my signatum 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-buildar if it has not been constructed in its anlirety 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://www,leginfo.ce.gov/calavi.btml. _ - Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 i 'o of the Business and Prof `q-�1 ns Code, and in Is In full force and effect. License Class License No Dat nlraclor Signature A 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 IE100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION Safi OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. I hereby affirm under penalty Of perjury one of the following declarations: PS 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 i?e rmance of the work for which [his permit is issued. Policy No. 001 h ve 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' compensation ur nee carder and policy number are: ter Policy Number Expiration Date lame of Agent _ _ Phone t« 31 certify that, In the performance of thew whirl this permit Is issued, I shall not erson in any manner so as to become subject to the workers' compensation laws of California, and ogre tat, it I should become sub) to thew era' oompensation provisions - 700 of the Labor Code I shall forthwith comply will these provisions. signature of Applicant _ -----------'----- IECLARATION REGAk NSTRUC 61NG AGENCY hereby affirm under penal f a re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Nam, Lenders Address -- ly my signature below, I certify to each of the following: I am the property owner or authorized to act an the property owner's behalf. 1 have read this application and the information I have provided ""'a" I agree to comply with all applicable city and county ordin as and stale laws relating to building construction. I authorize representatives of this city or coup t Bore -identifled property for inspect _ es. % li nature of Property Owner or Authorized A en _ rint Property Owner's or Authorized Agent's Na Dale C 4CTION DATE BY , DECLARAT O - LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY NS PART fit OF TITLE AO AND AQMD RULE PERMITF0100 I LJ E1 JBMITTFD ASBESTOS NOTIFICATION TO PERA41TCANCELIEo - Ern -- All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall vERMrrexrervoso _ L _nAQMo 6e in place prior Co approval to fill pool/spa &shall remain In place & be maintained for the MR—W FINAL ASHE 105 NO11FICATIUN IS NOT APPLICABLE 7U life of the pool. CER7IfICATE OF i PROPOSED DEMOLITION OCCUPANCYISSUEO I 1 SIGNATURE:__._..__.___.......__._.___—_.—__..._._..--___,._.___.__...__