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Home My WebLink AboutH2022-0500 - PermitsCity of Newport Beach 11111111111111111111111111111111111111 II II I II I II I II IIII II II IIII Mechanical Permit : H2022-0J00 �EWPORT D� ,d Community Development Department- Building Division u 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : C94)FOP�`P newportbeachca.govinspections Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION Job Address : 1854 PORT KIMBERLY PL Legal .Desc : N TR 7029 BLK'--LOT 30 Description: MECH -INSTALL HEAT PUMP & AIR HANDLER. TAMPER RESISTANT CAP REQ'D Owner: LEWIS MALCOLM DAVID TR Contractor : JUST RIGHT SERVICES Address : 1854 PORT KIMBERLY PL NEWPORT BEACH CA 92660 Address-: 23482 PERALTA DR LAGUNA HILLS, CA 92653 Phone: Phone:; (949)228-2108 Con Stata Lie: 970383 Applicant : BEN MEDINA Lie Expire : 04/30/2024 Address : 31225 LA BAYA DR WESTLAKE VILLAGE; CA 91362 Bus Lie: BT30066798 Phone: (818)735-7876 Bus Lie, Expire:04/30/2023 Workers' Compensation Insurance Owner/Builder: Carrier : SIRIUS AMERICA INS CO Address : Policy ,No: -WC73109 Phone: W. C. Expire: 7/15/2023 Code Edition : 2019 Fire Hazard Zone: NO Manufacturer : GE Model# : AUH24362GDA Type of Construction : Occupancy Groups: Building Setbacks : Front: 22, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Harbor View Hills �t PROCESSED BY: SPECIAL CONDITIONS: e b tltl e tl tl � ODea � tl U� O C Otl btl0 e4s tl0� 4 e C C 6 O }O �- C• Ctl a affirm as Law for the reasons) indicated below construct, alter, improve, demolish, or Tat -. ...,. ,.....y+ ,oL.•,.n. ,,uy nw more then five hundred dollars ($500),: u}ro,a ors I, as owner of the property, or my employees with wages its their sole; compensation, will do U all of or (_) portions loose and Professions Code: The Contractors' State License Law does not apply town owner of property who, throu rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc roved for the purpose of sale). I; as owner of the property, am exclusively contracting with licensed. Contractors to construct the project (Section 70 ly to an owner of property who builds or improves thereon; and who contracts for the projects with a licensed Contra) I am exempt from licensors under the Contractors' StateLicense Law for the following reason: ny signature below J acknowledge the#, except for my personal nssidarcs, in which I must have resided for at teaat one year I under: of Is available I am licensed COMPENSATION DECLARATION _.....,..,, c,,a unaxrsrutr ANU SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES OST OF COMPENSATI6N-, DAMAGES AS.PRDVIOED FOR.IN SECTION ST00 bF THE LABOR CODE, INTEREST,. ANDATTORNEY'SFEES. hereby affirm under penalty of perjury one of the following declarations: I haveand Will maintain a certificate of consent to setf-iosure for workers` compensation, issued by the Director of in( 4ivlm ance of the work for which this permit is issued. Policy No. e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code; for the perfor carrier and policy number are: of Agent artily that, in the performance if I should become. subject to Policy: Number far which this permit is issued, I shad[ not employ any person compensationProvisionsOr Section 3700 of the Labor Code;' areuy amrm under perongerperjury thatthere is a construction lending agency for the performance of the work f ider's Name - Lenders Address my signature below. I aerdfy 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 agree to comply with all applicable city and county ordk and state laws relating to buliding,-construction. I authorize representatives of this tiro Drmmivtn aNlor (ha a QAi;Na.r ..........« r ------ nextto the structure, and the Structure, Is not intended or offered' for Bale (Section 7044, s' or personal effort;; builds or improves the property, provided that the a Owner -Builder will have the burden of proving that it was not built or, Code: The Contractors' State License Law does not. s', State License .Law). in full force DONE HUNDRED -THOUSAND DOLLARS t$100,000i, IN ADDITION TO Relations as provided for by Section 3700 of the Labor Code, for the work for which this permit is issued. My workers' c to become subject to the workers' compensation laws of catiromia, and agre yly with those provisions. DateIemilt is issued (Section 3097, Civ I Z IIJANLE WI! CODE Of FEDERAL. I FOR OF TITLE 40 AND AQMD RULE PERMITCANCEtt,ED -. - EPA.. - a•e ••• �•• ••• `•• `•a PERMrrfXTENDED • • • s o • • • ESTO • • • a • s • • • • • PERIWIFfrNAC / 22, � ASR€S705 NOTIFItATI0N15 NOT APPLICABLE. 70 CER IFICA rk OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: - ••• • • a e e • •e • a m mm � m a m 3 p pee aem mo a e aoo 00