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Home My WebLink AboutH2023-0006 - Permitsa`�aPORr City of Newport Beach 6+ Community Development Department- Building Division i 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9t/pppl+�P newportbeachca.gov/inspections II II II II II Mechanical Permit : H2O23-0006 Plan Check No : 1239-2022 Work Class : Other Issued Date : 0110412023 Inspection Area: 6 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: 35 MONTPELLIER Legal Desc : N TR 9587 BLK LOT 4 UN 7 TR 9587 LOT 4 UNIT 7 OF PROJECT LOC ATED ON AP Description: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* Owner: RAYMOND YATES Contractor : Golden Edge Construction Address : 5 CAMELOT CT RANCHO MIRAGE, CA 92270 Address : 15581 Product Ln Suite C-14 Huntington Beach, CA 92649 Phone: Phone: (714)897-0971 Con State Lic : 800077 Applicant : Golden Edge Construction Address: 15581 Product Ln Suite C-14 Huntington Beach, CA 92649 Phone: (714)897-0971 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Lic Expire : 10/31/2023 Bus Lic: BT30079459 Bus Lic Expire:08/31/2023 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9083411 W. C. Expire: 1/1/2024 Manufacturer: Model# : LENNOX OWNER -BUILDER DECLARATION I hereby affirm under penalty of periury that I am exempt from the Contractors' State License Law for the reason(s) indicate 5ecfion 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis 1s permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law 'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Anyviolation of Section of more than five hundred dollars (S500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the I justness and Professions Code: The Contractors' State License Low does not apply to an owner of property who, through emf nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completli nproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BD: pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor put 7 1 am exempt from licensers under the Contractors' State License Law for the following reason: ,y my signature below I acknowledge that, except for my personal residence in which I must have rasided for at least one year all a structure that I have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. I under 'rofessions Code, is available upon request when this application is submitted or at the following Web slte:httpJlw'ww.legtnfo.c .ignature of Property Owner or Authorized Agent _N .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section r) of Dt nd effect. License Class License. No Date. OO /- H- COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN€Y's FEES, hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director or im e�r/rformance of the work for which this permit is. issued. Policy No.. 5rt've and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfol Isurance carrier and policy number are: artier Policy Number is of Agent certify that, in the p rfo mit ante of the work for which this peris issued, I shall not employ any person in any manner so it I should become ject to the workers' compensa' n provisions of Section 3700 of the Labor Code, I shalt forthwith c Glare of Aoolicant �l ' / (z - �• C. hereby affirm under penalty of perjury that there is a construction lending agenoy for the performance of the. work for which enders Name Lender's Address y my signature below. I certify 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 eorroct. I agree to comply with all applicable city and cotto,,,di a slate laws relating to building consfuction. I authorize representatives of this city or countye-identified property for inspection purposes. icnature of Property Owner or Authorized Aoent�. �j. C. Print Prooertv Owner's or Autl FOR OFFICE REGUI.ATIMJS PART fit OF TITLE 40 AND ACLMD RULE 1403 PERMIT EXPiREp PERMITFINAL D � 0ASBEi vO PERMIT FINAL SNOI'IFiCATION 15 NOT APPLICABLE TO p , CERTIFICATEOF o y S �� SIGNATURE: PROPOSED DEMOLITION OCCUPANCY 155UED below by the checkmark(s) I have placed next to the applicable items) , or repair any structure, prior to its Issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ]31.5 by any applicant for a permit subjects the applicant to a civil penalty of k, and the structure is notintended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that It was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the Improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date 3 of the Business and Contractor Siena full tome CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers` Date to become subject to the workers' compensation laws of California, and ply with those provisions. Data / — `{— Z 6 permit Is issued (Section 309 , Civil ode).