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Home My WebLink AboutH2023-0777 - Permits04", City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1B88 newportbeachca.gov/civic Mechanical Permit ...... _.___ Plan Check No Work Class : Other Issued Date : 12/14/2023 Inspection Area : 2 H2O23-0777 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 : 74 LINDA ISLE Legal Desc : N TR 4003 BILK LOT 74 Description: MECH INSTL (3) ROOF MOUNTED HEAT PUMPS, TAMPER RESISTANT CAPS REQ Owner: JULIEMUMMA Address : 74 LINDA ISLE NEWPORT BEACH, CA 92660 Phone : Applicant: BEN MEDINA Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder: Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITION Fire Hazard Zone : NO Contractor : WE CARE Address : 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Phone : (951) 600-0700 Con State Lic : 779604 Lic Expire : 06/30/2024 Bus Lic : BT30038344 Bus Lic Expire: 02129/2024 ' Workers' Compensation Insurance Carrier: A I U INS CO Policy No : 034281450 W. C. Expire: 7/1/2024 , Manufacturer: LENNOX Model# : X20-024/060 TIMERS PROHIBITED ON HEAT PUMPS 30" WIDE X 36" DEPTH REQUIRED FOR A/C DISCONNECTS OWNER -BUILDER DECLARATION 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 DRAW the applicable Items) (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 fre 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 lioensure 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 de (_) all of or U 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 far 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). 111, 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 licensors 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 legal Doll a structure that I have built as an owner -builder if If 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 INeb site:htip:iiaww.leginfo.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec 7 ) 1pr the eusi ss and Profes�l e, and my license Is in full force and effect. License Class License. No Oat 1 1i Iv 7l%antra o ignalwo9 PORKERS' COMPENSATION DECLARATION I EARNING: FAILURE TO SECURE WORR.EMS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AMC) CIVIL FINE$ UP TO ONE NAND USAND DOLLARS 1fit 00,b00), IN ADbn'ION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm wlGer pnnalty, of perjury one of the following declarations: f a:v 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 rmance of Fie mart: for which this permit is. issued. Policy No, u 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' compel isu nce carrier and policy number are: lw.ier Policy Number Expiration Dale Jame of Agent __ Phone N rertlfy that, in :ha parformance of the work for which this permit is issued'. I shall not employ any person in any manner so as to become subjectto the workers' compensation laws of California, and agre if I should beoome subject to the wort r ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nall.e of Ap nt„_,_,,, at I; U`RATICi�I'h GARBINGCONST DING AGENCY Ireby affirm ande pe o arihera is a constmption lending agency for the performance of the work foe vrhich this permft is issued (Section 3 Gode). —_ Ider's Namc: Lenders Address my signature below. I certify to each or the following: I am the property owner or authorized to act on the property owner's behalf. I have rend this application and the information I have provided is correct.. I agree to comply with all applicable cif, id c my in. Oes and state laws relating to building construction. I authorize representatives of this city arc my to the above -id e� rty for inspection purposes. , ^ nature of Property Owner or Authorized en Pr€nl Property Owner's or Authorized ADen ' ante tttt��JJJJ �`• i V� 1 FOR OFFICE USE ONLY PERMIT EXPIRED - PERMIT CANCELLED PERMITEXTENDF0 4CUI,ATIONS PART fit OFTITLE40 ANDAOMD RULE 1403 I SUBMITTED PERMIT FINAL ^^'' II 1 El ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF �.L//�+�L PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE;