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Home My WebLink AboutH2023-0409 - PermitsCity of Newport Beach tT^v @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 02660 a� = Permit Counter Phone (949) 718-1888 'y t, newportbeachca.gov/civic �9y1 F0 P�,✓ Mechanical Permit : H2023-0409 Plan Check No : 149 2022 Work Class : Otlter Issued Date Inspection Are�3 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 : 1405 PRISCILLA LN Legal Desc : N TR 1763 BLK LOT 19 Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: TJC HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY, STE 200 ALISO VIEJO, CA 92656 Phone : (949) 481-7026 Applicant: THOMAS JAMES HOMES Address: 26880 ALISO VIEJO PRKWY, Suite 100 ALISO VIEJO, CA 92629 Phone : (949) 669-3748 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) TIMERSPROCESSED BY: SPECIAL CONDITIONS: Jill �:g , t • Contractor : THOMAS JAMES HOMES Address : 26880 ALISO VIEJO PRKWY, Suite 100 ALISO VIEJO, CA 92629 Phone : (949) 669-3748 Con State Lic : 1025507 Lic Expire : 04/30/2025 Bus Lic: BT30059037 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INS CO Policy No: TWC4227597 W. C. Expire: 3/1/2024 Manufacturer: AC PRO Model#: 1 ,(:tYtLlboW /ik pCV� #901E30u-6nNFN1—Zg-2oz3 r. OWNER -BUILDER DECLARATION i hereby affirm under penaltyof 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 applicab€eitem(s) 'action 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 IG permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter g (commencing with Section 7000) of Division 3. of the Business and rofesslons Code) or that he or she is exempt from licensors 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the Work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 n,Proved for the purpose of sale). J 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 ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature bolow 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, 1 cannot Iegalli all a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. I understand that 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:l/www.leginfo.ce.gov/calaw.html. ignature of Property Owner or Authorized Agent I Date ICENSEO CONTRACTOR'S DECLARATION j hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section he Business and Pf�Zssl C e 'M 'Et nse 6 in full force nd effect License Class License No Date ntractor Signatu VORKERS' COMPENSATION DECLARATION 'ARNING: 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, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, ef4ormance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, asrequiredby 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 Dale lame of Agent Phone R 31 certify that, in the ertorm cc t or for which lh p it is issued, t shall not employ any person in any manner so as to become subject to the workers' c mpensahon laws of California. and ogre tat, If I should bee a sobje t' compensa povisl of Section 3700 of the Labor Code, I shall forthwith comply with. those provisions.signature of Applies Date • IECLARATEON RE A O1N COON LEND. AG hereby affirm uncle pen of perjury thatihere is a construct% nding agency for the performance of the work for which this permit Is issued (Section 3097, i it Code),. enders Name Lender's Address 7my signaNre 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 p vided is correct - I agree to comply with all applicable city and County or n ces a t to la Ling to building construction. I authorize representatives of this city or county toe T t e /ho tifis pJ pe r Inspection purposes. �,I licnature of Prooertv Owner or Authorized ADenl /L / Print Property Owner's or Authorized Agent's Narn , ' v" a ACTION DATE BY DCIARATION OF COMPLIANCE WIIfH)CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 4tl ND ACIMD RULE 1403 PERMIT EXViREU U I SURMITTF.O_A_SBESTOS NOTIFICATION TO PERMIT CANCELLED SPA PERMIT EXTENDED J QWD PERMIT FINAL ASBESTOS NOI IFICATION 15 NOT APPLICABLE TO CERTIFICATE OF "I l PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: