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Home My WebLink AboutH2023-0230 - Permits�EWPORT City of Newport Beach III II I II I III II II I III II II DF @ Community Development Department - Building Division too Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 2 Inspection Requests Phone: (949) 644-3255 CqC/pppN�o- newportbeachca.gov/inspections Mechanical Permit : H2023-0230 Plan Check No : 1787.2021 Work Class : Other Issued Date : 04/0412023 Inspection Area : 8 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 : 1406 LINCOLN LN Legal Desc : N TR 3851 BILK LOT 7 Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ' Owner: MATTHEW LARSON Address : 1406 LINCOLN LN NEWPORT BEACH, CA 92660 Phone: Applicant : C JONES & CO Address : PO BOX 2946 COSTA MESA, CA 92628 Phone : (714) 668-1190 Owner/Builder : Address Phone: Code Edition : 2022 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) PROCESSED BY: ee(6_� F dy. 4+ .9 Contractor : C JONES & CO V Address : PO BOX 2946 COSTA MESA, CA 92628 Phone: (714)668-1190 .,..� Con State Lie : 1064530 ° 1 Lie Expire : 03/31/2024 r y Bus Lie: BT30073234 Bus Lie Expire:10131/2023 f Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9306288 W. C. Expire: 9/29/2023 Manufacturer : MITSUBISHI Model# : NAXWEL24A112 SPECIAL CONDITIONS: T1 p v�vycps r) � s-8 EA 1131TED OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) 1 have placed next to the applicable Item(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she Is licensed pursuant to the previsions of the Can€raclors' 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 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of not 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 thestructure 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 improved for the purpose of sale), ❑ 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 a €y 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). I ant exempt from licensure under the Contractors' State License Law for the fallowing 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 le gall- sell a structure that I have built as an owner-bulldar if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of theBusiness and Professions Code, is available upon request when this application is submitted or at the following Web site:ht3p://w .leginfo,ca.gov/calaw,html. of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 0. of ViViI 3 of the Business and Pro kion" a fny license is in full force end effect. License Class License. ND. Date Contractor Slgr iur NORKERS' COMPENSATION DECLARATION NAR14ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNOREO HOUSANO DOLLARS (b100,000), IN ADgm10N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: 1 have and well 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 in Wmiance of the work for which this permit is issued. Policy No, and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permR is issued. My workers' carrier and policy number are: s of Agent ertify that. inthe performance of If I should becomeAu(yfact to th3 ilure of Applicant _/ \ Policy Number Date work for which this permit is issued, 1. shall not employ any person in any manner so as to become subject to the Workers' compensation laws of California, and agre ICTI�eke ompensatton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those. provisions. DING AGENCY Date. �'l l�i�?3 hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code), enders Name Lender's Address Iy 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 correct.. I agree to comply with all applicable city and county ordinances state laws relating to building construction. I authorize representatives of this city or countV/f��m enter thej�gggP'o� tfiled property for inspection purposes. /,,l{j ig.nature of Property Owner cr Authorized Agent Print Prooerty Owner's or Aulhnri7ed Ananr'c Nam,! \ Iu1)s ACTION I DATE I BY PERMIT EMENDED PIF MITFINAI CERAFICATf'OF 7 OCCUPANCY ISSUED OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY Gvr►s J'orVS