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Home My WebLink AboutH2022-0460 - Permits?EWPO,Y2. City of Newport Beach 0 @ Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 u ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9<�FORN�{ newportbeachca.gov/inspections Mechanical Permit : H2O22-0460 Plan Check No : 2358-2021 Work Class : Other Issued Date: 09/02/2022 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 : 33 BEACHCOMBER DR Legal Desc : N TR 7967 ELK LOT 38 Description: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* Owner: CAROLE GARRETT Address : 33 BEACHCOMBER DR CORONA DEL MAR, CA 92625 Phone: (800)595-3295 Applicant: CAROLE GARRETT Address: 33 BEACHCOMBER DR CORONA DEL MAR, CA 92625 Phone: (800)595-3295 Owner/Builder : CAROLE GARRETT Address: 33 BEACHCOMBER DR CORONA DEL MAR, CA 92625 Phone: (800)595-3295 Code Edition : 2019 Fire Hazard Zone : N Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 5, Rear: 15 Flood Zone : X Use Zone: PC - Jasmine Creek PROCESSED BY: _ Contractor Address Phone: INSPECTOR Con State Lic Lic Expire Bus Lic: Bus Lic Expire: Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Manufacturer: Model# : 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 next to 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 file 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 $Aecfs 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 (_) all of or U portions of the work., and the structure is notintended 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 ff%V'div�nrproved for the purpose of sale). s 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�'cply 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). aI am exempt from lieensure under the Contractors' Slate 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 legatlt sell a structure that I have built as an owner -build If has n can c nstructod In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 704�4 oftheBusiness and Professions Code, is available upon request w'he applih is d or a the 6oi o g Web site:htip;f/wrvw.laginio.ca..govlcalaw.hfmi. �i �+O z '� Signature of Property Owner or Authorized Agent 444444------ Date LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION OOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS i8100,000J, IN ADDITION TO THE 'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AIFTORNEY'S FEES. II hereby affirm under penalty of perjury one of the following declarations: �0 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 Cotle, for th performance of the work for which this permit is issued. Policy No. :1I have 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' compensatiol isurance carrier and policy number are: ,artier Policy Number Expiration Date Jame of Agent Phone If �I certify that, in the perform of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre Fat if I should becom s b' ct td)the workers come rovisions of 2rae ion 3700 of the Labor Code., I shall forthwith comply with those provisions. G� Signature of Applicant I v � YEGLARATkON REG DING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lehding agency for the performance of the work for which this permit is issued (Section 3097, Civi ode). .enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly avmere 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 and state laws relating to building construction. LO I authorize representatives of this city or county a theg.Q,7�ve-identified property for Inspection purposes. Signature of Property Owner or Authorized A enl. ,' ✓ Print PropertyOwner's or Authorized Agent's Name Dale ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE, OF FEDERAL FOR OFFICE USE ONLY - i RFCULATIONS PART fit OF TITLE 40 AND AO.MD RULE 1403 PERMIT EXPIRED _ _LJ I SUBMITTED ASRFSTO` "IOT11117:TION TO PERMIT CANCELLED 'EPA _ PERMIT EXTENDED h �Jq(ZI'1D_ _ PERMITFINAt �LIASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF /� PROPOSED DEMOLITION OCCUPANCY f55UED � SIGNATURE: