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HomeMy WebLinkAboutH2024-0053 - Permits�gWepRT City of Newport Beach III II I III III II II IIIIII II p� 6+ Community Development Department- Building Division Mechanical Permit: H2O24-0053 y 1j 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0683 $ Permit Counter Phone: (949) 718-1888 # , _,,. - Work Class : Other H� newportbeachca.gov/civic - Issued Date : 01/30/2024 Cy<IF00.N�P Inspection Area : 4 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: 8 LEESBURY CT Legal Desc : N TR 11605 BLK LOT 4 TRACT NO 11605 LOTS 4 AND A P Description: MECH R/R (2) A/C UNITS AT SIDE "TAMPER RESISTANT CAPS REQUIRED" (XR2023-0795) Owner: MATTHEWS CHRISTOPHER L TR Address : 8 LEESBURY CT NEWPORT BEACH, CA 92660 Phone: Applicant: R C AIR CONDITIONING & HEATING INC Address : 169 N MAPLE ST STE D CORONA, CA 92880 Phone: (951)735-8046 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 20, Side: 5, Side: 5, Rear: 10 X PC - Aeronutronic Ford SPECIAL CONDITIONS: Contractor : R C AIR CONDITIONING & HEATING INC Address : 169 N MAPLE ST STE D CORONA, CA 92880 Phone : (951) 735-8046 Con State Lie : 657924 Lie Expire : 06/30/2025 Bus Lie : BT30066849 Bus Lie Expire:04/30/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 1354374 W. C. Expire: 7/1/2024 Fire Hazard Zone : NO Manufacturer: AC PRO Model#: AOVA-60C-N1-M152L TIMERS' PROHIBITED, VON HEAT P&,FMPS 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 ie permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, lusmess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, holds or improves theproperty, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project ($action 7044, Business and Professions Code: The Contractors' Stale License Law does riot ply 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 am exempt from licensore under the Contractors' State License Law for the following reasom _ ly 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 legally ell 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 a 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:lfwww.leglnfo.ca..gov/calaw.html,. iignahlre of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess ,Cr de, an, ense is in full farce no effect. License Class L`€€tense. No Date -�O. 2Y Contractor Signature PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORif.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. hereby affirm under penalty of perjury one of the following declarations: ] I h 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 the or3fffmance of the work for which this permit is issued. Policy No. 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` ranee carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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 , If 1 should become subjeqj� the wgri compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date /-- 0- .2 y Ltsl_AKHI IVN KCVAKUiN1.iWVNi I KUL, I IVrN LLINUNNU AULNUT 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 order's 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 correct. I agree to comply with all applicable city and county ordinances and state laws relating to building. consiruction. � I authorize representatives of this city or county 1g.e,Hjn_r the aIsRtifiedpraperty for inspection purposes. ACTION "moll ENPIAE') PiAN TPNAL CfH7r1F'CATFOF 007l rp4NCy ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO LJ ASBESTOS N0t1FICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY Name Civil Code).