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Home My WebLink AboutH2023-0369 - Permits�EWPOR� City of Newport Beach III II I III III II IIII�II II II D� .lommunq Development Department - Building Division �y 100 Civic Center Drive, Newport Beach, CA 92660 U i Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C9C/FOP�`P Mechanical Permit : H2O23-0369 Plan Check No: PC2022-2353 Work Class : Other Issued Date: 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 : 29 GOLETA POINT DR Legal Desc : N TR 7386 BILK LOT 38 Description : MECH INSTALL (3) HEAT PUMPS *XR2022-2496* Owner: BT BITARAFAN Contractor : CORNERSTONE CONSTUCTION Address: 5 SAN MARTIN WAY CORONA DEL MAR, CA 92625 Address : 934 CALLE NEGACIO, C SAN CLEMENTE, CA 92673 Phone: (949) 386-0799 Phone: (949) 369-1979 Con State Lie : 1033864 Applicant: CORNERSTONE CONSTUCTION Address: 934 CALLE NEGACIO, C SAN CLEMENTE, CA 92673 Phone: (949)369-1979 Owner/Builder : Address Phone: Code Edition: 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 55-48 Flood Zone: X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Lie Expire : 12/31/2023 Bus Lie: BT30061583 Bus Lie Expire:12/31/2023 Workers' Compensation Insurance Carrier : ACCREDITED SURETY AND CASUALTY COMPANY INC Policy No: 1ATCA160006213 W. C. Expire: 11/22/2023 Manufacturer: A/C PRO AND WINEMATE Model#: AULD60W2/A1-D/2500SSO 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 checkmadt(s) I 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, alter, improve: demolish, or repair any structure, prior to its Issuance, also requires the applicant for is permit to 01e a signed statement thathe 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 'mossions Code) or that he or she is exempt from licansure 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). 7 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 70", iusiness 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 roved for the purpose of sale). I, 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 Contractors' State License Law). J I am exempt from licensure under the Contractors' State License Law for the following reason: 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 tegall7 oil a structure that I have built as an owner -builder If it has not been constructed in itsentirely by licensed contractors. I understand that copy of the applicable law, Section7044 of the. Business and Yofessions Code, Is available upon request when this application Is submitted oratthe following Web site:htipJtwww.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent Dat .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Be?Uon74 - 7 the Business a P. fesmy r:erueidull /woe end effect License Class License.No <JJ Contractor Signs re YORKERS'COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS• COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CALTIES AND CIVIL FINES UP TO ONEHUND TMOUSANO DOLLARS 14/88,533), IN ADDITION TO THE SOW OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3733 OF THE LABOR CODE, INTEREST, Me ATTORNErS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 VJgrmance 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. permit is issued. My workers' Carrier and policy number are: Policy Number Date ame of Agent rnone e ]I certify that, in he pert OR the r which this permit Is issued, I shall not employ any person inarry manner so as to become subject to the 5Da s' 'ompenso n law f California, and agre rat, if i should bec m e pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Appr ECLARATIONRDiNG CONS CTION LENDING AtiENGVhereby affirm under penalty of perjury that there is a construction lending agency for the performance of theWork for which' this permit is issued (Section 3PAI Code). ender's Name Lenders 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 dinanc and state laws atin q g construction. _ I authorize representativesof this citylQ(coun� ,'y�p�j?yJ�,'hte a a r�rr(�,i rtion purposes. \ i ionature of Property Owner or Authorized ApaTlt y! ''—"t'"'� r "' " Propert Owner's or Authorized A pnt's Name DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY REGULATIONS PART'61 OF TITLE 40 AND AOMD RULE EXPIRED for RL I L_I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF OCCUPANCYIS5UEO