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Home My WebLink AboutH2022-0048 - Permitsok�EWPok @ City of Nunity Dewport Beachevelopment ment- Building Division III 11 I 11111 I II II II III I II Mechanical Permit : H2022-0048 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2598-2021 Permit Counter Phone: (949) 718-1888 Work Class : Other newportbeachca.gov/civic Issued Date : 01/28/2022 C4�/FORN,P Inspection Area : 4 i�2•�� uo�Ly' 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 SEABROOK COVE Legal Desc : TR 9676 LOT 11 UNIT 71 OF PROJECT LOCATED ON AP 442-361-31 T OGETHER WITH AN UND 1/16 INT IN LOT 11 Description: MFR MECH - R/R A/C UNIT AT COURTYARD. TAMPER RESISTANT CAPS REQUIRED. Owner: PHILIPADAMS Address : 4974 S RAINBOW BLVD STE130 LAS VEGAS, NV 89118 Phone : Applicant: NORTON ERICK HEATING & A/C Address : 21371 FLEET LANE HUNTINGTON BEACH, CA 92646 Phone: (949)355-2473 Owner/Builder: Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY X PC - Sea Island Apartments SPECIAL CONDITIONS: Fire Hazard Zone: NO Contractor : RJ TANNER CONSTRUCTION Address : 893 OAK STREET COSTA MESA, CA 92627 Phone : (949) 235-4856 Con State Lie : 744104 , Lie Expire : 12/31/2025 Bus Lie: BT98043220 Bus Lie Expire:06/30/2024 Workers' Compensation Insurance .. Carrier: PREFERRED+PROFESSIONAL+INSURANCE+('OM,PANY Policy No: ON0897404 - W. C. Expire: 6/1/2024 - 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 applicableitem(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 the permit to fila a sinned statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 licensure 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 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 the structure 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). ❑ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who bullds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from licensure under the Contractors' State 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 bythis permit, I cannot legall, sell a structure that 1 have built as an owner -builder if it has not been constructed In its entirely by licensed contractors- I understand that acpy of the applicable law, Section 7044 of the Business and Professions Code, Is available uponrequest when this application is submitted or at the following INeb site:http:/1wAwty.leginfo.ca..govlcalaw.html. Signature of Property Owner or Authorized Agent _ Oats LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 - IF O ion 3 of the Business and Pro essio nd my license Is in full force and effect. License Class License No Date Contractor Slgnatur NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSTO DOLLARS (S100A00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION e706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 'ormacce of the z_J.'or which this permit is. issued. Policy No.. nave 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' Ian, ,a carrier and policy number are: ter _'_ _ _ Policy Number Expiration Date to of Agent _ _ _ _ Phone If JI certify that,. in tic ;xrtormance of r for which this permit is issued, shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre tat, a I should become subjec G I ompensatl rrat>f-3ectivrr3-700 of the Labor Code, I shall forthwith comply with those. provisions. iiEr'laalre of Applicant OatB Z iECLARATION RECAli G CONS R CTION LENbRJG. AGENCY hweby a91rm un1cr F3nalty of perj tAat 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 y my signature below certify t eeach or 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 i orrect. I agree to comply withall applicable city and county ordlnenc a To laws relating to building construction. I authorize representatives of this city or countfr "Titer theAbZ ntified property for inspection purposes. �� //ter 7 ACTION PERM! r EXPIRED PERM. IT CAA'CR1,EO CERTIFICATEOF OCCUPANCY ISSUED KK COMPLIANCE WITH CODE OF FEDERAL IT 51 OF TITLE 40 AND AOMD RU LE ASRFSTOS NOTIFICATION TO IJASBESTOS NDT IFLATION IS NO'r APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY