The URL can be used to link to this page

Home My WebLink AboutH2024-0348 - PermitsrrWvov City of Newport Beach N Community Development Department- Building Division - ; 100 Civic Center Drive, Newport Beach, CA 92660 �. ` ;z Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic P P 1CIFOW� III I I I II I I II II IIII III I II Ma Check No : P Mechanical Permit: i722 H2O24-0348 Work Class : New Permit Status: Issued Issued Date : 06/1412024 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 : 727 CAMPHOR ST Legal Desc : N TR 4892 ELK LOT 38 Description: SFR INSTALL NEW A/C UNIT *TAMPER RESISTANT CAP REQUIRED Owner: JOHN SHAFFER Address : 727 CAMPHOR ST NEWPORT BEACH, CA 92660 Phone: (714)814-2173 Applicant: IHAB HOSN Address : 9744 MAPLE ST BELLFLOWER, CA 90706 Phone : (562) 866-3625 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Contractor : ENLIGHTENMENT INC Address : 26985 DURANGO LN MISSION VIEJO, CA 92691 Phone: (714)726-3305 Con State Lic : 833817 Lic Expire : 03/31/2025 Bus Lic: BT30056260 Bus Lic Expire:02/28/2025 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INSURANCE COMPANY Policy No : SWC1402665 W. C. Expire: 9/16/2024 Manufacturer : SAMSUNG Model# : AJ024BXJ3CH/AA 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 item(s) 3ection 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 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 Yofessions 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 Dt more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044. 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 nproved for the purpose of sale). 7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License law does not pply 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). 7 lam 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 legalll 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:ftwww.leginfo.ca.govlcelaw.html. lignature of Property Owner or Authorized Agent ___,_�_ Date .ICENSED CONTRACTOR'S DECLARATION hereby atHrtn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 0) f Divi 3 of the Business and Profe ionACand my license is in full force nd effect. License Class License No oat Contractor Signatur PORKERS'COMPENSATION DECLARATION FANNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIIVIL FINES UP TO ONE HUNDRED THOUDA00), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVICED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 31 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 eyformance 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' compensatio n ante caner and policy number are: Iar7ier Policy Number Expiration Date Jame of Agent Phone # _ :1I certify that, in the p=perjurythat rk 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 ag hat, if I should becomers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date _ )ECLARATION REGAN!-MENe-i hereby affirm under phere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _ender's Name Lenders Address _ 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the grope o ner's behalf. I have read this application and the information I have ide is Correct. I agree to comply with all applicable city and coun rites nd stale lays relating to building construction. I authorize representatives of this city or County, e e abo -identified property for inspection purposes. 3i nature of PropertyOwner or Authorized A nt Print PropertyOwner's or Authorized Agent s Nam �' Dat ACTION DATE BY IDEC RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY AEG LATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED IJAUMD PERMITFINAL i6/zu DL;6 , ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF l PROPOSED DEMOLITION OCCUPANCYISSUED KK SIGNATURE: ___ PERMIT FEE DETAILS FOR PERMIT H2O24-0348 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Boilers and Compressors 0-3 HP Fee $23.00 $0.00 Building Plan Check Fee $20.01 $0.00 Hourly Plan Check Fee - Planning $53.75 $0.00 Issuance Fee - Mechanical $40.00 $0.00 GRAND TOTAL: $136.76