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Home My WebLink AboutH2024-0221 - Permits"E�' PoRT City of Newport Beach III II I II I I II II II I II II I II Mechanical Permit : H2024-0221 0� Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3221 Permit Counter Phone: (949) 718-1888 Work Class : Other 0 } T newportbeachca.gov/civic Issued Date : 04118/2024 FcaN�P Inspection Area : 8 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 : 1110 KINGS RD Legal Desc : N TR 1219 BILK G LOT 4 Description: MECH INSTL MINI -SPLIT UNIT @ THE SIDE YARD, TAMPER RESISTANT CAP REQ owner: WILLIAMS THOMAS i & AMYTIR THE WILLIAMS FAMIUY'REVOC LIV C011tIdUtV. D L S I 'EATING & AJC Address: 1110 KINGS RD NEWPORT BEACH, CA 92663 Address : 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Phone : (949) 677-5744 Phone: (714) 231-8002 Con State Lic : 584220 Applicant: D L S HEATING & AIC Address: 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Phone: (714) 231-8002 Owner/Builder : Address: Phone: Code Edition: 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Lic Expire: 01/31/2026 Bus Lic: BT98040420 Bus Lic Expire:12/31/2024 Workers' Compensation Insurance Carrier : STATE FARM FIRE AND CASUALTY CO Policy No: 92-KN-Z567-4 W. C. Expire: 1/6/2025 Manufacturer: AC PRO Model#: AUD60W/A1-D(U) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) clion 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 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 fiessions Code) or that he or she is exempt from ficensure 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;mess 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 �rovements are not intended or offered for sate. 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 iroved for the purpose of sale). h 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 ify 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). LJ I am exempt from lioensure under the Contractors' Slate License Law for the following reasan -- .,_._ _ ._.,._..... ....______......,._......... 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 legall, sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm, under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 7000 -0 i 'a 34 the Susin and Professfo , an RcL e' i full force and effect. License Class License No Dat Contractor 'gnature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE T4 SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU AND DOVX5 Ib3gq,gqq), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th parje pnce 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 of Agent Date -1I certify that, in the performance of the work JDfiwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the war ens' compensation laws of California, and agre mat, if I shou become 21) t the k V c pe sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision . Ifgnalure of Ap 'C I _ t -� � °a IECLARATIO GARCONSTTION LE DING AGENCY hereby affirm un r penal of per' that there is a construction lending agency for the performance of the work for which this permit Is issued (Sectio. 097, Civil Code). enders Name Lender's Address _ Iy 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 cl y and Curdy ordinances and st ws relating to building construction. _ I authorize representatives of this city r unty to ppiIinr tt�aby�k= en" ed perty for inspection purposes. 1 1. 1 r I tv i /i, of Prooertv Owner FOR OFFICE USE PART 61 OF TITLE 40 AND AOMD RU LE I SUBMITTED ASBESTOS PERMIT CANCEUED LIEPA PERMIT EXTENOED OM9 PERMIT FINAL Oa/O)�Z,f� r1 DL4oO t ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF r� PROPOSED DEMOLITION LIT OCCUPANCY ISSUED SIGNATURE: