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Home My WebLink AboutH2023-0262 - Permits�EWPORT City of Newport Beach III I I I II I III II II I III I I II O� @ Commundy Development Department- Building Division Mechanical Permit 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: >k? ? Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 04/20/2023 CqG/FORN�P newportbeachca.gov/inspections Inspection Area : 3 H2O23-0262 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 : 2305 LA LINDA PL Legal Dose: N TR 5615 BLK LOT 2 Description: MECH NEW A/C UNIT AND CHANGE OUT FURNACE *TAMPER PROOF CAP REQ* Owner : on rac or Address : 2305 LA LINDA PL NEWPORT BEACH, CA 92660 Address : 31441 SANTA MARGARITA PKWY RANCHO SANTA MARGARITA, CA 92688 Phone: Phone: (800)311-1198 Con State Lie : 709685 Applicant : A G S SERVICES INC Lie Expire : 04/30/2024 Address : 31441 SANTA MARGARITA PKWY RANCHO SANTA MARGARITA, CA Bus Lie: BT30081339 92688 Phone: (800)311-1198 Bus Lie Expire:04/30/2024 Workers' Compensation Insurance 9 Owner/Builder: Carrier: MARKEL INSURANCE Address : Policy No: MWCO20666601 „I Phone: W. C. Expire: 10/27/2023 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer : GE - Type of Construction : Model# : AUH4860ZGDA Occupancy Groups: ` yk Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone : X Use Zone: R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) of PROCESSED BY: 9 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicablettem(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 in permit to file a signed statemont that he or she Is licensed pursuant to the provisions of the Contractors' Slate 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 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). 11, 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, 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 poly 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). am exempt from licensure under the Contractors' State License Law forthe 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 legal all a structure that 1 have built as an owner -builder if it has not boon 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://www.leginfo.ca..govicalaw.htmi. signature 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 0 .) f QQivu n 3 f the Business and Pr a and my license is in full force nd effect. License Class License No Date Gv 'y Contractors ure COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR156THOUSAND DOLLARS ($100,000i, IN ADOMON TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. 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 bgriance 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 Expiration Dale lame of Agent Phone ft ,I certify that, in the performance of the work t Ich 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 ogler tat, If I should become bject to the work compensahon a action 3700 of the Labor Code, I shall forthwith comply with those provisions. \�/ ignalure of Applicant _ _ Dat x 7-Cl Z IECLARATION REGA ING CONS LENDING AGENCY hereby affirm under penal at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ruder'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 wiUt all applicable city and uniy ordinances and a vs relay Ing construction. I authorize representatives of this city or count o enterthe above-Identi' roperty for Inspection purposes. ianature of Pmoertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION PERMIT CANCELt EO PERN7IT F%TENVCO //�� PERMIT FINAL 1111123 DL 4v CERTIFICATEOF OCCUPANCYISSUEO CNS PART fit OF TITLE 40 AND AQMD RULE 15URMITTED CPA El ASHEST05 b/711E'CA11ON IS NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY