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Home My WebLink AboutH2024-0528 - PermitswW R \ City of Newport Beach III I I I II I I II II III I I II I II Mechanical Permit: H2024-0528 bE Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Sd Permit Counter Phone: (949) 718-1888 Work Class : Other cue.. r f newportbeachca.gov/civic Permit Status: Issued `'�?<`rFoa ,—•...—. . - - - Issued Date : 08/21/2024 ... Inspection Area : 5 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 : 224 LARKSPUR AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 138 LOT 22 RESUB Description: MECH I A/C UNIT AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMER REQUIRED** Address: 224 LARKSPUR AVE CORONA DEL MAR, CA 92625 Phone : Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Address : 11647 SWINTON AVE GRANADA HILLS, CA 91344 Phone : (818) 900-0715 Con State Lic : 991373 Lic Expire: 03/31/2026 Bus Lic : ET30069872 Bus Lic Expire:08/3012025 Workers' Compensation Insurance Carrier: SIRIUSPOINT AMERICA INSURANCE COMPANY Policy No: WCP1896556 W. C. Expire: 3/14/2025 Manufacturer : CARRIER Model# : 34SCAQ536WO03 NC7 (;ON--mm- I®N WORK 0N S' .. .MAYS UWNEK-BOILUEK DECLAKA I IUN I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) Indicated below by the checkmark(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, pnor to its issuance, also requires the applicant for ie 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 'rofessions 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 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 U 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 nprovemenls are not intended or offered for sale. If, however, the building of 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). I, as owner of the property. am exclusively Contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State 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). I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 ell a structure that I have built as an awner-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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.m.gov/calaw.htmi, ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 70OIPFf�- i 3 f the Business and Professions Code; -and my license is in full force nd effect. License Class License No Date / G Contractor Signatu COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN TNGUSAND DOLLARS 1S10a.0001. IN AODre, TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consenl to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN gerfjljEmance 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: of Agent certify that, in the performance . if I should become subject toll lature of Applicant Policy Number Date effIlTie; issued, I shall not employ any person in any manner so as to become subject to the workers' comperpation ws of California, and agre provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. c..� Date �ir areby affirm un .e _Ry of perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3997. Civil Code) - Ider's Name Lenders Address 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 provi is correct. I agree to comply pith all applicable city and county or -di noes and state laws ref to building construction. I, / I authorize representatives of this city or county to enter he above= property for inspection purposes. sL/`/LY N EI,/1/V/t/�!J_ na•ure of Pro,ertv Owner or Authorized Agent' Print Prooertv Owner's or Authorized ADenl's Name ACT:ON DATE BY DE TION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FRNJT EXPIREC L1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 13EPA I QMD PERMIT EXTENDED _ PFRMITFINAL 0{ /11/Zy /�N DL-tOASBESTOS NOTIFICATION 15 NOT APPLICABLE TO _-ERT :9CATF OF i PROPOSED DEMOLITION 1 OCCUPANCY Is5VFD � J SIGNATIRE FOR OFFICE USE ONLY Y