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Home My WebLink AboutH2024-0380 - Permits_��•Po City of Newport Beach Community Development Department- Building Division j' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic 'C9CIrOp�"� Mechanical Permit Plan Check No : Work Class : Other Permit Status: Issued Issued Date : 06/26/2024 Inspection Area : 4 H2O24-0380 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: 2 OLD COURSE DR Legal Desc : N TR 15388 BLK LOT 38 Description: MECH CHANGE OUT AID UNIT *TAMPER PROOF CAP REQ* Owner: ALTERMAN MICHAEL TR MIA LIVING TR Address: 2 OLD COURSE DR NEWPORT BEACH, CA 92660 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: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: Contractor: JOHN STEVENSON PLUMBING HEATING & AIR Address : 2748 LOKER AVE. WEST CARLSBAD, CA 92010 Phone: (760)918-0456 Con State Lic : 588895 Lic Expire: 07/31/2024 Bus Lic: BT30084016 Bus Lic Expire:04/30/2025 Workers' Compensation Insurance Carrier: TECHNOLOGY INSURANCE COMPANY INC Policy No : SNP1375740 W. C. Expire: 2/1/2025 Manufacturer: AC PRO Model# : 4AC17148P OWNER -BUILDER DECLARATION 1 hereby affirm under penally 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) (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 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 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). - ❑ I, 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, Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, 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)- 0 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 apply 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). ❑ 1 am exempt from ficensure 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 by this permit I cannot legally sell a structure that I have built as an owner -builder i1 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 .Professions Code, is available upon request when this application is submitted or at the following Web site:http://wwnv.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent _ — D LICENSED CONTRACTOR'S DECLARATION I I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 Op, f�ij�i d)I of the Business and Prof s e, and my license is in full force and effect. License Class License No Da KKKlI..�l(' l� Contractor Signal WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE OUSAND DOLLARS IS100,000), IN ADOhri TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, AND ATTORNEY FEES. I 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 IN performance 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 11 certify that, in the performance o work f c this permit is issued, I shall not employ any person In any manner so as to become subject to the workers compens lion I ws ofCalifornia and lat. if I should becom Jett t w compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant DECLARATION REG CTION LENDING AGENCY hereby affirm under penalt duty that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,4&iCode). enders Name Lenders Address y my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply wrth all applicable city and county ordinances a stale laws relating t Ing construction. / I authorize reps„ Lniatives of this city or county nter the ve-Identified pr for inspection purposes. /� Sirrs'r<^ N Proper, Owner or Authorized Age ACTION DATE i BY PERMIT EXNRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FlNAL CECTIPCAT: OF OCCUPANCY155UED - c5 Print Property Owner's or Authorized Agenfs Name WITH CODE OF FEDERAL FOR OFFICE USE ONLY 61 OF TITLE 40 AND AQMD RULE ASBFSTOS NOTIFICATION TO LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROP05ED DEMOLITION PERMIT FEE DETAILS FOR PERMIT H2O24-0380 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