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Home My WebLink AboutH2023-0104 - Permitse ��WPoRr City of Newport Beach p Community Development Department- Building Division > _ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9i�Fe0.N`P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 02/13/2023 Inspection Area :2 H2O23-0104 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 : 322 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 16 LOT 12 Description: MECH CHANGE OUT A/C WITH (3) WALL MOUNTED AIR HANDLERS -TAMPER RESISTANT CAP REQ'D -TIMERS PROHIBITED ON HEAT PUMPS Owner: HAVIKEN MICHAEL R TR M R Address : 35 RISA ST RANCHO MISSION VIEJO, CA 92694 Phone : (949) 632-2888 Applicant: HG HOME SERVICES Address : 1501 WESTCLIFF DR NEWPORT BEACH, CA 92660 Phone : (949) 877-2821 Owner/Builder : Address Phone: Code Edition: 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY Fire Hazard Zone : NO Front: 8, Side: 3, Side: 3, Rear: 5 X; AO 1 R-BI - Two -Unit Residential, Balboa Island SPECIAL CONDITIONS: Contractor : HG HOME SERVICES Address : 1501 WESTCLIFF DR NEWPORT BEACH, CA 92660 Phone : (949) 877-2821 Con State Lic : 1077757 ° ° Lic Expire: 07/31/2023 Bus Lic : BT300768818 Bus Lic Expire:02128/2023 Workers' Compensation Insurance Carrier : CLEAR SPRING PROP & CASUALTY CO Policy No: CWC00016801 W. C. Expire: 6/16/2023 - Manufacturer: AC PRO o - Model#: KTF31OD43UMT NO CONSTRUCTION NOISE ON THE WEEKEND IN -% y TIMERS PROHIBITED ON MEAT PUMPS \% A", lr�Yj'IZ�)\r'LL OWNER -BUILDER DECLARATION I hereby affirm Under penally of perjury that I am exempt from the Contractors' State License Lawlor 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). 0 I, 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 notintended or offered for sale (Section 7044, Business 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 '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)- ❑ L 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason ---- By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) sell n structure that I have built as an owner -builder if it ties not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable Levi, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html. Signelum 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 Section 7000) of Dt sin 3 of the Business and Pr e, nd my license is in full force and effect. License Class License No Date 'l7 Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SFWJPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE OUSMO DOLLARS (S100,000), IN AOOn1bN TO THE COST OF COMPENSATION, DAM. xGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 1 have and will mamtHin 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 arfcrrnaioe of the work for which this permit is issued. Policy No. I have and will Iraintair 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 insurance harrier and pulicv number are: Carrier. Policy Number Expiration Date Name or Agent _ Phone N 01 certiTy that, in the performance of the war ch this permit Is issued, shall no person in any manner so as to become subject to the workers' compensation laws of California, and agre that, If I should become t0ject to thew rs' compensation provisions -"aedf n 3700 of the Labor Code, I shall forthwith comply With those. provisions. (� Siq,viH,erf Applicant. _ Date,Z0 DEOLARAi ION RcGA I d1NG CONS 10 DING AGENCY I hereby affirm undo, per ai rlu ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below,4ealiffffy 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 cor- ct. I agree to comply With all applicable city and county ordinanc d state laevs rel `.g construction. I authorize representatives of this city or county to ente ve-ide prop r Inspection purposes. Z �� Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Dal ACTION OATS 6Y ICN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RIF6ULATION5 PART fit OF TITLE. 40 AND AQMO RULE 1403 PERMIifXTEND€D CERTIFICATE Of OCCUPANCY ISSUED ASBESTOS NOTIFICATION TO U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION