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Home My WebLink AboutH2023-0455 - Permits�EWvo�T City of Newport Beach QQ. Community Development Department - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 T Permit Counter Phone: (949) 718-1888 .snewportbeachca.gov/civic CgliFOF�`P Mechanical Permit : H2O23-0455 Plan Check No: 1538-2022 Work Class : Other Issued Date : 07/13/2023 Inspection Area : 6 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 : 819 GARDENIA WAY Legal Desc : N TR 12245 BLK LOT 37 Description: MECH REPLACE A/C UNIT @ THE SIDE YARD, TAMPER RESISTANT CAP REQ Owner: REYNOLDS CRAIG L TR Address : 819 GARDENIA WAY CORONA DEL MAR, CA 92625 Phone: (949)887-8820 Applicant: R C AIR CONDITIONING & HEATING INC Address: 169 N MAPLE ST STE D CORONA, CA 92880 Phone: (951)735-8046 Owner/Builder: Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Side: 4, Rear: 10 Flood Zone : X Use Zone: PC - Jasmine Park PROCESSED BY: SPECIAL CONDITIONS: °P � :. ,� 4 g Contractor : RC AIR CONDITIONING & HEATING INC Address : 169 N MAPLE ST STE D CORONA, CA 92880 Phone : (951) 735-8046 Con State Lie : 657924 Lie Expire : 06/30/2025 Bus Lie : BT30066849 Bus Lie Expire:04/30/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND . Policy No : 1354374 W. C. Expire: 7/1/2024 Manufacturer: Model# : SUBJECT TO FIELD fNSPECTOWS REVIEW AND APPROVAL OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for )e permit to file a signed statement that he or she is licensed pursuant to the provisions at the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessicns Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Anyvlolation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of at more than five hundred dollars ($600). 1 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 not intended or offered for sale (Section 7044, lusiness and Professions Code The Contractors' State License Law does not apply to an owner of property who, through amployeeG or persona( 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 as roved for the purpose of sale). J 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 ly 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 Iicensure under the Contractors' State License Law for the following reason. ly my signature below I acknowledge [hat, except for my personal residence in which I must have resided for at feast one year prior to completion of the Improvements covered by this permit, I cannot legall ell a structure the( I have built as an owner -builder If it has not been constructed in its entirety by licensed contractors, I understand that a copy of the applicable law, $action 7044 of the Business and 'mfessions Code, is available upon request when this application is submittedor at the following Web site:http.ftwww.leginfo.co.gov)calaw,html, ignakne of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirmunder penally of perjury 11notJ am licensed under provisions ofy�h_apt r S (commencing with Sectio r000) f I ion 3 of ih s ess and Professi C and my I isih full force nd effect. License Class L 2& License No (�`7 / Zf'{ ( Call for Signature � IKERS' COMPENSATION DECLARATION / 1 % �� OF FAILURE'JE TO SECURE WORNERS' COMPENSATION COVERAGE IS THE LABOR AND E, INTEREST, RSUBJECT AND EMPLOYER TO CRIMINAL PENALTIES AND CNIL FMES yh TO ONE HONORED/Tr{OUSAND DOLLARS f$ 0 IN ADDRION TO THE OF COMR�'I!ATION, DAMAGES AS PROVIDED FOR IN SECTION eTOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ PEES. hereby affirm j7]er penalty of perjury one of the following declarations: 1 have and w it 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 �rOancc 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' canper mrvi policy number are: no of Agent cerhty that. in the performance It I should become suWect-W Policy Number Date for which this permit is issued, I shall not employ any person in any manner so as to becomesubject to the corppensaticn provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. rlaSdra of fqtR'z ay s.-f,f_ ^,'_1RATIdN .,AR ONSTRUCT G AGENCY ?Irby affirm under yen of par)ury that Char Is constructon lending agency for the performance of the work for which this permit is issued (Section 3097 )der s Name _ Lender's Address my signature below, I Carl to each of K 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 s Correct. I agree to comply With all applicable city and county ordii c and state Rawl relating to building construction. I authorize representatives of /y�,Is city or count r t above -den d/property for inspection purposes. —I _ rat„ra of Prnnnnv t�wnar nr Aihikxi>ad (it iau�f .�11��`��r Print Property Owner's or Authorized Ao re lcY"LS compensation laws of California, and agra -73 23 Civil Code), ACTION DATI ay +AFCLARATION OF COIytPLIAPKE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \/ (/ U / / ' REGULATION$ PART t OF TITLE 40 AND AOMD RULE �I/ t 3 PERMIT fXVIR140 fo SUBMITTED ASBESTOS NOTI FICATION TO PERMITEXfENDED I t_IAClMD PEPoVi1T flNAL iJ A$RFSTOS N011fICATtON I5 NdY APPLICABLE TO CERTIFICATE OF �.Z.'S-.ZS pfC.j�. PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: