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Home My WebLink AboutH2022-0554 - Permits��EWPoRr l City of Newport Beach III II p Community Development Department- Building Division h- 100 Civic Center Drive, Newport Beach, CA 92660 U w T Permit Counter Phone: (949) 644-3288 � Cq��FORN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Mechanical Permit : H2O22-0554 Plan Check No : 0846-2021 Work Class : Other Issued Date : 10/10/2022 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 : 280 EVENING CANYON RD Legal Desc : N TR 1116 BLK LOT 62 Description: MECH (3) NEW A/C UNITS & (2) NEW HEAT PUMPS *TAMPER PROOF CAP REQ* Owner: MENDELL STEVEN EUGENE TR Contractor : RANCHO VIEJO A/C & HEATING Address : 233 JASMINE AVE CORONA DEL MAR, CA 92625 Address : 22596 COTTONWOOD CIR LAKE FOREST, CA 92630 Phone : Phone : (949) 212-4870 Con State Lic : 745018 Applicant: RANCHO VIEJO A/C & HEATING Address: 22596 COTTONWOOD CIR LAKE FOREST, CA 92630 Phone : (949) 212-4870 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 25, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Lic Expire : 11/30/2023 Bus Lic: BT30031040 Bus Lic Expire:03/31/2023 Workers' Compensation Insurance Carrier: ACCREDITED SURETY Policy No : 1AUICA160129868000 W. C. Expire: 3/15/2023 ,ko Manufacturer Model# : Z m U) m -00 W Cn m V OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the resson(s) indicated below by the checkmark(e) I have placed next to the applicable items) (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 applicz 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 g (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). ❑ 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, 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). ❑ 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). ❑ 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot lega% sell a structure that 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, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:htip:!lwww.jeginfo.ca..gov/calaw.htmi. Signature of Property Owner or Authorized Agent _ .Date __- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pensty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Se 7000) oft aft I�f the Business and P*sns Co my license is in full force and effect. License Class License.No to to `L Contractor SignaturWORKERS' COMPENSATION DECLARATIONWARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRAND DOLLARS (S100,000j, IN ADDITION TO THE COST OF COMPENSATION', DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, Me ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I have,jnd will maintain a certificate of Consentto self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th pe - hi of the work for which this permit is issued. Policy No.. h a 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' compensatiol S% anil carrier and policy number are: is of Agent certify that, in the performance of , if I should became bpbject to the m.e �f Policy Number Add which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre npereation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat id ie l.3�. DECLARATION RE^PI1VING CO LENDING AGENCY h^rahy afrirm under �enatty of perjury hat there is a construction lending agency for the performance of the work for which this permit Is issued (Section 309 ,Civil ode). Leuder s Name Lender's Address _ By c,y signature b):a.v. C,martify to each of the following: I aIo the property owner or authorized to act on the propert4t9cor owner'slf. :,LIT n read th':s application and the information I have prov ��r)e to comply with all applicable city and caul y ordinalaws relating to building. construction. I tti,nze representatives of this city or coun. enter thed property for inspection purposes. Signature of Proprrty nwrer or Authorized A en! Print Pro eM1 Owner's or Authorized Agent's Name ACT,Cr, DATE BY D ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFf UI. IONS PART 61 OF TITLE AD AND AQMD RULE 1403 PERMtr'EXPIRED # ISUBMITTEDASBESTOSNOTIFIC.ATIONTO PERMIT CANCELLED EPA _ PE1UYHTFX7ENDFD " AOMD PER,+N7FINAL ��—ZZ'Z ` 2 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF ✓ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: WAM'A Pe