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Home My WebLink AboutH2022-0714 - Permits04'. City of Newport Beach III I I I II I I II III II II Mechanical Permit : H2O22-0714 Community Development Department -Building Division100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1143-2022 Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 12/15/2022 newportbeachca.gov/inspections C Inspection Area : 2 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 : 213 VIA ITHACA Legal Desc : N TR 907 BLK LOT 768 TR 907 LOT 768 ALL -EX SWLY 5 FT- THERE OF(AND Description: MECH: INSTALL (1) HEAT PUMP @ SIDE*** TAMPER RESISTANT CAPS REQUIRED; TIMERS PROHIBITED*** (X2022-1242) Owner: ANDERSEN EVANGELINE K/ANDERSEN MICHAEL A Address : 213 VIA ITHACA NEWPORT BEACH, CA 92663 Phone : (310) 463-5481 x4 Applicant: T J C HOME BUILDERS LLC Address: 26880 ALISO VIEJO PKWY #100 ALSO VIEJO, CA 92656 Phone: (949)481-7026 Owner/Builder : Address Phone : Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups : Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 4 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: as SPECIAL CONDITIONS: HIGH DENSITY ZONE; TIMERS PROHIBITED Contractor : T J C HOME BUILDERS LLC Address: 26880 ALSO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lic : 1025507 Lic Expire : 04/30/2023 ' Bus Lic: BT30059037 Bus Lic Expire:05/3112023 " Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE COMPANY Policy No: TWC4081048 ' W. C. Expire: 3/8/2023 Manufacturer: AC PRO ' Model#: AUD60W/A-D(U) ; NO CONSTRUCTION NOISE ON THE WEEKEND 'TIMERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) 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 applicant for re permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7030) of Division 3 of the Business and 'rofessions Code) or that he or she Is exempt from I[censure, and the basis for file 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 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Wstness 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 mprovements 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 neroved for the purpose of safe). 3 1, 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' Stale License Law). I am exempt from Ilcensure under the Contractors' State License Law for the following reason: _ ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/I w .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Professions my license is in full force nd effect. License Class License No Data 2 Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FALTPS TO ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Si D4,004i, IN ADDITION TO THE Oa, OFCOMPENSATfON, DAMAGES As PROVIDED FOR IN SECTION 37H OF THE LABOR CODE. INTEREST, Me ATTORNEY'S FEES. horsey art En under penalty of perjury one of the following declarations: 3 1 have and wil' maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for tho 7erformance if the work for which this permit is issued. Policy No. rtl have avf 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` compensation Isurance carrier end policy number are: :amer,,,'y h01 Drl U. Iris - CID Policy Number TV✓C y,q b t-f'g Expiration Date lame of Age.Y Phone fi 2 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree sal, if I snoulJ 5ecome subject ty tf�}vurkers�rompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant IECL.IRATIJ,I RE, AI�DAfCa CONSTRUCTION LENDING AGENCY hereby affirm. under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 enders Name Landers Address ly 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 provided is correct. I agree to comply with all applicable city and county ordinances slate laws relating to building construction. I authorize representatives of this city or county toe identified property for inspection purposes. ACTION I DATE j BY' I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61 OFTITLE 40 AND AOMD RULE PERMIT ERMR Alyl_y � j ^ CERTIFICATE OF ASBESTOS NOTIFICATION iS NOT APPLICABLE TO CERTIFICATE li) V PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: Civil Code). II