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Home My WebLink AboutH2023-0519 - PermitsEWPoRr t City of Newport Beach I I I I I II I III III III I Mechanical Permit : HZ0Z3-0519 to hip. Community Development Department- Building Division �:> l-100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No " �' " +iq Permit Counter Phone: (949) 719-1888 Work Class : Other �. newportbeachca.gov/civic '=r� r Issued Date: 08/16/2023 F 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 : 744 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 41 Description: MECH R/R ATTIC FURNACE AND A/C UNIT AT ROOF (E) LOCATION. "TAMPER RESISTANT CAPS & TIMER REQUIRED — Owner: ADRIANA RIDE KLUGER Address : 744 VIA LIDO NORD NEWPORT BEACH, CA 92663 Phone : (951) 780-9882 Applicant: MARIO VERDIN Address : 770 S BREA BLVD BREA, CA 92821 Phone : (949) 492-0290 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential Contractor : SHELDON'S HEATING & AIR INC Address: 3401 GATO CT RIVERSIDE, CA 92507 Phone : (951) 780-9882 Con State Lic : 987412 Lic Expire : 10/31/2023 Bus Lic: BT30082380 Bus Lic Expire:08/31/2024 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INSURANCE COMPANY Policy No: PSIC1212402 W. C. Expire: 12/11Y2023 Manufacturer: CARRIER Model# : 24SPAG PROCESSED BY: TIMER REQUIRED ON EQUIPMENT SPECIAL CONDITIONS: TIMER REQUIRED TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. NO CONSTRUCTION WORK. N SATURDAYS 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 checkrr is) I have placed next to the applicable reacts) (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' Steto 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 licensors and the basis for the alleged exemption. Any violation of Section 1031 S by any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do (_) all of or t_) 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 notintended 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). ❑ 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 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' Stale License Law). ❑ I am exempt from licensure under the Contractors' Slate License Law for the following reason By my signature below I acknowledge that, except for my personal residence In which I must have rosidod 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 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 Wed site:http:ilwww.leginfo.ca.gov/calaw. html. Signature of Property Owner or Authorized Agent _...___..___.__....._ _—_....— ...._...—__ Data...___.__._—.._—.__._—._ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensedunder provisions of Chapter 9 (conirnenring with Section 70001�,,pp Division 3 of the Business and Prcfe, 9ssi n_s Code. end rc - , e is In full force and affect. License Class License No Date nS�/6/Z 3 Contractor Signature COMPENSATION DECLARATION ING- FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARS ($100,000). IN ADDITION T'O THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND AT TORNETS FEES. hereby nffirm under pen airy of perjury one of the following declarations: I have and will maintain a certitica(e 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 'ormance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Sacfion 3700 Of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa Trance carrier and policy number are. Policy Number of Agent Date ll certify that, In the perormance of the work for which this permit is issued. I shall not employ any person �n any manner so as to become subject to the workers' compensation laws of Oalifomla and ogre at, If I should bec arse subject to the worker co efnsalion provisions of Section 3700 of the Labor Code, I shall fudinwith comply with those provisions. yna4rre of Apphr,arl �� ..... _.__.... Date_. �/G / Z _�.. ECLARATION REGARDING CONSTRUCTION LENDING AGENCY )ereby affirm under penalty of pertury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Civil Code'). a)der's Name Lender s Address y my signature below. I certify to each of [he following: i am the property owner or authorized to act on the property owner's behalf. t have read this application and the information I have provided is correct. f agree to comply with all applicable city and county ordinances and state laws lating to building construction - I authorize representatives of this city or county to enter the above roper y for Inspection purposes, is lgnature of Proi Ly Owner or Authorized Agent i,e�.�_>:>� v Print Property Cwner's or .Aurhorized Agents Name {'✓ICJ. r tO le ACTION DArC fly = DECLARATION OF COMPLIANCE wins CODE OF FEDERAL FOR OFFICE USE ONLY Rf G ULATIONS PART 61 OF TITI F 4O AND AQMD RLILF 1403 PEPMIT EXPIRED ISUBMITTFO ASRFSTOS NOTIFICATION TO ( Pf RAPFEXTF.IfI'CFC r C � - CPA " Oq Qh1 D _Pf iMlFINJAL f / � ❑ ASBEcl OS Oi IFICA'ION IS NO I APF L�CAB„L LT rr CEnII I K PROPOSrb IT MOI ITION OCfJPAN yf55NE7 - SIGNATURE,