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Home My WebLink AboutH2022-0612 - Permits��EvuaoRr City of Newport Beach 0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r) Permit Counter Phone: (949) 644-3288 u .v".. Inspection Requests Phone: (949) 644-3255 C4C�F00.N�P newportbeachca.gov/inspections Mechanical Permit : H2O22-0612 Plan Check IssuedWork Date asInspection A Area se2832-20� �y�P{�` +fib"A a� i l'. 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 : 935 GOLDENROD AVE Legal Desc : N TR 3542 BLK LOT 10 Description: MECH ADD (1) HEAT PUMP "TIMERS ARE PROHIBITED" Owner: RANDALL ALLEN Address : 3063 RIVOLI NEWPORT BEACH, CA 92660 Phone: Applicant: ZIETHING ANDY- GEN CONTR Address: 16082 CRAIG LANE HUNTINGTON BEACH, CA 92647 Phone: (714)448-7924 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, 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: Contractor : ZIETHING ANDY - GEN CONTR Address : 16082 CRAIG LANE HUNTINGTON BEACH, CA 92647 Phone: (714) 448-7924 Con State Lic : 603579 Lic Expire : 09/30/2024 Bus Lic : BT30078800 Bus Lic Expire:05/31/2023 Workers' Compensation Insurance .. Carrier: STATE+COMPENSATION+INSURANCE+FUND Policy No: 9234973 W. C. Expire: 7/17/2023 Manufacturer: NORTEK Model# : GXH48-60MSK4DH 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 items) ;Section 7031.5, Business and Professions Code! Any city or county that requires a permit to construct, alter, impfove, dernolish, or repair any structure, prior to its issuance, also requires the applicant for :he permit to file a signed statement that he or she Is foonsad pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Drofesslons Code) or that he or she is exempt from licersure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicantto a civil penalty of rot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do I all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, 3uslness 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 mproved for the purpose of sale). Z1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property ",he 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 [!censure under the Contractors' Stale 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 feast one year prior to completion of the Improvements covered by this permit, I cannot legalll sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:http:IlWN v,leginfo.ca.govlcalaw.html. Signature of Property Owner or Authmizod Agent Dale LICENSED CONTRACTOR'S DECLARATION � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Dew ion 3 of the Business and Professions rid li ense is in full t 19e and effect. License Class License. No Date l— �' Z LContractor Signature WORKERS' CON.PEN3ATION DECLARATION NA.INING: FAILURE TO SECUR_ WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL ( 00,0 , IN ADO ON TO THE CC3..p rCMPENSATION, DAMAGESAS PROVIDED FOR 1N SECTION S7U6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will 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 th aermance of the rrry for which this permit is. issued. Policy No. ✓"cvn and will ,Da:n[ain 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' compensatici 9, rranr:e carrier e..id po"cy number are: are Policy Number Expiration Date sTe rf Agent - Phone 0 11 certify that, IT the performance of the work for wmq4.LI permit Fs issued, I sh of employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre r�hould become subject to the '' compen 1 provisions of S on 3700 of the Labor Code, I shall forthwith comply Win those provisions. fgnalure of Applies, II Date e�� 2 E.GLARATION REGA RUC I� _ DING AG 77777��'''`� hereby affirm under penalty of perjury that then I CO net riding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address y my signature below, I Certify to each o is followin I am the property owner or aulhOnz tD ant on e o OWnef's behalf, I have read this application and the 1 on I have provided is correct. I agree to comply withall applicable city and county I lances and state laws relating to building construction. I authorize representatives of this city or count /ante abgelr�td\led property for Inspection purposes. py� / / / io.nature of Property Owner or Authorzed Ag / Princepgrty Owner's or Authorized Agent's Name /'y �A cr../ y F fin iKf yare 1° ACTION DATE SY-4 LECLARATION COMPLIANCE NITH EOF FEDERAL FOR OFFICE USE ONLY 1 RFGUI.ATII. P)RT 61 OF TITLE. AND AQMD RULE 1403 PEPowrrx"aD UHM DASBEgi SNOT CATION TO PERMiTCANCEttED s CP f E.RVAIi EXTENDED QM.D PERMITFIMAL `PI ASBER1QPOSZSTOS NOTIFICATION 15 NOT APPLICABLE TO OCCUPANCY OSUED �� I I SIGNATURE: