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Home My WebLink AboutH2023-0651 - Permits�aEWPORT City of Newport Beach 0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t) Permit Counter Phone: (949) 718-1888 o- s newportbeachca.gov/civic C4</FOAN�p Mechanical Permit Plan Check No : Work Class : Other Issued Date : 10/09/2023 Inspection Area : 2 H2O23-0651 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 : 17 LINDA ISLE Legal Desc : N TR 4003 BILK LOT 17 TR 4003 LOT 17 AND POR NW1/4 Description: MECH - R/RAC COMPRESSER (2) . TAMPER RESISTANT CAP REQUIRED Owner: LINDA SPARR Address : 17 LINDA ISLE NEWPORT BEACH, CA 92660 Phone: (949)640-9247 Applicant: DEPENDABLE GRAHAM AC Address: 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone: (714)546-1653 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 25, Front: 10, Side: 4, Side: 4 Flood Zone : AE, 8 FT. X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: I - • SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : DEPENDABLE GRAHAM AC Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone: (714)546-1653 Con State Lic : 472690 Lic Expire : 04/30/2024 Bus Lic: BT01013104 Bus Lic Expire:12/31/2023 Workers' Compensation Insurance Carrier : SERVICE AMERICAN INDEMNITY CO Policy No : SAMTWC0072801 W. C. Expire: 7/1/2024 Manufacturer: AIR TEMP Model#: GXH48MSK4DH/GXH36MSK4DH 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 ttem(s) 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 to permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and 'rofesslons 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness and Professions Coder 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 nprovements are not intended or offered for sale. If, however. the building or improvement is solo within one year of completion, the Owner -Builder will have the burden of proving that It was not built or nproved for the purpose of sale). J 1, 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 Doty 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). 7 I am exempt from Ilcensure under the Contractors' Slate License Law for the following reason .y my signature below I acknowledge that, except for my personal residence iti I must have resided for at least one year prior to completion Hof the improvements covered by this permit, I cannot legall, ell a structure that I have built asan 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/"vry .leg;nfo.ca.govicalaw.htmi. signature of Property Owner or Authorized Agent Date. .ICENSED CONTRACTOR'S DECLARATION hereby aftinn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profens Corte. andlyrly I'rce i5 in full force no effect. License Class License. No Data —L��: 2 3 Contractor Signature p(��'S VORKERS' COMPENSATION DECLARATION 'ARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1510ROW), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYtS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 ih eriWrnance of the work for which this permll is Issued. Policy No.. have 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' ranee carrier and policy number are: er Policy Number Expiration Date e of Agent Phone 0 _ certify that. in the performance of the work foy�� ich 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 If I should become Sldbjeci to the;workers(Gyr(ipereatife7l provisions of Section 3700 of the Labor Code, I shallforthwith comply with those provisions. _ ignalure of Applicant 6/0) vp r .,A IECLARATION REGARDING CONSTRUC ION LEND NG 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, Civil Code). enders Name _ _ Lender's Address ly my signature below. I certify to each of file following I am the property owner or authorized to art on the property Owners, behalf. I have read this application and the information I have provided is correct. I agree to comply witil.. all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county Wj nter Ifie al}d)e-Iderljil property for inspection purposes. l /;� A „ Signature of Propert Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name )Z<i /JV UF'T/M/Iv( —Date,- ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART al OF TITLE. 40 AND AQMD RULE 1404 PERM IT EXPIRED PERMIT CANCRLED PERMIT EXTENDED PFRMIT FINAL CERTIFICATE OF OCCUPANCY 155UEO J I SIJBMITFD ASBESTOS NOTIFICATION TO IZ� ❑ ASUESTOSNOI IFICAT ION 15 NOT APPLICABLE TO PROPOSED DEMOLITION l SIPNATUFl