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Home My WebLink AboutH2022-0679 - Permits�EWPORT City of Newport Beach III I I I II I II I II II II III I II H2U22-0679 p� :1 Community Development Department- Building Division Mechanical Permit: 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No x Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 12/01/2022 gG�pppN� newportbeachca.gov/inspections Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM RIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK O AY,'AND HOLIDAYS IN ALL AREAS Job Address: 3700 LILAC Legal Desc : N TR 11949 BLK LOT 3 UN 53 TR 11949 LOT 3 UNIT 53 OF PgOJ Description: MECH - R/R (1) A/C UNIT AND FURNACE *PROVIDE TAMPER-P , - FCAPS AS REO D*. - 1YiL' Y, yt ,. _ i3 Owner: GLENN SLOCUM Contractor : GOETTL AIR CONDITIONING Address : 52 SARATOGA NEWPORT BEACH Address -532 MALLOY COURT C0R.QN1 1 Phone : Phon�—' (714) 462-817 2 z ' Con State Lic ;10027 1.Applicant: GOETTLA CONDITIONING& G ^ i. Licxatc� 12/31/2022 Address : 532 MALL CO WR A 92880 i� Bus is . BT30077958 Phone: (714) 462-8 4 s' `,;�;y `^ Bus Lie Expire:02/28/2023 LOCATED ON AP PLUMBING CA 92880 A Workers' Compensation Insurance } Owner/Builder: K�� Carrier, STARR INDEMNITY &LIABILITY CC Address : ° ,'" Policy Oo : 1000004860 Phone: r .} a W C: Expire : 12/1/2022 Code Edition : 201�,�� r$`' a zard ne : NO e er: AC PRO Type of Construction : fl a*a Ou? $AULD36 Occupancy Groups: ) ae Vr I01 Building Setbacks : { lrt0 9 a Flood Zone : X Use Zone: PC - Co\a dc.wSeriior s Project PROCESSED BY: /`—r 4 n SPECIAL CONDITIONS: DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iterrl(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 ie permit to file a signed statement thathe or she is licensed pursuant to the provisions: of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and 'rofesslons Code) or that he or she is exempt from huensure 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). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness 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 nprovements 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 nproved for the purpose of sale). 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 pply to anowner of property who builds or Improves thereon, and who contracts for the projects with a fcensed Contractor pursuant to the Contractors' State License Law). I am Exempt from lcensure under the Contractors' Slate 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 legal!; ell a structure that I have built as an owner builder if it has not been constructed in itsentirety 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:lf w .leginfo.ca.govlcalaw.html. tlgnature 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 ZA60 of fvi ion 3of the Business and Prof_L a Is in full force nd effect License Class License No Dat Z ( Contractor SigripwilF VORKERS' COMPENSATION DECLARATION' PARKING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, Me ATTORN€Y'S 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 or Industrial Relations as provided for by Section 3700 of the Labor Code, for ih oflPfrinance of ti,a wor'i for which this permit is issued. Policy No.. >§rlve and will main,a n 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 ,t=ter?rce carrier and pdicy number are: ;artier Policy Number Expiration Date -'are of Agent Phone N JI terrify that. in the performance of rk for which this permit Is is drFsh employ any person in any manner so as to become subjectto the workers' compensation laws of California, and agre .at, if I should become subject I e wbrke . ' ens Isicns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'ic;ra ce of Al,,,,r,t _ Dalf711 h2- )CCL DRATION RE OiN ' ' 7 CON LENDING AGENCY herebv affirm under enalty Ivry thatthere is a construction lending agency for the performance ofthe. work for which this permit is issued (Section 3097. Civil Code). ,�nr:ar's Name _ Lender's Address 3y my signature bolsw, I certify to each of the following: I am 'he prope.Ay or.aer or authorized to act on the property owner's behalf, I have read IN, oppl:cation and the information I have provided' is Corr t. I agree to comply with all applicable city and county ordinances s relaling to building construction. 1 I authorize representatives of this city orcountyto enter th -Identified property for inspection purposes. 12%� 3i nature of Property Owner or Authorized Agent 7e— Print Property Owner's or Authorized Agent's Name Date x ACTION GATE BY IN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ACTION __7�I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PF8mir FXP1RED [ L-I I SUBMITTED ASStST05>0TIFICATION TO PERMIT CANCELLED LQEPA PERMIT EXTENDED QM.D PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED U 3 A 05 NOTIFICATION 15 NOT APPLICABLE TO POSED DEMOLITION 1 SIGNATURE: