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Home My WebLink AboutH2021-0674 - Permits (2)og'. Cit of New ort Beach III I I I II I II III II�II II II II Y p Mechanical Permit:H2U21-0674 Community Development Department -Building Division too Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1845-2020 Permit Counter Phone: (949) 644-3288 Work Class :Other Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Issued Date: 1113012021 Inspection Area : 3 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 : 1224 DEVON LN Legal Desc : N TR 3000 BILK LOT 33 Description: MECH NEW A/C *TAMPER PROOF CAP REQ' (UNIT CHANGED TO "FROM AMERICAN.STD" TO. "CARRIER") Owner: Contractor: ROSTEN,BUILDERS Address : Address: 2418 HOLLY LN NEWPORT BEACH, CA 92663 Phone: Phone: °. (949).554-5719 Con State Lie : 760719 '. Applicant: ROSTEN BUILDERS Lie Expire 03/31/2023 Address: 2418 HOLLY LN NEWPORT BEACH, CA 92663 Bus Lie : ': BT30055282 Phone: (949)554-5719 :Bus Lie Expire:06/30/2022 Workers' Compensation Insurance Owner/Builder : Carrier : Address : Policy No : - EXEMPT. Phone: W. C. Expire'i Code Edition : 2019 Fire Hazard Zone : N Manufacturer: CARRIER Type of Construction : ` Model# : 24AHA4 Occupancy Groups: Building Setbacks : Front: 20, Side: 6, Side: 6 Rear. 6 ...... Flood Zone: X - Use Zone: R-1-6000 -Single-Unit Residential (6000 indicates minimum lot area) ° •a •.ao °c,.°aa ° a ° . . a PROCESSED BY: � .aLaoe a za • y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Conbaclems State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) is, Ann 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 is 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 rofessions Code) or that he or she is exempt from licensors, 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). 11, 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 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), 1, as owner of the property, am exclusively contracting with licensed Contractors to construci 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' State License Law).. t am exempt from licensors under the Contractors' State License Law for the foltowing reason: ',y 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 Iegalil ell a structure, that I have built as an owner -builder N it has not beenconstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofassions Code, is available upon request when this application is submitted or at the following Web site:httpalwww.leginfo.ca.govfcalaw.html. �Ignature of Property Omer or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions qe, n m nse is in full force nd effect. License Class License No Date /3 ' Z Z Contractor Signature X VORKERS' COMPENSATION DECLARATION IARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADOniON TO THE DST OF COMPENSATION. DAMADES AS PROWDED FOR IN SECTION 3708 OF THE LABOR CORE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury One of the following declarations: I I have and will maintain a certificate of consent to selfinsure for Workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of the work for which this permit 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. Nly workers' rance carrier and policy number are: Policy Number Date is of Agent vnone a' 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 agre , if I should become subject to the workers compensation provisions of Section 3700 of fire Labor Code, I shall forthwith comply with those provisions. q rature of Applicant, �`� Data ! -l32- hereby affirm."er 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 Narhg Lenders Address y my signature below, I certify to each of the following: • •ham the�proapertr owner or authorized to act on the property owner's behalf. ,I have reAVIS application and the information I have provided is correct. Xagree to comply With all applicable city and county ordinances and state lams relating to building construction. authori7.e;,rpaWJenmtives of this city or County to anterter thga-bove-i ified property for inspection purposes. •A"ION � • DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • ^ •' REGULATIONS PART 63, OF TITLE 40AND AOMD RULE • • 1403 s £RNITEXPIRES• ISUBMETr€DASBESTOSNOTIricAT€ONTO • PERMIT CANCFtL4D • EPA • `• s FERA41T FXTENRED OMD PERMIT FINAL •• • —?i�ZZ 00 ASBESTOS NOTIFICATION 15 NOT APPUCABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: /3'