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Home My WebLink AboutH2022-0565 - Permits�EWPORT City of Newport Beach III 111 I II I 0`r Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U }amp y. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cqt/FppN�P newportbeachca.gov/inspections II I 11111111I II Mechanical Permit : H2022-0565 Work Class : Other Plan Check No : Issued Date: 10/17/2022 Inspection Area : 6 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 : 2 SANDBAR DR Legal Desc : N TR 8427 BLK LOT 26 1 A Description: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* @f ' < Owner: KILEY ELIZABETH M TR REVOC TR Contractor : MCMASTER HEATING & AC INC Address : 2 SANDBAR DR CORONA DEL MAR, CA 92625 Address : -. "2 MCLAREN #C IRVINE, CA 92618 Phone : Phone : (949),481 7995 Con State .Lie: 726607:: Applicant: MCMASTER HEATING & AC INC Lie Expire ;' 12/31/2023 Address : 2 MCLAREN #C IRVINE, CA 92618 Bus Lie: BT30041972 Phone: (949) 481-7995 Bus Lie Expire:01/31/2023 Workers' Compensation Insurance Owner/builder: Carrier: HARTFORD+ACCIDENT+AND+INDEMNITY+COMPANY Address : Policy No: 72WECZU8138 Phone: W. C. Expire: 2/2/2023 Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: SEER Type of Construction : Model# : 24APB648 Occupancy Groups Building Setbacks : Front: 15, Side: 5, Rear: 15 Flood Zone: X Use Zone: PC - Jasmine Creek PROCESSED BY: SPECIAL CONDITIONS: ao� mom a owe U 4 O eo era o 0 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 applicableltem(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 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 $action 7000) of Division 3. of the Business and Irofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Alit' violatlon of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of at 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 sate (Section 7044, Business and Professions Code: The CDntractors' Staffs License Lew 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 n roved 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 Low 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' Stake License Law). I am exempt from Iloensure under the Contractors' State License Law for the following reason: -y 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 Iegatll ell a structure that I have built as an owner -builder if it has notbeen constructed In its entirety by licensed' contractors, l understand that copy of the. applicable: law, Section 7044 of theBusinessand 7ofessions Code, is available upon request when this application Is submitted or at -the following Web site:http;/lwww,leginfo.ca.govicalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION Hereby aFFnn under penalty of perjury that (am licensed under provisions of Ghapter 9 {commencing with Section P!��ontractor Divisione Business and P ssions d my license is in full force nd effect. License Class License . NO Date Signatu PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP'. TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OSTOF COMPENSATION', DAMAGES AS PROVIDED FOR IN SECTION 17" OF THE LABOR CODES INTEREST, AND ATTORNEY'$ FEES. hereby affirm. under penaltyof perjury one of the following declarations: 7 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, forth, rtor' ot'e Of work for which this permit is issued. Policy No. ve and will maintain workers' compensation insurance, asrequiredby Section 3700 of the Labor Code, for the performance of the. work for which this permit is issued. My workers' compensation isurance admer and policy number are: Q Q :anler f imc' 'o ('� Policy Number. 7'LW L C.'ZI.J D �.JU Expiration Date lame of Agent Phone # "1I certify that in the parlor anc f the work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the workers` compensation laws of California, and agree tat, If i should become subja t the worke/rs' oo pensatien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n.,.�r.�.,.1 I �/ rota % 1'7 2 imby 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, ider's Name Lender's. Address my signature below, € certify to each of the Following: I am the property owner or authorized to not on the property owner's behalf. I have read this application and the Information I h ve provided is correct. I agree to comply with all applicable city and count lm,=V s and state laws relating to building construction. � / I authorize representatives of this city or county to ter theme. beveNdentif ed property for inspection purposes. V r— ACTION DATE BY % DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS. PART fit OF TITLE 40 AND.AQMD RULE 1403 PE19MIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO DEPA n QMD JI_ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO • • • • • • •0.0 PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL i_1��7p CERTIFICATE OF 0. i� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: ••• . •. • s s s e ees ee e e e ee • • s e me s e e s s • • ees ee