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Home My WebLink AboutH2022-0724 - Permits�EWPo�T City of Newport Beach I I I I I II I II I II II III I II II Mechanical Permit : H2O22-0%24 Community Development Department- Building Division > 100 Civic Center Drive, Ne++lbrt Beach, CA 92660 Plan Check No : 0796-2022 i Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 12/20/2022 q[rFonN newportbeachca.govlinspections 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: 2018 NAUTILUS LN Legal Desc : N TR 3763 BLK LOT 74 Description: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* Owner: RYAN EKEDAL TRUST / EKEDAL RYAN J Contractor : RANCHO VIEJO A/C & HEATING Address: 2018 NAUTILUS LN NEWPORT BEACH, CA 92660 Address : 22596 COTTONWOOD CIR LAKE FOREST, CA 92630 Phone: Phone: (949) 212-4870 Con State Lie : 745018 Applicant: RANCHO VIEJO A/C & HEATING Address: 22596 COTTONWOOD CIR LAKE FOREST, CA 92630 Phone : (949) 212-4B70 Owner/Builder: Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Fire Hazard Zone : NO 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) PROCESSED BY: SPECIAL CONDITIONS: Lie Expire : 11/30/2023 Bus Lie: BT30031040 Bus Lie Expire:03/31/2023 Workers' Compensation Insurance Carrier: ACCREDITED SURETY Policy No : 1AUICA160129868000 W. C. Expire: 3/15/2023 Manufacturer: BRYANT Model# : 38MAR 4¢Jy v`� OWNER -BUILDER DECLARATION I hereby affirm under penally of perjurythat 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 items) Section 7031-6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor Ins Issuance, also requires the applicant for is 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 3. of tho Business and 'rofesslons 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 lot more than five hundred dollars ($500). I, 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 notintended or offered for sale (Section 7044, Eusiness 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 sate). 3 I, 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 apply 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). 1 am exempt from licensers under the Contractors' State License Law for the following reason: �_... ly my signature below t 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, Lcanoot legal) ell a structure that I have built as an owner builder If R has not boon constructed in Its entirety by licensed contractors. I understand that copy of the applicable low, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:lfwww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Data .ICENSED CONTRACTOR'S DECLARATION I` hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of iv' on 3 of the Business and Prof Ions ,Pa d my license is in full force .nd effect. License Class License No Date Zo a CGntractor Signature PORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORxERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO Car NAL PENALTIES AND CIVIL PINES UP 70 ONE HUNDRED THOUSAND DOLLARS D100,000), IN ADDITION TO THE �OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEYS 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 Ina 1 r,Winance of Ole work for which this permit is issued. Policy No. I ve 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' compensatio nsurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone N Ell certify that, in the pe. ormance of the work fkhichthis permit Is issued, I shall not employ any parson in any mannor so as to oecome subject io the workersc71LI anon laws of Caltfomia, and ogre that, it I should becomes a 'totheworkers'el lon provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Signature of Applicant DataL�= 'LZ DECLARATION REGAR NG C 7RUC LENDING AGENCY I hereby affirm under pe' alty of perjury that t re. is a construction lending agency fur the performance of the work for which this permit is issued (Section 3097, Ci Cc a). Landers Name Lender's Address By my signature below. I certify to each of the following: I am the property owner or authorized to act on the property ow rs behalf. I have read this application and the Information I have rovided I correct. I agree to comply with all applicable city and co sty rdinan s Ed state laws relating to building. construction. I authorize representatives of this city or county t ter t e-i entified property for Inspection purposes. 1 �A.t^1 t Signature of Property Owner or Authorized, ant Print Property Owner's or Authorized Agent's Name L `1 Date I L ACTION DATE BY DEtbMIATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE ': 1A03 PERMIT EXPim I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EIEPA PERMIT EITENOEO OAQMD PERMIT FINAL BESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF 2 -3.23 PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: