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Home My WebLink AboutH2022-0568 - Permits?EaPo�T City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 yn. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c94roa" �P newportbeachca.gov/inspections III I I I II I II I II IIII II I I II Mechanical Permit : H2O22-0568 Plan Check No : 2684-2021 Work Class : Other Issued Date: I b h V /1L,ei9. Inspection Area : 4 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: 2411 BAMBOO ST Legal Desc : N TR 4893 BLK LOT 48 Description: MECH -INSTALL 2 HEAT PUMPS. TAMPER -RESISTANT CAPS REQUIRED Owner: LA21GLLC Address : 26880 ALISO VIEJO PKWY, STE100 ALISO VIEJO, CA 92656 Phone: Applicant: LA21G LLC Address: 26880 ALISO VIEJO PKWY, STE100 ALISO VIEJO, CA 92656 Phone: Owner/Builder: Address Phone : Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, 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: Contractor : T J C HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lie Lic Expire : : 1025507 04/30/2023 j Bus Lic : BT30059037 1 Bus Lic Expire:D5/31/2023 Workers' Compensation Insurances Carrier: TECHNOLOGY INSURANCECOMPAt' Policy No: TWC4081048 W. C. Expire: 3/8/2023 Manufacturer: AC PRO Model#: AUD60W/A OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(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 the permit to rile a signed statement that. he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant 10 a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or C_) portions of the work., and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 Improved for the purpose of sale)_ ❑ I, 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 ia�pTply 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). u 1 am exempt from ficensure under the Contractors' State License Law for the following reason: By 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in Its entirety 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:lfttp:l/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent __.. ... _..... _ Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of Perjury that I am licensed under provisions of Chapter 9 (commencing with Section TOO ) of Division 3 of the Business and r fession license is in full force and effect. License Class License. No Date D Contractor S ignal e WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CPI I PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS 1$100,000), IN ADORION To THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEy'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 IN )_ ormance of the work for which this permit is issued. Policy No, 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' carrier and DOlicv number are: of Agent Policy Number 'r bt�/'- y� g (D Expiration Dale .-i-_�'1T7 s Phone N 3 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 agree fat, it I should beco l subject to the arkers cornpensatian provisions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions. ignature of Applicant _ Do IECLARATION R RDf T STRUCTiON LENDING 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 309 ivo Code). enders Name. Lender's Address y my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owner`s behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter lh entiged property for inspection purposes, iDnature of Pmeartv Owner or Authorized ADanln Print ProDerty Owner's or Authorized Anent's Name Dale ACTION DATE BY 1j-DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 4 REGULATIONS PART 61 OFTITLE 40 AND AOMD ROLE ) 1403 PERM17 EXPIRED jU I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIPA PERMIT EXTENDED f- ZIACMD FINAL ASBESTOS IS NOT APPLICABLE TO CERTIFICATEPERMIT CER OrOF PROPOSEDDEMOLITION OCCUPANCY ISSUED SIGNATURE: