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Home My WebLink AboutH2022-0210 - PermitsCity of Newport Beach ��,EWPoRT p @ Community Development Department- Building Division r ( �" 100 Civic Center Drive, Newport Beach, CA 92660 ' ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 ""'."i' newportbeachca.gov/inspections Mechanical Permit : H2022-021 U Plan Check No : 1755-2021 Work Class : Other Issued Date : 04/25/2022 Inspection Area : 2 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 : 2001 SEADRIFT DR Legal Desc : N TR 2813 BLK LOT 17 i!��JI Description: MECH/INSTALL (2) A/C UNITS (GOODMAN; GSX14-048KK) AND (,I)'HEN-FPUMP (STAR AIR KONTROL; SAK-24-20MS) Owner: Samantha Maya Address : 2001 Seadrift Drive Corona Del Mar, CA 92625 Phone : (310) 738-5629 Applicant: Samantha Maya Address: 2001 Seadrift Drive Corona Del Mar, CA 92625 Phone: (310) 738-5629 Owner/Builder: Samantha Maya Address: 2001 Seadrift Drive Corona Del Mar, CA 92625 Phone : (310) 738-5629 Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: Front: 10, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Contractor Address : Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire: Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Fire Hazard Zone : NO Manufacturer Model# : OWNER -BUILDER DECLARATION 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 applicable Item(a) 3eclibn 7031.5, Business and. Professions Code: Any clty 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 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 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). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_J all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness and Professions Cade: 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 m roved for the purpose of sole). 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 only 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 I ant exempt from licensure under the Contractors' State License Law for the following reason; ly my signature below I acknowledge [hat, 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 legall, oil 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 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html. signature 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 7000) of Division 3 of the Business and Professions Code,. and my license is in full force nd effect. License Class License. No Date Contractor Signature UORKERS' COMPENSATION DECLARATION EARNING: 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 (St00.000), IN ADDITION TO THE DST 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: 3 1 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 ihi Brformance 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. My workers' ranee carrier and policy number are: Policy Number Expiration Date 3e of Agent Phone f6 certify that, in the performance of the work for which this permit is issued; 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , If 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. igooture of Applicant Date—�, IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whichthispermit is issued (Section 3097, Civil Code). Crider s 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 the above-identff ed property for inspection purposes. Owner's or Authorized ADenl's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 403 L-I I SURMITTEDASRESTOS NOTIFICATION TO PERMIT EXTENDED PERMITPINAL CERTIFICATE Or 1, l j,/) )/ j PROPOSED DEMOLITION OCCUPANCY NOT APPLICABLE TO OCCUPANCY ISSUED 41 �' , I j�l� II'II{� SIGNATURE: