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HomeMy WebLinkAboutH2023-0317 - Permits��EWPORT City of Newport Beach d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 .,. newportbeachca.gov/civic C9GIFORN�P Mechanical Permit Plan Check No: Work Class : Other Issued Date: 05/11/2023 Inspection Area : 6 H2O23-0317 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: 1 MONTEREY PINE Legal Desc : N TR 14103 BLK LOT 26 UN 5 TRACT 14103, LOT 26 OF PROJECT 93 5-90 LOCATED ON Description: MECH CHANGE OUT 2 A/C UNITS *TAMPER PROOF CAP REQ* Owner: LEE JOHN JOON TR LEE LIVING TR Address : 1707 PORT STIRLING PL NEWPORT BEACH, CA 92660 Phone: Applicant: 1ST CHOICE HEATING & A/C Address : 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630 Phone : (949) 305-5754 Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY 2022 X PC - Newport Coast SPECIAL CONDITIONS: Fire Hazard Zone : Contractor : 1ST CHOICE HEATING & A/C Address : 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630 Phone: (949)305-5754 Con State Lie : 1006824 Lie Expire : 08/31/2023 Bus Lie : BT30064046 Bus Lie Expire:08/31/2023 Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE COMPANY Policy No: TWC4228415' W. C. Expire: 2/15/2024 YES Manufacturer: LENNOX Model# : ML17XC1 I� Y OWNER -BUILDER DECLARATION I hereby alfirrn 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 theapplicable 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 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 or the Business and Professions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 preying that R was not built or improved for the purpose or sale). I; as owner or 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 ",he builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I ant exempt from lieensure under the Contractors' Slate License Law for the following reason: _ IBy my signature below I acknowledge that, except for my personal residence in which I must haveresided 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:http:/lavrw.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent .Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section O) of Division 3 of the Business and. Pr ssions Code and my IIc rise is in full force and effect. License Class L'€cense No Date' 'S h- Z-S Contractor Signatur 7T`7--L WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORAERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG RE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penally of perjury one of the following declarations: © I have and will maintain a certificate of Conseil to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Im pgrformance of the workfor 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 policy number are: Policy Number of Agent Date I certify that, in the perf rmance of the work for which this permit is issued.. I shall not employ any person in any manner so as to become subjectto the workers' compensation taws of California, and agref tat, if I should becomiweigbject to the workers' compensation provisions of Section 3700 of the Labor Code., I shall rorthwilh Comply with those provisions. jjppIt // iynature of Applicant W Da�' k' Z3 - rECLARATtON kFfblNG CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ivil Code). enders Name Lenders Address y any signature below, I certify to each of the rollowing: 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. l agree to comply with all applicable city and cc my ordinances and state laws relating to building construction. I authorize representatives of this city or co to enter the abovCr�e-Identified property for inspection purposes. n //�— / icnature of Property Owner or Authorized ADent T-- -w `-��� Pint Property Owner's or Authorized Agent's Nakita/ / ro-vz S w ens r Oat/ j/5--t t-23 ACTION DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY �f REGULATIONS PART 61 OFTITLF 40 AND AQMD RULE 1403 1 l I SUBMITTEr) ASBESTOS NOTI FICATION TO PERMIT EXTENDED LJAQMp PERAPFf FINAL UA56ESD NOT CATION 15 NOT APPLICABLE TO CERTlFICATf OF D MOLIT PROPOSED DEMOLITION OCCUPANCY ISSUED 1�-'�/"' III SIGNATURE: 0 0 '0 O O O O FO a cn N N W W W W o 0 0 J J o 0 € a a y 0 00 0 0 O 0 0 N NEr N W m O O N Er�. m um w o' W W ca O O a n O O o O a ° o w Z O Z O O Q O Q Z O Q O Q 2.6 n J m Z O a Z O a Z Q Cl W a� LL (n 0 O U jrFr O O O O O O o y t LU U w J CO i0 / (n :%) V a W M N /\ W t7 N NJ N c7 N\ W M O N N M O N N o m a �Q W� ^ � v v a v � as ww z0 C,r)€_ 2� WU r V Ago LL: 1 a= 4 m Z ui 0 M C) N a O a o� N o Z Z a «m n �N m a (n rn a 25 M t N « W W O O ��„ 2 C n d L N W N Q U LL d o o O O M N Q a Q� m N E g w ari LLI �- Z Z NO ❑ Y Y LL Y Y C N= c_ n. 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