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Home My WebLink AboutH2022-0720 - PermitsF��WnoRT City of Newport Beach Community Development Department.- Building Division 100. Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 e.� r Inspection Requests Phone: (949) 644-3255 Cql./Fo0.N�� newportbeachca.gov/inspections III I I I II I II I II II III I II Mechanical Permit : H2022-0720 Plan Work Class k Other No 2665-2021 Issued Date: 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 : 1720 SKYLARK LN Legal Desc : N TR 3097 BILK LOT 7 Description: MECH -INSTALL 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED Owner: OLGA BETZLER Contractor ; COMFORT HEATING & A/C Address : 1720 SKYLARK LN NEWPORT BEACH, CA 92660 Address : 21962 COSALA MISSION VIEJO, CA 92691 Phone : Phone: (714).335-7055 Con State Lic : 632774 Applicant: COMFORT HEATING & A/C Address: 21962 COSALA MISSION VIEJO, CA 92691 Phone: (714)335-7055 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: 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: Lic Expire : 12/31/2023 Bus Lic: 0p +� Bus Lic Expire:08/30112023 Workers' Compensation Insurance � ga e YEW Carrier : EXEMPT Policy No : EXEMPT W. C. Expire: Manufacturer : AC PRO Model# : AULD60W2/A OWNER -BUILDER DECLARATION t hereby affirm under penalty of perjury that I am exempt from the Contractors' $tale License Law for the reason(s) indicated below by the checkmark(s). I have. placed next to the applicable items) (Section 7031.5, Business and Professions Code. Any city or county that requires a permit to construct, Biter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for the 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 Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from lioeneute and the basis for the alleged exemption. Anyviolatlon of Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation; will do U all of or I_) portions of the work.; and the structure is not intended or offered for sale.. (Section 7044, Business and Professions Code: The Contractors' Stele 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 said within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Irm roved for the purpose of sate). L.1 1, as owner of the properly, am exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not a 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' State License Law). lJ t 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 legall: ball a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand theta copy of the applicable law, Section 7044 of the Business and. Professions Code, isavailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I 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. Prof ss ors CD , and my license Is in (oil force and effect. License Class License. No Date / i �-- Contractor Slgnat dt'ORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE mS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS U000,000), IN ADORION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0T08 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: ❑ 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 in 5arformance of the work for which this permit is issued. Policy No. ❑1 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' compensaliol nsurance, carrier and policy number are: Perrier Policy Number Expiration Dale Va of Agent Phone N ❑1 Fifty that, in the performance of the work 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 agre hat If i should become subject to the works mpeereaattio_n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant - //L. ,/,f /n /',{"%'y 1 DECLARATION REGAR N N CTIONK„EidOTNG 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 3097, CIVI Code), _enders Name Lenders Address 3y my signature below, i certify to each of the following: I am time property owner or authorized to act on the property Owner's behalf. I have read this application and the information I have provided is correc4 I agree to comply with all applicable city and county ordinances a state laws relating to budding. construction. I authorize representatives of this city or county to en'ar the abder}ted property for inspection purposes, r f N or RV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE PtRMri EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANC UED PERMITEXTENDEDOAQMD PERMIT FINAL SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF RROPOSE6DEMOUTION OCCUPANCY 155UED �t�.��j / SIGNATURE: Date