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Home My WebLink AboutH2023-0414 - Permitsti "9" City of Newport Beach 0; 19 Community Development Department- Building Division Z 100 Civic Center Drive, Newport Beach, CA 92660 G Permit Counter Phone. (949) 718-1888 c newportbeachca.gov/civic iForrN�p Mechanical Permit Plan Check No: Work Class : Other Issued Date : 06/27/2023 Inspection Area : 1 H2O23-0414 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 : 328 LUGONIA ST Legal Desc : N TR 772 BLK 15 LOT 28 TR 772 LOT 28 BILK 15 ALL (EX NELY 7 F T) THEREOF Description: MECH INSTALL A/C UNIT AT SIDE **TAMPER RESISTANT CAPS REQUIRED** Owner: ANGELA BROWN Contractor : ABC HEATING AND A/C Address : 328 LUGONIA ST NEWPORT BEACH, CA 92663 Address : 306 COLLEN PL COSTA MESA, CA 92627 Phone: (949)756-0064 Phone: (949)756-0064 Con State Lic: 940181 Applicant: LUKE VUJNOVICH Lic Expire: 11/30/2023 Address : 311 COLLEEN PL COSTA MESA, CA 92627 Bus Lic: BT30043258 Phone: (949) 345-5098 Bus Lic Expire: 03131/2024 Workers' Compensation Insurance Owner/Builder : Carrier : STATE FARM FIRE & CASUALTY CO Address : Policy No: 92GOG2871 Phone: W. C. Expire: 9/24/2023 Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY. 2022 Front: 5, Side: 3, Side: 3, Rear: 5 R-1 - Single -Unit Residential SPECIAL CONDITIONS: VS4 Fire Hazard Zone : NO Manufacturer: AC PRO Model# : AULD60W2/A-D(U) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the cheekmark(s) I have placed next to the apptcahte item(a) 3ecton 7031.5.. Business and Professions Code: Any city or county that requires a permit to constmot, alter, improve; demolish, or repair any structure, prior to its issuance, also requires The applicant for to permit to file a signed statement that he or she Is )iconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessiona Code) or that he or she is exempt from licensors and the basis for the alleged exemptlon. Any violation of Section 7031.5 by any applicant fora permit subjects theapplicant to a civil penalty of of more then five hundred dollars ($500). I, as owner of the property, or my employees with wages as their solo compensation, will do ( j all of or `) portions of lha work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code, The Contractors' State License Law does not apply to an owner of property who, through empkryaes' 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 n roved for the purpose of Sala). 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 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). I am exempt from ticensure under the Contractors' State License :Law for the following reasom y my signature below I acknowledge that, except for my personal residence In which I must have meded for at least one year prior to completion of the improvements covered by this I cannot legally ell a structure that I have built as an owner -builder if 1t has not been constructed In its entirely 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 orat.the following Web site:hhp:it ww.toginfo.ca,govlcalaw.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 7004 Dt C}lvisktn 3 of the Business and Professors CD a , nd my nse is in full force nd effect. License Class License No Date Z Contractor Signature WORKERS'COMPENSATION DECLARATION 'ARMING: 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 T8100,e00). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370 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 of industrial Relations as provided for by Section 3700 of the Labor Code, for 'ormance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required try Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compense Trance carrier and policy number are: Policy Number Date no of Agent Phone a certify that, in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the workers' compensation laws of California, and , if I should become sub � io work rs' comp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of ADotce � ��/ `' 0� — 2� ^z3 -_.__ ----- Date hereby affirm under penalty of perjury that there is at construction lending agency for the performance of the work for which this permit is issued (Section 3097 enders Name Lender's Address iy my signature below, I Certify to each of the following: I am the proper} owner or authorized to act on the property owner's behalf. I have read in's tpplicaton and the information I have provided is correct. I Prrae to cot'r't• with all applicable city and county ordinances and state laws relating to building construction, I aumonze repreaentatves of this oily or county to renter the a7ve-identi i property for Inspection purposes. �GtKt rvf P--Iv n..,—, , A rthnrivod Ar,nnt 'Li'///L Print Prnnartv owner's nr A,tlhnrirwrl Anent't Namp ACTION DATE BY ! DECLARATION OF COMPLIANCE WITH. CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE r nna Psd,4, r EXPIREDD j 1. 1Jt5UBMITTFO ASBESTOS NOTIFICATION TO PcHMr r CANCEfLED I T PIIF_A-�� p RMFTFINAL r Tn ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CtAPMArEoE PROPOSED DEMOUTNDN OCCLIVANCYtS5UE9 A"1.11.2'� ,_// SIGNATURE.: Civil Code). ;719'VtCA Data 6