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Home My WebLink AboutH2023-0425 - Permits,�EW�oR City of Newport Beach Community Development Department - Building Division > y 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 718-1888 •,.,,h. o " 1-- newportbeachca.gov/civic �� Mechanical Permit : H2O23-0425 Plan Check No : 2555-2021 Work Class : Other Issued Date : 06/2912023 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 : 3 LOCHMOOR LN Legal Desc : N TR 7223 BLK LOT 92 TR NO 7223 LOT 92 AND P M 35-5 PAR 2 Description: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* Owner: DAVID CLINE Address : 3 LOCHMOOR LN NEWPORT BEACH, CA 92660 Phone: Applicant: UNITED CONTRACTORS Address: 3185 AIRWAY AVE D-1 COSTA MESA, CA 92626 Phone: (949)945-0905 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: Contractor : UNITED CONTRACTORS Address : 3185 AIRWAY AVE D-1 COSTA MESA, CA 92626 Phone : (949) 945-0905 Con State Lic : 949005 Lic Expire : 06/30/2024 Bus Lic : BT30053869 Bus Lic Expire: 01/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9119462 W. C. Expire: 12/6/2023 Fire Hazard Zone : NO Manufacturer: AMERICAN STANDARD Model# : 4A71603A1 I hereby affirm under penalty of perjury that t 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 Iterrl(s) iection T031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve; demolfsh, or repair any structure, prior to its Issuance, also requires the applicant for is permit to flea a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState 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 llcensure 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 ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, Lieness and Professions Code: The Contractors State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not Intended or offered for sale. If, however, the building or improvement is sold Within one year of completion, the Owner -Builder will have the burden of proving that it was not built or D roved for the purpose of sale). 1; as owner of the property., am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I:.. acknowledge that, except for my personal residence in which I must have resided (or at Beast one year prior to completion of the improvements covered by this permit, I cannot lega% all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and 'rofesslons Code, is ava€fable upon request when this application is submitted or at the following Web sit:http://w .loginfo.ca.gavlealaw.html, ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Dlvi ion 3 of the Business and P f$Ssions ode, and 90�ense is In full force nd effect. License Class License No Date 61 Contractor$ignaluVS 04! � VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CAMUNAL PENALTIES AMU CNN. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100.000), IN ADDmON TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 Or THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury One of the following declarations: I I have and will maintain a certificate of consent to se;f•Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, orformance of the work forwhich this permit is issued. Policy No. and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: timer. Policy Number Expiration Date lame of Agent Phone ff It certify that, in the performance of the Work for which this permit is issued; I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat, if I should beea subject to kha orkaIS ccorm�pp7e sa ion provisions of Section 3700 of the Labor Code, I shallforthwith comply with those provisions. ignature of AppliDan - ,(/j�� - Date �D/2-7/23 fECLARATION REG NSTRUCTION ENDING AGENCY hereby affirm under natty perjury that there is a construction tending agency for the performance of the work for which this permit is issued ($action 3097, Civil Code).. tinder's Name Londers Address _ y my signatura 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 97plication and the information I have provided is correct. I agree to coir9'y with all applicable city an c my ordinances and state laws relating to building construction. autf onze rep�Ps9ntativas of this city or ceu t to enta a above-idWi0fie perty for inspection purposes. ArTl'>N I DATE C BY J 7LARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE. ONLY PAAT 61 OF TITLF. 4Q AND AgMD RULE Rekfvrli tXTENOkO I_IAQMD PhRMf r FOIAL '� �3 ASBESTOS NOTIFICATION IS NOT APPLICABLE 7o CtRPFICArE OF PROPOSED DEMOLITION O:LL FA,diY f5SUED SIGNATURE