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Home My WebLink AboutH2023-0014 - PermitsCity of Newport Beach III I I I III III III III I II p� „is, Community Development Department- Building Division Mechanical Permit a a 'ip 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: �. Permit Counter Phone: (949) 644-3288 Work Class :Other 'Inspection Requests Phone: (949) 644-3255 Issued Date : 01105/2023 newportbeachca.gov/inspections Inspection Area : 4 H2O23-0014 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 : 1947 PORT CARDIFF PL Legal Desc : N TR 6623 BILK LOT 37 Description: MECH NEW A/C UNIT & FURNACE C/O `TAMPER PROOF CAP REQ' Owner: MCCORMICK STEPHEN D TR Address: 1947 PORT CARDIFF PL NEWPORT BEACH, CA 92660 Phone: Applicant: ROCKLIN HEATING & AIR Address: 5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765 Phone: (916)626-5151 Owner/Builder: Address Phone: Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 22, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Contractor : ROCKLIN HEATING & AIR Address : 5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765 Phone: (916)626-5151 Con State Lie : 959466 Lie Expire : 09/30/2023 Bus Lie: BT30074728 Bus Lie Expire:03/31/2023 Workers' Compensation Insurance Carrier : EMPLOYERS PREFERRED INS CO Policy No : EIG4913614 W. C. Expire: 1/1/2024 NO Manufacturer : SEER Model# : 036-1 I, i I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the cheaRmark(s) I have placed next to the applicableitem(s) 3ecdon 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 is 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 rofessions Code) or that he or she is exempt from licensure 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 at more than flve hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, Will do t_) all of or (_) portions of the 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 employees ar 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 nproved for the purpose of sale). I, 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 €y 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 Mow I acknowledge that, except for my personal residents In which I most have resided for at feast one year prior to completion of the improvements covered by this Permit, I cannot legally oil a structure that I have built as on owner -builder if It has not been constructed in itsentirety by licensed contractors. I understand That copy of the applicable law, Section 7044 of the Business and 'rofessions Code, isavailable upon request when this application Is submitted or at the following Web site:http:/Iwww.leginfo.co.gov/calaw.htrni. 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. O) o Division 3bt the Business and Pro( ions C e, pnd my license ism full force nd effect. License Glass License No Date t /TLa Contractor Signature tu— VORKERS' 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 HUNDREDTH USAND DOLLARS I1100.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNErs FEES. hereby affirm under penalty of perjury one of the following declarations: 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 rTAI,ce of the work for 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: is of Agent _ Policy Number Expiration Date Phone B ]I certify that, in the perfolimance 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 workACIvil 'mpensation laws of California, and agre iat, if I should becom ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r Igoe#ure of Applicant _ Da/ZZ--3 ECLARATION REGA 1 O TRUCTION LENDING AGENCY hereby affirm under p natty of perjury that there. is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097ode). ender's Name Lenders 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 thisapplication and the Information I bay provided is correct. I agree to comply with all applicable city and oust ordinances and state laws relating to building conatruction. I authorize representatives of this city or county t enter the aF ove-identified property for inspection purposes. ACTION DATE 0Y / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ✓ REGULATIONS PART 61 OFTITLE 40 AND AOMD RULE 1403 P£RMt7fXY7REDU I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED _. EPA P£RMtT £XT £ADDED OMD PFRMlr FINAL ( Q. 2g ASBESTOS NOTIFICATION IS Nor APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUft) SIGNATURE: