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Home My WebLink AboutH2022-0534 - PermitsCity of Newport Beach p� t@` Community Development Department- Building Division o- r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 x Inspection Requests Phone: (949) 644-3255 Cq<�FOp�'\P newportbeachca.gov/inspections IIII II II II Mechanical Permit : H2O22-0534 Plan Check No : 2021-2021 Work Class : Other Issued Date : 09/30/2022 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: 621 MICHAEL PL Legal Desc : N TR 4106 BLK LOT 4 Description: MECH -INSTALL (3) NEW AC UNITS ***TAMPER -PROOF CAPS REQUIRED*** Owner: LOUIS MARLIN Address : 621 MICHAEL PL NEWPORT BEACH, CA Phone : (714) 900-9429 Applicant: VICTOR SERRAO Address: 32959 CALLE PERFECTO, C SAN JUAN CAPISTRANO, CA 92675 Phone: (949)496-3638 Owner/Builder Address Phone : Code Edition : 2019 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 8, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: (?R SPECIAL CONDITIONS: Contractor : SEASIDE A/C AND HEATING + Address : 32959 CALLE PERFECTO, C SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 496-3639 Con State Lic : 736214 • • .. Lic Expire : 08/31/2024 Bus Lic: BT30018420 Bus Lic Expire: 01/31/2023 Workers' Compensation Insurance - Carrier : INS CO OF THE WEST Policy No: WVE5049609 W. C. Expire: 7/21/2023 ' NO Manufacturer: AC PRO Model#: AULD36W2/AULD67)VV2'_ ; ot,il I OR OWNER -BUILDER DECLARATION I hereby affirm under penally of per)••.ury 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 the applicableitem(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for the permit to file a signed statemant 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 licensors 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work., and the structure is not intended or offered for sate (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 proving that It was not built or ErInt raved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct (lie project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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 ant exempt from licensure under the Contractors' Stale License Law for the following reason: „-------- ____ _,_„__„___,___,__ By my signaturo 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, salt 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 requestwhen this application is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Di islon 3 of the Business and Profs to Code, and r ' 'mhrti force and effect. License Class License No Date G - Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and wig nraiAain 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 7dnce of tnn Lmn•k for which this permit is issued. Policy No. e a 'II n.ainlain 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' compensa rage, c ter 2ntl policy number are: Policy Number re of Agent __ certify that, in the performance of the work for which this it I should become subject to a workers' co an ,alure of AOpr;danl I/- — a Date 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 Iro ns pt Section 3700 of the Labor Code, I shall . forthwith comply with those provisions. Q/ L lreby a,firm under p=nnity of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Hier Name Lender's Address 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 this application and the information 1 have provided is correct. I agree to comply withall applicable city and county or lances and state Ing to building construction. 1 I authorize representatives of this city or county to a er the eny� led oRwt[ for inspection purposes. '1 \ ACTION I, DATE PERMIT EXPIRED CERTIFICATE OF OCCUPANCY ISSUED DECLARATION OFCOMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND ADMIT RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO SIGNATURE; NOTIFICATION 15 NOT APPLICABkE, TO FOR OFFICE USE ONLY