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Home My WebLink AboutH2022-0649 - Permitsa Wv City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U S Inspection Requests Phone: (949) 644-3255 °q{iFos�`P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 11/15/2022 Inspection Area :6 H2O22-0649 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 : 1532 KEEL DR Legal Desc : N TR 6152 BLK LOT 115 Description: MECH -INSTALL (2) A/C UNITS @ SIDE YARD "TAMPER -RESISTANT CAP AS REO'D" Owner: JOHN DOYLE Address : 1532 KEEL DR CORONA DEL MAR, CA 92625 Phone: Applicant: SHAWN LAMBERT H V A C Address : P 0 BOX 1866 HUNTINGTON BEACH, CA 92647 Phone: (714)887-9465 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicatesminimum lot area) PROCESSED BY: Contractor : SHAWN LAMBERT H V A C Address : P O BOX 1866 HUNTINGTON BEACH, CA 92647 Phone: (714)887-9465 Con State Lie : 1006434 Lie Expire : 08/31/2023 Bus Lie: BT30078784 Bus Lie Expire:05/31/2023 Workers' Compensation Insurance • .. Carrier : SIRIUS AMERICA INSURANCE COMPANY Policy No : WC90385 W. C. Expire: 3/5/2023 Manufacturer: AC PRO ,' • ' - Model# : AUD60W/A SPECIAL CONDITIONS: RE -ISSUED **H2O21-0662 EXP.**, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exampt from the Contractors"State License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applcable itelm(s) 'section 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 ,o pDrmtt to files 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 M1.5 by any applicant for a permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500).: 1 1, 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 notintended or offeredfor sale (Section 7044, Usiness and Professions Code. The ContraGlors' 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 ContractorsState 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 ly 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; 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 a copy of the applicable taw, Section 7044 of tho Business and 'rofessions Code, isavailable upon request when this application is submitted or at the following Web slte:http://www.loginfo.ca.govYcalawbtml, signature of Properly Owner or Authorized Agent D VID, .ICEN'SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7401}1 of vistaA 3 of the Business and Profession C e, n Osa is in full force no effect. License Class License. No Dato $I ) Contractor Signaturev VORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100A00i, IN ADDIDIONTO THE DST OF COMPERSATION, DAMAGES AS PROVIDED FOR IN SECTION e7011 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: d 1 ave and will maintain a certificate of consent to selF nsure for workers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for to fo once of the work for which this permit Is issued. Policy No, 1711INIve and will mviutain 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' compensatial rsurPnoo carrier and policy number are: :airier.. Policy Number Expiration Date I: ma of Agent T Phone # 11 certify that, in Lye perlormaloze of the wor 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 14 'f I should become subje 4that mpensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. .!girl, l.e of Appi,caot _ Date r' J z z IFrI,ARATION 2EGA101 LENDING AGENCY hereby affirm unde� Pena of peis a construction lending agency for the performance of the. work for which this perm tis issued (Section 3097, Civil Code). _nter's Name genders Address y my signature gala.+, I certify to each of the. following: I am line property owner or authorized to act on the property owner's behalf. I nave read P Tis pp cahan and the Information I have provided is correct I agree to Comply with all applicable City and county ardina des and state laws rela9ng to building construction I authorize representatives of this city or count ,enter t a boy�d At�I nproperly for inspection purposes'. ^ y A " ^"^A ^^„• ^ ^,^w` (!i t�/1 U l r l.L )1el v ACTION PERMIFYXP]RED PERMIT CANCELLED DATE BY I DECLAMATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND AQMU RULE SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LJAQMD P€RMIT FINAL ASBESTOS NOTIFIVTION IS NO. CABLE TO CERTIFICATE Of f-2S-ZZ PROPOSED OEMOLI// //// D OCCUPANCY ISSUED I SIGNATURE: