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Home My WebLink AboutH2023-0392 - PermitsSEW FuRT City of Newport Beach III I I I III III II IIII III I II D� "ICommunity Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 U >6 S newportbeachca.gov/civic Mechanical Permit : H2O23-0392 Plan Check No : 1071-2022 Work Class : Other Issued Date : 06/14/2023 Inspection Area : 1 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 : 227 LUGONIA ST Legal Desc : N TR 772 BLK 6 LOT 5 Description: MECH INSTALL 2 ROOF MOUNTED HEAT PUMPS "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED -- (X2022-1164) Owner: FANTICOLA NATALIE PHAM TR THE N P FANTICOLA LIVING Address : 227 LUGONIA ST NEWPORT BEACH, CA 92663 Phone: (949)413-5800 Applicant: FRANCISCO CARRILLO Address : 769 N GLASSELL ST ORANGE, CA 92867 Phone: (714)883-0623 Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : 2022 Front: 5, Side: 3, Side: 3, Rear: 5 X R-1 - Single -Unit Residential PROCESSED BY: 135 SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : SKY HEATING & COOLING INC Address : 769 N GLASSELL ST ORANGE, CA 92867 Phone: (714)883-0623 Con State Lie : 1045281 Lie Expire : 12/31/2023 Bus Lie: BT30065983 Bus Lie Expire: 02128/2024 Workers' Compensation Insurance Carrier : NORGUARD INSURANCE COMPANY Policy No: SKWC473964 W. C. Expire: 2/1/2024 Manufacturer: AC PRO Model#: AOE30U-4BHFN1-MRO/AOX430-24HFN1 [�Fi`IcI�:�liII�7�77�I�17s31LsTl I hereby affirm under penalty of perjury 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 applicable items) 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 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 Irofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 n roved for the purpose of sale). 1, asowner 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 �rply 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). J I am exempt from licensors under the Contractors' Slate 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 legal[, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo,ca.gov/calaw.html. dgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION q hereby affirm under penalty of perjury that I am licensed under provisions q� / pier 9, mencing with Section 700 of vision 3 of the Business and Profs ssi (;I icense is in full force nd effect. License Class License No L'// J L YJ Date Contractor Signature WORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED HOUSANO DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th erfomlance of the work for which this permit is issued. Policy No.. 3 have 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' compensatiol Isurance carrier and policy number are: arrier Policy Number Expiration Date '.ame of Agent Phone # 3 Certify that, in the performance of t 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 let, It I should become sub'e s' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� /�� ignature of Applicant Dale (/ ECLARATION REG ONSTRUCTION LENDING AGENCY hereby affirm under a Ity 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). ender's Name Lenders Address y my signature below, I certify to each of the following: I am the property owner or authorized to actan the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable ctty and county ordin TIC and state laws relating to building construction. I authorize representatives of this city or count, -I I led properly for inspection purposes, / I/ J 0� Jf LiJ�r/ nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name ie(2K y/ Date/� t l� ICTION DATE BY LARATION Or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61.OF TITLE 40AND AOMD RULE PERMIT EXPIRED L..) I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED ......... I—r. ..'QMD �n ___............__ PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED ___ L-5,Z3 �\ TIC ASBES 105 NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: