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Home My WebLink AboutH2022-0356 - Permits4 ��WPO�T City of Newport Beach D p Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U >A S Inspection Requests Phone: (949) 644-3255 C9p FpRN�P newportbeachca.gov/inspections IIMechanical Permit : H2022-0356 Plan Check No : 2570-2021 Work Class : Other Issued Date : 07/14/2022 Inspection Area : 5 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 : 504 ACACIA AVE Legal Desc : A TR CORONA DEL MAR BLK 529 LOT 6 Description: MECH - 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED Owner: LA21 G LLC Address : 26880 ALSO VIEJO PKWY STE100 ALSO VIEJO, CA 92656 Phone : Applicant : Nellie Montejano Address : 26880 Aliso Viejo Parkway, 100 Aliso Viejo, CA 92656 Phone: (949)669-5118 Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: Fire Sprinklers : NO Fire Hazard Zone : Y Contractor : T J C HOME BUILDERS INC Address : 26880 ALSO VIEJO PKWY, 100 ALISO VIEJO, CA 92656 Phone : (949) 481-7026 Con State Lic : 1025507 Lie Expire : 04/30/2023 Bus Lie : Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire: �i Va�ri L-%a I Manufacturer: AC PRO Model#: AOB30-125FN-MTOW OWNER -BUILDER DECLARATION 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), 5e .lion 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 io 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 Irofesslons 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 penally of of more than five hundred dollars ($500). 7 I, as Owner of the property, or my employees with wages as their sole compensation. Wi11 do (_) all of or U 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 nproved for the purpose of sale). t J I, as owner of the property. am exclusively contracting with licensed Contractors to ConsWct the 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), 1 am exempt from licensure under the Contractors' State License Law for the following reason' ly my signal below I acknowlodgo 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, ell a structure that I have built as an owner-buLdar 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:fiwww.leginfo.ca.gov/calaw.html. Iignature 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 (commencing with Section 7000) Is a Business and Professions C e ice 's4in to orce not effect. License Class License No Date contractor Signature VORKERS' COMPENSATION DECLARATION FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION P06. OF THE LABOR CODE., INTEREST', AND ATTORNEY'S 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 `ormance 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: Policy Number of Agent Date I certify that, in the performance of the elo,ch this permit s issu I shag not employ any person in any' manner so as to become subject to the workers'compens�ws of flomis, and agre mat. If I should become subjettto th onsation p oviswns mf action 3700 of the Labor Code, I shall forthwith comply with those provisions.gnalure of App_DotIECLARATION REGARDING CGTRUDING AGE Y hereby affirm under penalty of perjury that there is a construction lend in i9ency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender s Name _ Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to acton 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 city and county mine s rids to x relating to building construe@on. I authorize representatives of this city or coonlKv to ee% t r7,4J,(pve-I ed pr arty for inspection purposes. ,i�' /A1 �� %% !p /1/Aq �/I�,,, 'ionature of Prooertv Owner or Authorized AaentS V / e A . [vl Print Prooertv Owner's or Authorized Aoent's Name C/1. If Vt j l (- I- 1 N [/rl rid . ACTION PERMIT EXPIREO PERMITCANCELLED FERMlT EXr'ENDED PF-RM1T FINAL. CERTIFICATE OF OCCUPANCY fSSUED DATE BY DECLARATION OF COMPLI'NCS WITH CODE OF FEDERAL i REGULATIONS PART 51 OF TITLE 40 AND AQMO RULE -4-5f DO LJ'..ASBESTOSNOTIFICATIONISNOT APPLICABLE ( [ PROPOSED DEMOLITION TO FOR OFFICE USE ONLY All reruired Plarms, Intcher Rates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.