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Home My WebLink AboutH2022-0658 - Permits�aEwPoRT City of Newport Beach 0 @ Community Development Department- Building Division ,( 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 Cq(/FORN�P newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 11/21/2022 Inspection Area : 3 H2O22-0658 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: 2361 AZURE AVE Legal Desc : N TR 1501 BLK LOT 2 Description: MECH -INSTALL (1) NEW HEAT PUMP *TAMPER -PROOF CAP AS REQ'D* Owner: NICOLAS LOVRIC Contractor : SHAWN LAMBERT HVAC INC Address : 2361 AZURE AVE NEWPORT BEACH, CA 92660 Address : PO BOX 1866 HUNTINGTON BEACH, CA 92647 Phone: Phone: (714)887-9463 Con State Lic : 1006437 Applicant: SHAWN LAMBERT HVAC INC Lic Expire : 03/31/2024 Address : PO BOX 1866 HUNTINGTON BEACH, CA 92647 Bus Lic: BT30078680 Phone: (714) 887-9463 Bus Lic Expire:05/31/2023 ' Workers' Compensation Insurance Owner/Builder : Carrier : SIRIUS AMERICA INSURANCE COMPANY ' Address : Policy No : WC90385 Phone: W. C. Expire: 3/5/2023 Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: AC PRO Type of Construction : Model# : AUD36W/A-D(U) Occupancy Groups: ., Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone : - Santa Ana Heights Specific Plan ��SP�--77 BY: — PROCESSED /2 SPECIAL CONDITIONS: R 1 ,<^a � �' ✓'\—°�,t°'+"fig 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 Item(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 I6 permit to file a signed statement thathe 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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 11. as owner of the property, or my employees with wages as their sole compensation, will do ( ) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Coder 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 nyproved for the purpose of sale). 1 1, 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 pply 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). 3 1 am exempt (ram Iicensure under the Contractors' State License Law Far the following reason: y 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 improvementscovered by this permit, I.cannot legally eu a structure that I have, built as an owner -builder it 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 'refessions Code, is available upon request when this application is submitted or at the following Web site:hhp:tlwww.leginfo.ca.govlcalaw.html. ,ignature of Property Owner or Authorized Agent Date ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70DBi of Divi@Ion 3 of the Business and Profession a m, c nse is in full force nd effect. License Class License No Date / •%l•2Z Contractor S ignature VORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CM FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St 00,000), IN ADDITION TO THE DST OF COMPENSl.T;Ce. LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, Me ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: -1 ; hdve and w=ll mnintain 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 IN Qrfvf;PrCnce 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: of Agent cE-t fy that, in the performance of the if I should become subieDl-I441tr vo of Policy Number Date 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 compensation provisions of Section 3700 of the Labor Code., Ishall forthwith comply with those. provisions. Dat---t (1,7(,2,y a-cty affirm under penalty of perjury that there is a construction [ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Ider's 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 I have provided is correct. I agree to comply with.. all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter eve-i HE roperty for inspection purposes. signature at Pro artOwner or Authorized A ant Print Property Owner's or Authorized Agent's Name Date r ACTION DATE BY 6E4KAPATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 40ANDAQMD RULE 1403 PERIvhr FXPtRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMri CANCELLED `<FIEPA PERMIT EXTENDED QMD PERbOTFINAL _75 AS ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTiFiCATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED rl SIGNATURE: (j' Zf rZ2