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Home My WebLink AboutH2023-0560 - Permitsew RT City of Newport Beach o Community Development Department - Building Division i 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 718-1888 e*� newportbeachca.gov/civic C9C/F00.N�P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 08/2912023 Inspection Area : 4 H2O23-0560 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: 44 HILLSDALE DR Legal Desc : N TR 11785 BLK LOT 4 UN 20 TR 11785 LOT 4 UNIT 20 Description: MECH R/R HEAT PUMP AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: MARINUSVOS Address : 44 HILLSDALE DR #26 NEWPORT BEACH, CA 92660 Phone : (310) 460-8300 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818) 735-7876 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks Flood Zone: Use Zone : PROCESSED BY: X PC - Aeronutronic Ford SPECIAL CONDITIONS: as Fire Hazard Zone : NO Contractor : JUST RIGHT SERVICES PLUMBING HEATING & & A/C Address : 23482 PERALTA DR LAGUNA HILLS, CA 92653 Phone : (949) 228-2108 Con State Lie : 970383 Lie Expire : 04/30/2024 Bus Lie : BT30066798 Bus Lie Expire:04/30/2024 Workers' Compensation Insurance Carrier : SECURITY NATIONAL Policy No : SWC1452087 W. C. Expire: 7/15/2024 7' ON HEAT PUMPS Manufacturer: AMERICAN STANDARD Model# : 4A6H7060A1000D I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) indicated below by the checlarr (s) I have placed next to the applicable item(s) Section 7031.5. Business and Professions Code: Any city Gr county that requires a permit to Construct, alter, improve, demolish, or repair any stricture, prior to Its issuance, also requires the applicant for to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 liceri and the basis for the alleged exemption. . Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of of more than five hundred dollars ($500), 7 1, 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, usiness 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 properly, provided that the eprovenrants 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). 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 Licensee Law does not ly to an owner of property who bulids or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law) I am exempt from licensors under the Contractors' State License Law for the following reason y my signature below I acknowledge that, except for my personal residence in which I must have resided for at III one year prior to completion of the Improvements covered by INS permit, I cannot legaii, ell a structure that I have built as an awner-builder If it has not been eonstructod in its entirety by liconsed contractors. I understand Thal a copy of the applicable law, Section 7044 aline Business and 'rofessions Code, is avallable upon request when this Application is sr bmitted or at the following Web site: http /'w v.leginfo.ca govicalaw.html ignature of Property Owner or Authorized Agent —.._— Date __ ______-_ ICENSED CONTRACTORS DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Is p f the Business and Professions .. and my license is In full force rid effect License Class License No Date L Contractor Signatur JORKERS' COMPENSATION DECLARATION ARMING. FAILURE TO SECURE WORKERS' COMPENSA710N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED _ USAND DOLLARS ($100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR COnE, INTEREST, AND ATTORNEYS FEES. hereby aIrian 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 prmance 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 performanceof the work for which this permit is issued. My workers' carrier and policy number are: \ Paley Number Expiration Date of Agent certify That, in the performance of the work for which this permit I5 issu all not employ any person in any manner so as to become Subject to the workers' compensati n laws f GaiI Dania, and agre t, If I should become subject to the ers compensation pro ' s of Section 3700 or the Labor Code, Ishell forthwith comply with those provisions.? nature of Applicant _,,,, C LAR.ATION REGARDING CGNST 7 ENDING AGENCY :reby affirm under pen f pe there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tders Name Lender's Address _._.__ ___ �_.e_,....._.�—.� --.. By my signature bet , y to each of the following:------� ----�- - I am the props 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 ordl as and state laws relating to building construction. I authorize representatives �f this city or county to e r the above -identified pr for inspection purposes. Si nature of Property Owner or Authi Ayent Print Property Owner's or Authorized A ACTION i DATE By DEC. rT OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 7 TION PART 610E TITLE 4D AND AOMDROLE PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CAN(Fft FD I CaA PERMIT EX 'ENDED IIAD.MET ERMIT FINAL CERTIFICATE Or '�� ✓ ❑ASBES105N 5E O IDN IS NO'T APPLICABLE TO MOUNION LITION � t OCCUPANCY SSUEC SIGNATURE: 0 Dale x