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HomeMy WebLinkAboutH2022-0713 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII SEW PORT of Community Development Department - Bwlding Division too Civic Center Drive, Newport Beach, CA 92660 r 2 Permit Counter Phone: (949) 644-3286 F �, 9 F"- u Inspection Requests Phone:,(949) 644-3255 °gc�Foa"�P newportbeachca.gov/inspections Mechanical Permit : H2O22-0713 Plan Check No : 1142-2022 Work Class : Other Issued Date: 12115/2022 Inspection Area: 3 PERMITS EXPIRE 1BO 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 Description : 1423 MARINERS DR Legal Desc : N TR 3004 BILK LOT 35 MFr:H� INSTALL (2) HEAT PUMPS @ SIDES *** TAMPER RESISTANT CAPS REQUIRED ;TIMERS PROHIBITED *** (X2022-1241) Owner: Thomas James Homes Address : 26880 Aliso Viejo Pkwy #100 Phone: (949) 293-3018 Applicant: Thomas James Homes Address : 26880 Aliso Viejo Pkwy #100 Phone : (949) 293-3018 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 indicates minimum lot area) PROCESSED BY: •_s SPECIAL CONDITIONS: TIMERS PROHIBTED FOR HEAT PUMPS. Contractor : T J C HOME BUILDERS LLC CA 92656 VIEJO PKWY #100 ALSO VIEJO, Address : 26B80 ALSO Phone : (949) 481-7026 Con State Lic : 1025507 Lic Expire : 04/3012023 Bus Lic: BT30059037 Bus Lic Expire:05/31/2023 Workers' Compensation Insurance TECHNOLOGY INSURANCE COMPANY Carrier : Policy No : TWC4081048 W. C. Expire: 3/8/2023 Manufacturer : AC PRO Model#: AUD48WW(A-D(U) i hereby affirm under Penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason (a) indicated below by the cheekmark(s) I have placed next to the applicable items) (Section 70 1, 5, Business and Professions Code: Any cityOr county that requires a permit to construct, alter, improve, demolish, or repair any structure, prpr o its Issuance, also requires the applicant for the pennft to file a signed statement that he or sho 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 Professions Code) or hundred dollthat he dollars s is ex she exempt from licensure and the basis for the alleged exemption, Any vi not more than five huolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of I as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 bullt or improved or the purpose of sale). © I, 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 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), 4..t I am exempt from I censure under the Contractors' State License Law for the following reason _ By 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, 1 cannot II sell a structure that I have built as an owner -builder if It has not been constructed in its entirely by licensed contactors. I understand that a copy of the imroapplicable law, Section d—by h the Business and .Professions Code, Is available upon request when this application is submitted or at the following Web site:htt ://www.l @ ) Signature Of Property Owner or Authorized Agent P eginfo.ca.gov/calaw.html. LICENSED CONTRACTOR'S DECLA..RATION Date I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No WORKERS' COMPENSATION Date Contractor Signature NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIWL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO THE COST OF COMPENSATION. DAMAGES. AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'a FEES. hereby affirm under penalty of perjury one Of the following declarations: D 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 ),erformance of the work for which this permit is. issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor whichthis permit is issued. My workers' compensatio isurance carrier and policy number are: zanier _TQGnt V1,DID(yLd lino PolicyNumber,j�nOj-(`g Lame 10 Agent Expiration Date 4'1 2 ]I certify that, in the performance of the work for which this permit is issued, I shall not employ an Phone nto ( 3 tat, if I shp Ad ba;Cme subject to the ' compensation provisions of Section 3700 of he Labor Cpde,ll hell forthwith Comply bw to hose pecome rovisions, onse workers' compensation laws of California,and agre :ipl.ature of ADOliranl herawn t I KLIC UUN LENDING AGENCY - Date it 2 1,5 Z 7 eby affirm under penaly of perjury that there Is a construction lending agency enter's Name for the performance of the work for which this permit is issued (Section 3097, Civil Code). y my signature. below, I certi}y tO each of the following:: Lender's Address I am the property ovrner or authorized tD act on the property owner's behalf. I have read this application and the Information I have provided is correct. I agree trI comply with all applicable city and county ordinances and state laws relating (o building construction. I authorize representatives of this city or county ove-idenfifietl property for inspection purposes. g� Iidure of Property Owner or Aun,..r;woe e__ .. vwnars or Authorized A ent's Name V DECLARATION OF COMPLIANCE wilH CODE OF FEDERAL FOR OFFICE USE ONLY RFG ULATIONS PART 61 OF TITLE 40 ANDate 12 D AC1 1403 MD RULE PERMITExTENDEp t�-=-Q PERMIT FI4JA( Jf Z ex LUtU CERTIFJCATEOF S AS.BESTTO5 N4TIRCATEON tS NOTAPPLiCABLE TO OCCUPANCY ISSUED PROPOSED DEMOLITION