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Home My WebLink AboutH2023-0793 - Permits?�WPO,R7- City of Newport Beach Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 926 0 - > = Permit Counter Phone: (949) 718-1888 .�.newportbeachca.gov/civic C9C/FOQ��P III II Mechanical Permit : H2O23-0793 Plan Check No : 1805-2021 Work Class : Other Issued Date : 12/20/2023 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 : 250 COLTON ST Legal Desc : N TR 772 BLK 6 LOT 17 TR 772 LOT 17 BLK 6 ALL (EX Description: MECH INSTL HEAT PUMP @ THE SIDE YARD, TAMPER RESISTANT CAP REO Owner: SCOTT DEFREITAS Address : 250 COLTON ST NEWPORT BEACH, CA 92663 Phone : (949) 355-5084 Applicant : LEYVA ROBERT CONSTR CO Address : 953 UNION AVE COSTA MESA, CA 92627 Phone : (714) 323-5820 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESS Front: 5, Side: 3, Side: 3, Rear: 5 X R-1 - Single -Unit RSaidenfal Contractor : LEYVA ROBERT CONSTR CO Address : 953 UNION AVE COSTA MESA, CA 92627 Phone : (714) 323-5820 Con State Lid : 825124 Lic Expire : 09/30/2025 Bus Lic : BT30078214 Bus Lid Expire:03/31/2024 Workers' Compensation Insurance Carrier : Policy No: CWC00293602 W. C. Expire: 11/10/2024 Fire Hazard Zone : NO Manufacturer : DAIKIN MI del# : 3MXS24RMVJU SPECIAL CONDITION TIMERS PROHIBITED ON HEAT PUMPS OWNER-Bl11LDER 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) (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 the pormit 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 Professions 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 e civil penalty of Tot more than five hundred dollars ($500). ❑ 1, 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, Business and Professions Code: The Contractors' State License Law does not apply to on 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 built Of Improved for 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 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). I ant exempt from licensure under the Contractors' Stale License Law for the following reason: By my signature below f acknowledge that, except for my personal residence In which I must have resided forat least one year prior to completion of the improvements covered by this permit, I.cannot legailt sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ce.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ecti 7000) of vision of the Bus ss and Profe t e, and my license is in full force and effect. LicenseClass License No to �^ Centred r Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS* COMPENSATION COVERAGE IS UNLAWFVL, AND SMALL SUBJECT AN EMPLOYER i ORI MAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DO LARE (b100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following deCiaralions: 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 )mr-ance of the work for which this permit is issued. Policy No. vtheva 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' compensa fiance carrier and policy number are: to of Agent -3,tify that In the if I should Lecrid lalure of Applicant Policy Number Date work for which this. permit Is issued; I shall not employ any person in any manner so as to become subject to the y'�rkers' compensation laws of California, and 'ke* compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with !hose provisions. / reb) affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectio)i 3097, Civil Code) rner s Name _ Lender's Address ,ny signature Ccloa I certify to each of the following: t am the prope, ty owner or authorized to act on the property owner's behalf. :.lave read th s aFN.icalion and the information l have provided is correct. I agree to comply wish all applicable city and county ordinances and state laws relating to building construction. Ltthorize represeTtatives or this city or county to qA�E,Lji(e above -identified property for inspection purposes. Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART fit OF TITLE 40 AND AOMD RULE 1403 FOR OFFICE lISDONIL y ). PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED �E-PA I L_kA LkA WD PERMITRUAL _ \� ESTOS NOITFICRTION 15 N0T APPLICABLE TO �SB CFRTIFCATE OF J PROPOSED DEMOLITION OCCUPANCY ISSUED t SIGNATURE