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Home My WebLink AboutH2023-0298 - PermitsSEW PO/tT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 >+' ¢ Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic 9ClFO FN II II I II Mechanical Permit : H2O23-0298 Plan Check No : 1698-2022 Work Class : Other Issued Date : 05/04/2023 Inspection Area :3 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 : 376 VISTA BAYA Legal Desc : N TR 2609 BLK LOT 5 Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: SAM & BRENTON LOVE Address : 376 VISTA BAYA NEWPORT BEACH, CA Phone : Applicant: WELL DONE BUILDING & DESIGN Address: 8576 HAMILTON AVE HUNTINGTON BEACH, CA 92647 Phone: (714)421-8853 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone : X Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Contractor : WELL DONE BUILDING & DESIGN Address : 8576 HAMILTON AVE HUNTINGTON BEACH, CA 92647 Phone: (714)421-8853 Con State Lie : 1040701 Lie Expire : 06/30/2024 Bus Lie: BT30074930 Bus Lie Expire:04/30/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9329091 W. C. Expire: 9/24/2023 Manufacturer : AC PRO Model# : AUD60W 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 is permit to Me 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 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7C31.5 by any applicant fora permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property,or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work., and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Coder 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or Tlproved for the purpose of sale). ,1 i, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors` Stale License Law does not Ippty to an owner of property "fie 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 lcensure under the Contractors' State License Law for the following reason: iy my signature below I. acknowledge that, exceptfor my personal residence in which I must have resided for at leastone year prior to completion of the Improvements covered by this permit, I cannot legal all a structure that I have built as on owner -builder if it has not boon Constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessfons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of M ion 3 of the Business and Pr a lion b m license is in ful or Ind effect. License Class License No Date S k Z7 Contractor Signatur VORKERS' COMPENSATION DECLARATION rARHING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL PINES. UP TO ONE HUNDRE THOUSAND DOLLARS (5100,000), IN ADDITION TO TH IOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY-3 FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 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 if i9rformance of the work for which this permit is issued. Policy No. and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior surance carrier and policy number are: Carrier Policy Number Expiration Date Name. of Agent Phone H ❑I certify that, in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the workerstigompansetion laws of California, and agree that, it I should Deco Tf subjec 8 th work a Ion provisions o in3700 of the Labor Code, I shall forthwith comply W th those provisions. Signature of Applica Date 51yeo DECLARATION RE G 1NG CO TION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivi Code). Lenders Name Lender's Address _ By 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 withall applicable city and c ity ordinances and state laws relating to building. construction. I authorize representatives of this city or count enter a ab inspection purposes, Signature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name &CAII - ate JV 4 8 ACTION I DATE 6Y [ OE RATP.ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( REGULATIONS PART b1 OF TITLE 40 AND AQI RULE PERMITFXPIRFD IF LJ I hUBMI,TFO A5BF,,,TO5 NCTIFICD,T:CN TC '—n PA L LAQ04 n PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE Or ILL z17 r�L PROPOSED DEMOLITION OCCUPANCY ISSUED 10 I 6 / (-"� SIGNATULE: