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Home My WebLink AboutH2023-0674 - Permits�WpoRT City of Newport Beach p 6 Community Development Department - Building Division > r 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 718-1888 V�a.� newportbeachca.gov/civic C �P 9<I FORN Mechanical Permit Plan Check No : Work Class : Other Issued Date: 1011912023 Inspection Area : 4 H2O23-0674 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: 41 OCEAN VISTA Legal Desc : N TR 9676 BILK LOT 5 UN 39 TR 9676 LOT 5 UNIT 39 OF Description: MECH R/R A/C UNIT AT REAR. R/R FURNACE & COIL **TAMPER RESISTANT CAPS & TIMER REQUIRED** Owner: HAMILTON NOEL D TR Address : 41 OCEAN VIS 440 NEWPORT BEACH, CA 92660 Phone : Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder Address Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone : PC - Sea Island Apartments PROCESSED BY SPECIAL CONDITIONS: Contractor : HOME COMFORT USA HEATING & COOLING Address : 1120 N TUSTIN AV ANAHEIM, CA 92807 Phone: (714)632-8789 Con State Lie: 1106323 Lie Expire : 06/30/2025 Bus Lie: BT30082061 Bus Lie Expire: 07/31/2024 Workers' Compensation Insurance Carrier : LIBERTY MUTUAL FIRE INS CO Policy No: EB2C51292549063 W. C. Expire: 4/1/2024 Manufacturer: LENNOX Model#: ML17XCI-036 TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState 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 Thal requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Ire permit 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 applicantto a civil penalty of Tot more than five hundred dollars 5500), 1, as owner of the property, or my employees with wages as their sole compensation,: will do t_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Proressions 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 nnprovements 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 reproved 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 spply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law), J I am exempt from licensure under the Contractors' Slate 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 legally 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 theta 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:// w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty or perjury that I um licensed under provisions of Chapter 9 (commencing with Section 70 0 G D' ' of the Business and Professions � nd my license is in full force and affect. License Class License No Date Contractor S g iatura WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H USAND DOLLARS (5100,000), IN ADDITION TO THE C05T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under panalty of perjury one of the following declarations: ❑ I have and will maintain a certificate or 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 thr performance 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 work for which this permit is issued. My workers' compensatiol Trance carrier and policy number are. Tier Policy Number Expiration Date na of Agent _ Phone 0 certify that. T t. c performance of th •ork for which this I is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lair w�alifomia, and ogre If sM1ould' e r Ie subject to the orkers comps Ion provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. r —1 intone of ApplicantDate__„„, C LARATION REG:,RDING CONST ION LENDING AGENCY ee7y affirm under renal f .that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ,ner's Name __ _ Lender's Address n,y slgnatLla bLlov., rtify Lo each of the followfng7- am the property owner or authorized to act on the property Lave read this application and the lot rmation I have ro I -gree to 11 comfy with all applicable City and countyAr an ' 'uthorize representatives of this city or county to e state laws relating to building construction. lentified properly for ingpprption purposes. ACTION DATE BY —___U.C4rnATION OF COMPLIANCE WITH CODE OF FEDERAL RFG'ULATIONS PART 61, OFTITLE40 AND AQMDRULE 1403 PFRMIT EXPIRED I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAATE 1 I � I PROPOSED DE O L DEMOLITION 10N I5 NOT AVPLICABLE f0 CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATUREI FOR OFFICE USE ONLY Name Date 10