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Home My WebLink AboutH2023-0252 - PermitsO��EWPORT City of Newport Beach A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 >� = Permit Counter Phone: (949) 644-3288 a� Inspection Requests Phone: (949) 644-3255 CgCfGp 0.N�P newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 04/17/2023 Inspection Area : 5 H2O23-0252 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 : 58 TWILIGHT BLUFF Legal Desc : N TR 16431 BLK LOT 4 Description: MECH A/C CHANGE OUT AND FURNACE C/O; TAMPER PROOF CAP AND TIMER REQUIRED Owner: MOSS GEORGE E JR TR G & A MOSS 2008 TR Address: 4630 WORTH ST LOS ANGELES, CA 90063 Phone: Applicant: SADDLEBACK PLUMBING INC Address : 23901 REMME RIDGE LAKE FOREST, CA 92630 Phone: (949)829-0910 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone: X Use Zone : PC - Newport Coast PROCESSED BY SPECIAL CONDITIONS: Contractor : SADDLEBACK PLUMBING INC Address : 23901 REMME RIDGE LAKE FOREST, CA 92630 Phone: (949)829-0910 Con State Lic : 414946 Lic Expire : 01/31/2024 Bus Lic : BT30076374 Bus Lic Expire:08/31/2023 Workers' Compensation Insurance Carrier: PREFERRED+PROFESSIONAL+INSURANCE+COMPANY Policy No: ON1304701 W. C. Expire: 7/1/2023 Fire Hazard Zone : YES Manufacturer: LENNOX Model# : SL28XCV-060 10Ar,024 TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from. the Contractors' State License Law for the reasons) 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 permit to file a signed statement thathe 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 licensureand the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penaity of not more than five hundred dollars ($50D). ❑ I, as owner of the property, or my employees with %Vegas as their sole compensation, will do U all of or (_) portions of the work., and the structure is not: intended proffered 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 "nave the burden of proving that It was not built or Efrovedfor the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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). n I am exempt from licensure under the Contractors' Stale License Law for the following reason: _ By my signature below 1 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, I.cannot legall, sell a structure that I have built as an owner -builder If it has not been constructed In its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code., Is avallable upon request when this application Is submitted or at the following Web site:http:ifwww.leginfo.ca.gov/calaw.htmi. 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 Section 70 ) bf " ' gulp of the Business and Profs pions Co eS dlir)y Ile "e-is-hrf VTforce and effect. License Class License No Date !� _f� CDntractor Signature WORKERS' COMPENSATION DECLARATION. ✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm undnr penalty of perjury one of the following declarations: ve 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 Cods, for th pSO r nca at the wort, for which this permit is issued. Policy No. e 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' compensatioi ns n a carrier and policy number are: iLr _ Policy Number Expiration Date is of Agent _ _ _ _ Phone#_ certify Thal. in th€ performance of the u I should become+ subject to the we o, Applicant ' this permit vetf, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date�O v6 � �23 her=Dy alfi-m under pen; Ity of ^, t there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ender, Name Lender's Address y my signature bslaw. lI 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 ' orrecl. I agree to comply with all applicable city and county ordinanc sand t to laws rel to building construction. I authorize representatives of this city or Founiy to enter the above-iden a operty far Inspection purposes. i nature of Property Owner or Authorized Agent Print Proi Owner's or Authorized A ent's iCTION DATE DY DE OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY IONS PART 61 OF TITLE 40 AND AQMDRULE PERMrr EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATIONTo PERMIT EXTENDED I L-IAQM D PERMITFINAL 1 0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSFO DEMOLITION OCCUPANCY ISSUED SIGNATURE: