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Home My WebLink AboutH2022-0533 - PermitsSEW PO2T City of Newport Beach III I I I III II I II IIII II II II Q4. @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t1 Permit Counter Phone: (949) 644-3288 U Inspection Requests Phone: (949) 644-3255 cq[.[FopN�P newportbeachca.gov/inspections Mechanical Permit : H2O22-0533 Plan Check No : 2549-2021 Work Class : Other Issued Date: Inspection Area: 2 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: 2571 CRESTVIEW DR Description : MECH - R/R 2 F.A.U.s Legal Desc : N TR 1140 BILK LOT 56 Owner: ALEX ROOT Address : 2571 CRESTVIEW DR NEWPORT BEACH, CA 92663 Phone : Applicant: ROHAN & SONS INC Address: 244 CALLE PINTORESCO SAN CLEMENTE, CA 92673 Phone: (949)492-1361 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Front: 10, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone Contractor : ROHAN & SONS INC Address : 244 CALLE PINTORESCO SAN CLEMENTE, CA 92673 Phone: (949)492-1361 Con State Lic : 461076 Lic Expire : 08/31/2024 Bus Lic: BT00016541 Bus Lic Expire:07/31/2023 Workers' Compensation Insurance Carrier : SIRIUS AMERICA INS CO Policy No: WC8577500 W. C. Expire: 1/1/2023 NO Manufacturer Model# .01 LDER 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 structurel. prior to its issuance, also requires the applicant for the 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 iicensure and the basis for the alleged exemption. Anyviolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not 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 (_) 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 built or 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 bulids or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 11 1 am exempt from lcensure under the Contractors' Slate License Lawfor 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, i cannot legall; sell a structure that 1 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 la action 7 4 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/lwww.leglnfo.ca.govicalaw,html. Signalure of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I herebv affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) o Division of the Business and Pr fe to Code, my license is in full force and effect. License Class License No Da Contractor Signatu a WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL NALT19S AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE., INTEREST, AND ATTORNEYS FEES. affirm under penalty of perjury one of the following declarations: 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 stance of the work for which this permit is issued. Policy No. and will maintain workers' car carrier and policy nyllwkier are: is of Agent _ insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Policy Number Date JI certify that, in the performanN o the work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre mat, If I should become su ect to coo rs cam er ion visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant _ _ �„,,,�,F„�,.,_M _ _ Dat IECLARATION REGA iN CONSTRUCTION LEN G AGENCY _ 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 34 7, coil Code). enders Name _ Lender's Address ly my signature below, I certify to each of the following" — I am the property owner or authorized to act on the pro e. y own s behalf, I have read this application and the information I have r vided I orrect.. I agree to comply withall applicable city and county ar anoIt state laws relating to building construction. I authorize representatives of this city or coun`t�to ent the senlifled property for inspection purposes.ignature of Property Owner or Authorized Agent y not Prooertv Ownei s or Authorized Aaent'a Name ACTION DATE BYV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V RFGULATIONS PART 51 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED El I SUBIVI ASBESTOS NOTIFICATION To PERMIT CANCEttEo EIEPA. PF,Rt41T EXJ°NDED � L_JHRMD ' PERMrTFINAL DVS ❑ASBESTOS NOTIFICATION 15 NDI APPLICABLE TO CERTIFICATE OSSUED NLQ S.GNATURE-EMOLITION OCCUPANCYl