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Home My WebLink AboutH2023-0391 - PermitsoRT City of Newport Beach 0� @ Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 ~ Permit Courier Phc (949) 718-1888 newportbeachca.gov/civic �9tiF0 RN�.A' Mechanical Permit : H2O23-0391 Plan Check No: PC2022-2381 Work Class: New Issued Date : 06/14/2023 Inspection Area : 4 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: 421 VISTA ROMA Legal Desc : N TR 6996 BLK LOT 55 Description: MECH INSTL HEAT PUMP AT THE REAR YARD *TAMPER RESISTANT CAP REQ* Owner: VISTA ROMA LLC Address : 1807 PORT TIFFIN PL NEWPORT BEACH, CA 92660 Phone: (949)500-6546 Applicant: GROUND TO GABLE INC Address: 23151 ALCALDE STE C-8 LAGUNA HILLS, CA 92653 Phone: (949)395-8333 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks : Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : GROUND TO GABLE INC Address : 23151 ALCALDE STE C-8 LAGUNA HILLS, CA 92653 Phone: (949)395-8333 Con State Lie : 888721 Lie Expire : 12/31/2024 Bus Lie: BT30080636 Bus Lie Expire:02/29/2024 Workers' Compensation Insurance Carrier: EVEREST PREMIER INS CO , Policy No: 7600020526231 W. C. Expire: 6/1/2024 Manufacturer: LG , Model# : LA180HSV5 1MERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors` Slate License Law for the reasons) indicated below by the checkmark(s) I have place next to the applicable -Items) Section T031.5, 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 he 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 717100) of Pivision 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 7031.6 by any applicant for a permit subjects the applicant to a civil ponafty of lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, Will do L) all of or L) portions of the work, and the structure Is notintended or offered for sale. (Section 7044, Iusiness 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 theproperty, provide that the mprovements 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 m roved 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' Stale License Law does not Ippty 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 am exempt from 6censure under the Contractors' State License Law for the following reason 3y my signature below t acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the Improvementscovered by this permit I cannot lega% yell a structure that I have built as an owner -builder if It has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rrofessions Code, is available upon request when this application Is submitted of at the following Web site:htlp:Hmvw.leginfo.ca.govlcafaw.htmi. signature of Property Owner or Authorized Agent Date _ -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am Ucensed under provisions of Chapter 9 (commencing with Sectid0 710 0) f Divi 'on 3 of the Bus nd Profes ns C , an y license is in full force Ind effect. License Class License No Dat Contractor Ignature R'ORKERS' 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 THOUSAND DOLLARS ($100.000). IN ADDITION TO THE :DST OF COMPENSA. IB1„ aAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY's FEES. nrlrsh^ affirm unCr.r ponally of perjury one of the following declarations: 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 37GO of the Labor Code, for Ili r 4c fans. ice of the workfor which this permit is Issued. Poltcy No. d ava and wilt T37.icin 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' compensafoi tdnce carrier and policy number are SET Policy Number Expiration Date in of agent Phone # .rxllfy that, in the performance of the woNfor which 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 R I should t�m. skpisEct to t rkerS'Icompensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. J /� ialure of AOpti 'nt y 111 o OU1102 __ __.___ D h" 1 - r—a3 areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permitis issued (Section 3097, Civil Code). rders Name Lenders Address 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 with all applicable city and county o1111II''''''rdinanc and at a laws reI , to building. construction. I authorize representatives of this city or county to er the b vedd ifed property for inspection purposes. nalure of Property Owner or Authorized nt 'LNt Print Property Owner's or Authorized Aggtfs. Name k DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL � FOROFFICEUSE. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXprRED I .j-. I IJ I SURMITTFO PERMITEXTENDED L IAQMD PERMITEINAL 14� ^q '` ^ I PROPOSED DEMOLIT10NlON15 NOT APPLICABLE TO CERTIFICATEOf L"1 1