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Home My WebLink AboutH2024-0031 - PermitsQ ��WPO�T City of Newport Beach 0 @ Community Development Department- Building Division F ,• 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 r newportbeachca.gov/civic Cq�/�FO QN`P Mechanical Permit : H2O24-0031 Plan Check No: QG Zo L2 W& it 1 Work Class : Other Issued Date : 01/22/2024 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 (N) AC CONDENSER & RELOCATE FURNACE TO ATTIC 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: I l SPECIAL CONDITIONS: Fire Hazard Zone c ;r, prat r•'^-- �-�,-�-�r�*� r-g Contractor : GROUND TO GABLE INC Address : 23151 ALCALDE STE C-8 LAGUNA HILLS, CA 92653 Phone : (949) 395-8333 Con State Lic : 888721 Lic Expire : 12131/2024 Bus Lic : BT30080636 Bus Lic Expire:02/29/2024 Workers' Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No : 7600020526231 W. C. Expire: 6/1/2024 NO Manufacturer: AC PRO Model#: ADVA-36C NI-M152L 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 Coda: 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 that he or she is Ilcensed 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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). 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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). ❑ 1 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 feast one year prior to completion of the improvements covered by this permit, I.cannot legal! sell 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 Professions 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 Data f LICENSED CONTRACTOR'S DECLARATION M I hereby affirm under penalty of perjury that I am Ilcensed under provisions of Chapter 9 (commencing with Section 7000} 0—f (r5�rt of the Business and Profe ens Coe -pnd rpy jcense is in full force and effect. License Class License. No Date % r �L 65 Contractor Signature +�-,/-.r-� COMPENSATION DECLARATION ING: FArLURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI01 i, IN AODnION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty 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 3700 of the Labor Code, for 'ormance of the work. for which this permit is. issued. Policy No., 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' carrier and policy number are: is of Agent certify that, in the performan�te of the if I should become subieal I the wo of Applicant Policy Number Date 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 nper}s,ofon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under penalty of perjury thatthere Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 enders Name Lender's Address _ ly my signature below, I certify to each of the following; I am the property owner or authorized to out on the property owners behalf. I have read this application and the information I have provided is correct. ( I agree to comply with all applicable city and county ordin ces aI Q state ws relating to building construction. I authorize representatives or this city or county to enterltthe abo�dentlfl, d property for inspection purposes. ` innature of Prooerty Owner or Authorized Aaent j RRiw%d j' a 'J_ Print Procarty Owner's or Authorized Agents Name .° r' i Civil Code). ACTION DATE RY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i` Rf.GOLATIONS PART 51 OFTITLE 40 ANDAQMD ROLE 1403 PERMIT EXPIRED 5URMITFFO ASRFSTOS NOTIFICATION TO PERMIT CANCEUI0 C—PA PERrMiT EXTENL+FD i — —r LIA4MD _ NOTIFICATION 15 NOT APPLICABLE TO PERMITFINAL CERTIFICATE OF J �1 \t PROPOSED OEMCLITION OCCUPANCY ISSUED SIGAsBEsTOS