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Home My WebLink AboutH2024-0191 - Permits��EWPogr City of Newport Beach D @ Community Development Department- Building Division y n° m 100 Civic Center Drive, Newport Beach, CA 92660 ~ fYgi' = Permit Counter Phone: (949) 718-1888 c°��".` `P newportbeachca.gov/civic y?C�FOFN III IIII I II Mecnanlcat Permit Plan WCheck ont G as>: 0o er - Issued Date : 04/0512024 Inspection Area : 4 -H2024-0191 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 : 1147 GRANVILLE DR Legal Desc : N TR 14839 BLK LOT 1 UN 38 TRACT 14839, LOT 1 OF P Description: MECH -CHANGE OUT AC CONDENSER. TAMPER RESISTANT CAP REQUIRED Owner: ALLEN RUSSELL G TR Contractor': NEXGEN A/C INC Address : 1147 GRANVILLE DR NEWPORT BEACH, CA 92660 Address : 5472 EAST LA PALMA AVENUE ANAHEIM, CA 92807 Phone : Phone : (657) 208-1987 Con State Lie: 1011173 Applicant: CECILIA GUTIERREZ Address: 26111 YNEZ RD, C3 TEMECULA, CA 92591 Phone : (877) 600-0123 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 3, Front: 15 Flood Zone : X Use Zone: RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: Lie Expire : 07/31/2025 Bus Lie : BT30055503 Bus Lie Expire:06/30/2024 Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INSURANCE COMPANY Policy No: WC21148830402 W. C. Expire: 10/1/2024 Fire Hazard Zone : NO Manufacturer: AMONA Model# : ASXH504810 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perl!uythat I ant e*erno, train the Contractors' Slate 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 ProfesS.Dnb Cod4: Any city or county th.t requires a permit to construct, alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for To permit to file a signed statement thrt h T or she is li,erscd pirsiant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt Trom licensure and the oasis for the alleged exemption. Any violalien of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I, 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 notintended or offered for sale (Section 7044, tusness and Professions Code' The Co,Nrvoturs" State LiLanse Law d.,es nct apply to an owner of property who, through employees' or personal effort, builds or improves theproperty, provided that the nprovements are not intended or offer-)c' for ;ale. If, howeter, the LUAdirI o- improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 11, 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 pply to an owner of property wtla builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legs ll; ell a structure that I have built as an owner -builder if it has not been constructed to its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:tittp://www.leginfo.ca.govicalaw.html. signature of Property Owner or Authorized Agent Data ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Professia Code and my license is in full farce not effect. License Class CZ-o License No P1-i)l�'? Date /<Zz Contractor Signature ��ry-�� !.-�--�_ VORKERS' COMPENSATION DECLARATION 'ARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 IT ce of the work for which this permit is issued. Policy No. 91 hav 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' compensatior Isu ce airier and policy number arg: airier 4/!'r Sr.Lf y� NYIpE vl Policy Number Expiration Date ame of Agent Phone # certify that, in the performance of the work for 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 if I should become subject sthe workers' compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. ialure of Applicant �..PC �'I�i Data 'I AAATKIN ]iII an1N NCTDII(`Tlf\AI I CIJ.Miir ercAirl� 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 3097, Civil Code), ender's Name Lender's Address ty my signature below, I certify to each of tale 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for Inspection purposes. signature of Property Owner or Authorized Agent �1 ,/I�,/ ,v -�— � Print Prooertv Owner's or Authorized Anent's Nama<- 61. /iT ! /. ',;, ACTION PfR>>rNf EXPIRED PERMIT CANCELLED PERMIT EXTENDED DATE I BY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE. 1403 01 SUBMITTED ASBESTOS NOTIFICATION TO PERIT FINAL lip I I / I U PROPOSED DEMOLITIONNOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF �J `I'/'yjttll/ OCCUPANCY ISSUED r'I �0 f/li SIGNATURE- FOR OFFICE USE ONLY