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Home My WebLink AboutH2023-0410 - Permits�a WNoRT City of Newport Beach }d Community Development Department - Building Division Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic III I I I II I III II II III I II II Mechanical Permit : H2023-0410 Plan wCheck O he PC2022-1879 Work C Issued Date : Inspection Area : 8 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: 2322 MARGARET DR Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 28 NEWPORT HEIGHTS LOT 28 SELY 80 FT NWLY 130 FT Description: MECH 2 NEW HEAT PUMPS *TAMPER PROOF CAP REQ* Owner: LA21 G LLC Address : 26880 ALISO VIEJO PKWY, 200 ALISO VIEJO, CA 92656 Phone : (949) 463-1328 Applicant: THOMAS JAMES HOMES Address : 26880 ALISO VIEJO PRKWY, Suite 100 ALISO VIEJO, CA 92629 Phone: (949)669-3748 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : THOMAS JAMES HOMES Address : 26880 ALISO VIEJO PRKWY, Suite 100 ALSO VIEJO, CA 92629 Phone : (949) 669-3748 Con State Lic : 1025507 Lic Expire : 04/30/2025 Bus Lic : BT30059037 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INS CO Policy No : TWC4227597 W. C. Expire: 3/1/2024 NO Manufacturer: AC PRO Model# : AUD48 „� OWNER -BUILDER DECLARATION 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 structure, prior to its Issuance, also requires the applicant for is 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 'rofessioris Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of morethanfive hundred dollars ($500). 3 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 not intended oroffered for sale (Section 7044, lusiness 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 properly, provided that the nprovements 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 nproved for the purpose of sale). 3 1, 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 ty 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). J I am exempt from rcensure under the Contractors' State License Law fat the fallowing reason: Iy 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 ell a structure that I have built as an owner -builder if it has not been constructed in itsentirely by licensed contractors. ! understand that a copy of the applicable law, Section 7044 of fhe Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http://wnvw:leginfo.ca..gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION �y�g� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7VhJ "i�[75the Business and Pr ssfo d a�/9/,'�imy ll is' full force ntl effect. License Class License. No Dat f/dr 1 v J Contractor Siqnalur ,Y COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$r00,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'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 the erformance 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: Policy Number of Agent Date JI certify that, in the performange of thepi for which this pe 1 ssued, I shall not employ any person in any manner so as to become subject to the works ' wmpensatlo laws of California, and tat, If I should becomKSralty the r a ' comp $ rovi One of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. ignalure of Applicant Da 1ECLARATION REGALCONSTRUCTION LENDING AGE CY hereby affirm under pperjury lhatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).. enders Name Lenders Address y my signature below, I certify to each of the followings I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information f have provided is correct. I agree to comply with all applicable city and county o dfnanc and sta { relating to building construction. e I authorize representatives of this city or cou,'yx`.q,rDen r the �,�fry,9�'vr�jl-Ida,%�j.LLied rpperty for inspection purposes. A,, • p1 _ /y ionature of Pronertv Owner or Authorized Auent l St -F rl r/ d . /L' Print Prooerty Owner's or Authorized Anent's Nonill �V Q� v(/ 1" I7WfTT/1�`id Nate 6WO ACTION DATE. 6Y 1 / "B.�LARATION OF COPAPtIAN WITH CODE OF FEDERAL fOR OFFICE USE ONLY V REGULATIONS PART61 OF TI 40AND AQMD RULE V 1403 PERMIT EXPIRED URWITTED ASBESTOS NOTIFICATION TO PERMITCANCELEED pA PERMIT EXTENDED �A QMD TION15 NOT APPLICABLE TO CERTIFICATEOF /// { PROPOSED DEMOLITION OCCUPANCY ISSUED