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Home My WebLink AboutH2024-0187 - Permits"�EWPORT City of Newport Beach III I I I II I I II II III II I II II Mechanical Permit : H2O24-018% C4 A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3170 Permit Counter Phone: (949) 718-1888 Work Class : Other S newportbeachca.gov/civic Issued Date: 04102/2024 C9�/FO0.N�p Inspection Area : 3 mmm 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 : 1915 SANTIAGO DR Legal Desc : N TR 4709 BLK LOT 6 Description: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* Owner: MICHAEL KANE FAMILY TR Address : 1915 SANTIAGO DR NEWPORT BEACH, CA 92660 Phone : (949) 246-4817 Applicant: AUDRICHCORDOVA Address: 8101 SAN HERON CIR BUENA PARK, CA 90620 Phone: (714)471-5977 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Contractor : JAMES R STEWARD Address : 6752 LAURELTON AVE GARDEN GROVE, CA 92845 Phone: (714)943-3230 Con State Lic: 1004538 Lic Expire : 06/30/2025 Bus Lic: BT30055371 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INS CO INC Policy No: TWC4357103 W. C. Expire: 1/1/2025 Manufacturer : DAIKIN Model# : RXB09B 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 rem(s) Section 7031.5, Business and. Profession$ 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 'rofesslons Code) or that he or she is exempt from hGensure 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 more than five hundred dollars I$500). 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all Of or C_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness and Professions Cade: 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 nprovements are not intended or offered for sale. If, however, the budding or improvement is sold within oneyear of completion. the Owner -Builder will have the burden of proving that it was not built or nproved 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 poly 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 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 most have resided for at least one year prior to completion of the improvements covered by this permit, I.cannot legally ell a structure that I have built as an owner -builder if it has not been. constructed In its entirety 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 at at the following Web site:http:l/www.leginfo.ca.govlcalaw.htmi, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectic, 7 00 of Divisio 3 of the Business and Pro 'ons Code,. and my license Is in full force nd effect. License Class License No Date Z -Z Contractor Signature t'ORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI00,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION a706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I 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: 2 cln,nel�e}I,/ =^S&Y u� Cc. Policy. Number T C057/03 Expiration Date ��— �)' 25 of Agent I 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 became subject to the workers' compensation laws of California., and agree t, if I should becon a object to the rkars' mpensation provisions or Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. �I nature of Applicant Date y'Z- CLARATION REGA G CONSTRUCTION LENDING AGENCY areby affirm under p nasty perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, 1 1 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 coo ,-'y with all applicable city and county ordinances and state laws relating to building construction. I authorize re„^•es mlatwes of this city or coun� �(%, enter thee th ove-identified property for inspection purposes. rI / I%%�^ retie of Prnre t'/ Owner or Authorized, X � Print Prooertv Owner's or Authorized Anenm t's Nawj( ~ /, � w ACTION DATE BY ✓ 04CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGUTATIONS PART fit OF TITLE 40 AND AQMD RULE 1408 P;RMIr FXP1RED U I SUBMITTED ASBESTOS NOTIFICATION TO PERrMII"CANCEUE'I _ EPA PERMIT SXTENDEE __ QMD PERMIT FINAL 9 f.% M ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO EPTWWITE OF AAA^ -PROPOSED DEMOLITION L)CCUPANCYISSUE7 SIGNATURE: