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Home My WebLink AboutH2023-0081 - Permits��WPOQT City of Newport Beach Q D @ Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 u� s Permit Counter Phone: (949) 644-3288 .tea.. Inspection Requests Phone: (949) 644-3255 cq[/pope��r newportbeachca.gov/inspections Mechanical Permit : H2O23-OOs1 CheckPlan No 1130-2021 Work Class Issued Date : 02/03/2023 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: 1 HERMITAGE LN Legal Desc : N TR 7223 BLK LOT 91 Description: MECH 4 NEW HEAT PUMPS *TAMPER PROOF CAP REO* Owner: PETER POLOS Address : 2 HERMITAGE LN NEWPORT BEACH, CA 92660 Phone: Applicant: RANCHO VIEJO A/C & HEATING Address: 22596 COTTONWOOD CIR LAKE FOREST, CA 92630 Phone: (949)212-4870 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Rear: 15 Flood Zone : X Use Zone: PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: Contractor : RANCHO VIEJO A/C & HEATING Address : 22596 COTTONWOOD CIR LAKE FOREST, CA 92630 Phone: (949)212-4870 Con State Lie : 745018 Lie Expire : 11/30/2023 Bus Lie: BT30031040 Bus Lie Expire:03/31/2023 Workers' Compensation Insurance Carrier: ACCREDITED SURETY Policy No: 1AUICA160129868000 �^ W. C. Expire: 3/15/2023 NO Manufacturer: AC PRO Model# : AUD36 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 ficensure-and the basis for the alleged exemption. Any violation of Section7031.5 by any applicant for a. 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 notintended 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-Bulldar will have the burden of proving that it was not built of improved 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 apply to an. owner of property %,he builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 9 1 am exempt from ficensure under the Contractors' State 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 least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder If it has not been constructed in its entirely 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:/Iw .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ") o Di ision 3 of the Business and fssns C F d my license is in full force and effect. License Class License. No Dat Contractor Signat WORKERS' COMPENSATION DECLARATION. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG O HOUSAND DOLLARS (410,000), IN ADDITION TO THE COST OF COMPENSATION, OAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN pyrformance of the work for which this permit is. issued. Policy No, have 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' hence carrier and policy number are: 1e of Agent certify that, in the performance of it I should become u fact to the nature of Applicant.) Policy Number Expiration Date Phone tf for which thispermit is issued, I shall not employ any person in any manner so as to become subject to the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. areby affirm under peri(alty ofparjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,,Zi1 Code). idler's Name _ Lender's Address my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners behalf, I have read this application and the information I have provided is corre i agree to comply with all applicable city and county ordinances an laws relating to building. construction. / I authorize representatives of this city or countAo,pnter the abc; -ic hied property for inspection purposes. , ACTION DATE BY I ECLARATON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 RE U LATIONS PART 61 OFTITLF 40 AND AQMD RULE P£RMITfXPIREo PERMiTCANCELLED I s IJ I SUWAITTEOASBE5.G5 NOTIFICATION TO EPA -LTAONi D PERMIT EXTENDED PERMITFINAL ASBESTOS NOTIFICATION Is NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUEO ._ SIGr ATi laws of California, and