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Home My WebLink AboutH2023-0485 - Permits0477,. City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Mechanical Permit : H2O23-0485 Plan Check No: PC2022-1951 Work Class : Other Issued Date : 0713112023 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 : 1618 HIGHLAND DR Legal Desc : N TR 3800 BILK LOT 7 Description: MECH -INSTALL A/C CONDENSER. TAMPER -RESISTANT CAP REQ'D Owner: JUSTIN MOREHEAD Address : Phone : (949) 394-4515 Applicant: C C C C HEATING & AC INC Address: 606 E LINCOLN AVE ORANGE, CA 92665 Phone : (714) 637-7021 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Contractor : C C C C HEATING & AC INC Address : 606 E LINCOLN AVE ORANGE, CA 92665 Phone : (714) 637-7021 Con State Lid : 451863 Lic Expire : 01/31/2024 Bus Lic : BT30029124 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Carrier : CHUBB INDEMNITY INS CO Policy No : 000071772565 W. C. Expire: 11/11/2023 Fire Hazard Zone : NO Manufacturer : AC PRO Model# : A50A-55HFN1-M Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITION cin OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 item(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, 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 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 not 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 U 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). ❑ I, as owner of the property, 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). 13 1 ant 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 least one year prior to completion of the Improvements covered by this permit, I cannot legalh sell a structure that I have built as an owner -bulkier 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 Professions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.govicalaw.htmi. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of IV; on 3 of the Business and Prof s •ions my tic 's in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: —1 1 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 th aftmance of the work for which this permit is Issued Policy No, wave 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' compensatiot isurence carrier and policy number are: .arner Policy Number Expiration Date lame of Agent Phone # 11 certify that, in the performance of the wor or which ermit 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 ial, 111 should become subject to the rti abon/provisions/of S/LSrn 3700 of the Labor Code, I shall. forthwith comply with those previsions. lignaturs of Applicant,- / // / Dad IECLARATION ftE6At T l)CTIDN LENDINI�GENCY�� hereby affirm under penalty of perjury that there is a construction len ng agency for the performance of the work for which this permit Is issued (Section 3097, rvIl Code). .enders Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act an the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply withall applicable city and county ordinances an a 11W relating to building construction. I authorize representatives of this city or cou to en a ifI property for Inspection purposes. Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name ` Date 7 - ACTION DATE BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFOUlA710N5 PART 6l OF TITLE 40 AND AQMD RULE 1403 PEAMI T EXF"ta f LI I SUBMITTED ASBESTOS NOTIFICATION TO RE FINAL (— rr� �.j i I LJ CS9 STD: NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �� pNOpO5E0 DEMOLITION OCCUPANCYISSUEOUt11 SIGNATURE: