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Home My WebLink AboutH2023-0770 - PermitsCity of Newport Beach F Community Development Department - Building Division n, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u newportbeachca.gov/civic C9</FA Q�`p Mechanical Permit Plan Check No : Work Class : Other Issued Date : 12/1212023 Inspection Area : B H2O23-0770 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 : 1533 ANTIGUA WAY Legal Desc : N TR 4981 BLK LOT 9 Description: MECH - R/R HEATPUMPS (2). TAMPER RESISTANT CAP REQUIRED Owner: PAULJONES Address : 1533 ANTIGUA WAY NEWPORT BEACH, CA 92660 Phone: (214)403-8313 Applicant: SEASIDE A/C AND HEATING Address : 32959 CALLE PERFECTO, C SAN JUAN CAPISTRANO, CA 92675 Phone: (949)496-3639 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: M SPECIAL CONDITIONS: Contractor : SEASIDE A/C AND HEATING Address : 32959 CALLE PERFECTO, C SAN JUAN CAPISTRANO, CA 92675 Phone: (949)496-3639 Con State Lie : 736214 Lie Expire : 08/31/2024 Bus Lie: BT30018420 Bus Lie Expire: 01 /31/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WVE5049609 W. C. Expire; 7/21/2024 Manufacturer: AC PRO Model#: AUD60W/A-D(U) OWNER -BUILDER DECLARATION I hereby affiml 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 taints) ;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 Contractor; 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).. ❑ 1, 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 employeesor 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 sate). El 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 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). ❑ 1 am exempt from luensure under the Contractors' State License Lew for the following reason: _ _ By 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 legall, sell 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 Professions Code, Is available upon request when this application Is submitted or at the following INeb site:http:dwww.legfnfo.ca..gov/calaw,htmi. Signature of Property Owner or AuthorizedAgent ^� Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o s�'pn D v63 of the Business and Profess' s Code • in,1S full�ce and effect. License Class License No D-.-, l�' Z / Contractor Signature iJ WORKERS' COMPENSATION DECLARATION L NARNING: 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 t$100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, ANO 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 lerfor rice of the work for which this permit is issued. Policy No. Raand 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' compensatioi nsurance carrier and policy number are: ;arrier Policy Number Expiration Date Jame of Agent Phone # -1I certify that. in the performance of the we or whi h this permit is issued. I shall not employ any person in any manner so as to become subject 10 the workers compensation laws of California, and agre hat, if I should become subject. to the w vl n provisions of Section 3700 of the Labor Code, I shall . forthwith comply With those provisions. 9 y Signature of Applicant Date DECLARATION REGAR G CtlNST T tlN LENDING AGENCY T� 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). -Sheens Name _ - Lender's Address belo_ 3y my signature w. I carTfy 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.. agree to comply with all applicable city and county ordinances ands,jai relating to building construction. I authorize representatives of this city or county to nter the a I property for inspection purposes. sI 3i ,nature of Property Owner or Authorized A ent Print Property Owner's or Authorized A en Ps Name l /� Dale ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGUTATION5 PART 51 OF TITLE 40 AND. AQMD RULE 1403 PERVi tf EXWREI7 LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMLT CANCELi.ED 1:11 PER IT£XTEIVOEO IZAQMLI PERNIITFINAL T // l' -- O ASBESTOSN01 IFICATION IS NOT APPLICABLE TO OCCUIPANCYI/ OSSUED 3 �T �� I SIGNATURE