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Home My WebLink AboutH2023-0196 - PermitsCity of Newport Beach III I I I II I III II III I II II Mechanical Permit : H2O23-0196 Community Development Department- Building Division j> y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0242-2022 t, Permit Counter Phone: (949) 644-3288 Work Class : Other r1 Inspection Requests Phone: (949) 644-3255 Issued Date : 03/23/2023 C'4i1FOPt»P newportbeachce.gov/inspections Inspection Area :6 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 : 717 POINSETTIA AVE Legal Desc : A TR CORONA DEL MAR BLK 742 LOT 17 Description: MECH -INSTALL 2 ROOF DECK HEAT PUMPS. TAMPER -RESISTANT CAPS REQ'D Owner: LA21GLLC Address : 26880 ALISO VIEJO PKWY, STE 200 ALISO VIEJO, CA 92656 Phone: (949)463-1328 Applicant Address Phone: NELLIE MONTEJANO 26880 ALISO VIEJO PKWY, STE 200 ALISO VIEJO, CA 92656 (949)669-5118 Workers' Compensation Insurance � f f 4 R iF;1� ON NOIS Carrier: TECHNOLOGY INS CO INC ?'`aQ Policy No: 'y�� 7,1.lc' � /,��✓ , W. C. Expire: 31 t2024} 2019 Zon�PJ-OUP ON THE \NE�YFLi9 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 .�. % Flood Zone : X Use Zone : R-2 -Two-Unit Residential SPECIAL CONDITIONS: Contractor : TJC HOME BUILDERS LLC Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups : PROCESSED BY Address : 26880 ALISO VIEJO PKWY 4100 ALISO VIEJO, CA 92656 Phone : (949) 481-7026 Con State Lic : 1025507 Lic Expire : 04/30/2023 Bus Lic: BT30059037 Bus Lic Expire:05/31/2023 vm✓l....u-_-�J...�..�ie Manufacturer: DAIKIN Model#: RXT048TAVJU OWNER -BUILDER DECLARATION I hereby affirm underpenally'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 applicableitem(s) 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 io permit to file a signed statement thathe or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7081.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 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 not intended or offered for sale (Section 7044, iusinesS and Professions Code: The Contractors' State Lleense Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rimovements 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). 1 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 pply 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reasons y 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 beenconstructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Tofessions Code, is available upon request when this application is submitted or at the following Web site:http:Uwww'.leginfo.ca..gov/calaw.html.. 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 Section s`d r�of the Business and Prof slohco e ce s I in full force Ind effect. License Class License No Date Contractor Signaiur JORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 001 1 ARS 15100.000), I OMION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Trance 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 Dale certify that, in the battle nce oft a ork for wl i i It's p i issued'., I shall not employ any person in any manner so as to become subject to the workers' compens laws If California, and agre t, If 1 should become su a 1 th efs' win ' s o p •ions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. I(C�/yJ r>I, nature of Appliica t Diftj CLARATION RE DING CONSTRUCTION LENDING EN Ireby affirm under penalty of perjury that there is a ccnstructl nding agency for the performance of the work for which this permit is issued'. (Section 3097, Civil Code). criers 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 owner's behalf. I have read this application and the information I have provided is correct.. I agree to comply with all applicable city and county ordina es Arid s to lawKlyng !o building consUuciion.I authorize representatives of this city or county to ih b(/,/��' e-Id fpdar insRection purposes.(t 1///�1/'nature of Prooertu Owner nr Aurhnri,nd Anent ✓ 1 /1p..,,i o�.., , n,.,.. o.. ,,, e.,rh....-,on n..�.,✓.. n 1 VY / I ACTION PERMIT EXPIRE) PFPVTJ F EXTEND€D PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUE) DECLARATION OF COMPLFANCS WYH CODE OF FEDERAL FOR REGULATIONS PART fit OF TITLE 40 AND AOMD RU LE 1403 15UBMITTED OSBESli NOTIFICATION TO CPA .SSBA t1D� TOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION