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Home My WebLink AboutH2024-0029 - Permits (2)City of Newport Beach III II I III I II Il+l II I III II Mechanical Permit : H2024-0029 04 i Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (940) 718-1888 Work Class : Other u e� newportbeachca.gov/civic - ^^-'-- --, Issued Date: 01/19/2024 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LA,STVALID 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: 1301 BAYSIDE DR Legal Desc : N TR 8917 BLK LOT 1 UN 101 TR 8917 LOT 1 UNIT 101 Description: MECH R/R FAU & ROOF MOUNTED A/C "TAMPER RESISTANT CAPS REQUIRED" Owner: WENDY ALLEN Address : 1195 S OAK KNOLL AVE PASADENA, CA 91106 Phone: (626) 665-0713 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : AE, 8 FT; X Use Zone : RM - Multiple Residential PROCESSED BY: 6S SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : HG HOME SERVICES Address : 1501 WESTCLIFF DR NEWPORT BEACH, CA 92660 Phone: (949)877-2821 Con State Lic : 1077757 Lic Expire : 07/31/2025 Bus Lic : BT300768818 Bus Lic Expire:02/28/2024 Workers' Compensation Insurance Carrier: CLEAR SPRING PROP & CASUALTY CO Policy No: CWCOD016801 W. C. Expire : 6/16/2024 Manufacturer: AC PRO Model# : AULD60W2/A-D(U) I hereby affirm under penalty of perjury that t am exempt from the Contractors' State License Law for the reasan(s) indicated below by the chackmark(s) I have placed next to the applicable iter l (Section 7031.5, Business and Professions Code: Any city or county that requlres a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for the permit to idle a signed statement that he or she is licensed pursuant to the provisions or the Contractors' State 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 forapermit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 13 1, as owner of the property, or my employees with wages as their sole compensation, will do [_) all of or (_) 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 r—m�roved for the purpose of sale). LJ 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 licensors 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 residedfor 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-huildor 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:httpafwww.leginfo.ca.gov/calaw.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 7o F ITS 3 of the Business and Profs � ' ae-Co my license is In full force .and effect. License Class License No Date L Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUND oUSAND DOLLARS i$100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 IN performance 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' ranee carrier and policy number are: Policy Number Expiration Date lame of Agent Phone # 3 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 become subject to the workers' compensation laws of California., and agree Tat, if I should become subject to the workers' compensation provision, l'-&s. Lion $700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant pate�l IECLARATIONON REREGARDING S` 1'I -..LADING AGENCY hereby affirm under penal parju [hare is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cade), enders Name Lenders Address By my signature bete to each of the following: I am the properly owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply wi'h all applicable city and county crdinenc and state laws relating to building construction. I auK.orize representatives of this city or county to Qatglhe abo ve-identified or inspection purposes. S,gnaluru of Pro chy O,-,ner or Authorized Anon[ Print Property Owner's or Authorized Ag ACTION DATE BY DEC - ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GWATI ONS PART 61. OF TITLE. 40 AND AQMD RULE ao3 .;fAh:C fXPIRED —FI �S�IU'�-BM'-ITTED ASBESTOS NOTIFICATION TO Pr_Ahd,-CANCELCEfl iI-__-IrEI'A — W PchAld FXTENDE'D IMQMD °tYMlr INAL. 0V4Z9/,Zq JX .f`O�,❑ASBESIOSNOiIF1CATIQNISNQIAPPLICABLE rU - CERTIFILATEOF j PROPOSED DEMOLITION GCCJ.?.LACY i$SUED KK SIGNATURE: Date