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Home My WebLink AboutH2023-0514 - PermitstiW o,r City of Newport Beach III I I I II I III II IIII I I II II Mechanical Permit : H2O23-0514 of Community Development Department- Building Division w y. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No ^ Permit Counter Phone: (949) 718-1888 Work Class : Other u newportbeachca.gov/civic Issued Date : 08/14/2023 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 : 1020 SEA LN Legal Desc : N TR 2202 BLK LOT 4 Description: MECH -NEW HEAT PUMP. TAMPER RESISTANT CAP REQUIRED Owner: JAY JON C TR SIMONS R JAY FAMILY TR Address : 1020 SEA LN CORONA DEL MAR, CA 92625 Phone: (818)298-0156 Applicant: DEWALD BEZUIDENHOUT Address : 87 VERMILLION IRVINE, CA 92603 Phone: (949) 649-9447 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 SPECIAL CONDITIONS: Contractor : ENLIGHTENMENT INC Address : 26985 DURANGO LN MISSION VIEJO. CA 92691 Phone: (714)726-3305 Con State Lie : 833817 Lie Expire : 03/31/2025 Bus Lie: BT30056260 Bus Lie Expire:02/28/2024 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INSURANCE COMPANY Policy No : SWC1402665 W. C. Expire: 9/16/2024 Manufacturer: SAMSUNG Model# : AR12TSFYBWKNCV DECLARATION I hereby affiml under penalty of perjury that I am exempt from the Contractors' Slate 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, Eller, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for me permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chaptar 9 (commencing with Section 7000) of Division 3 of the Business and Irofesslons 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lustiness 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 nprovements 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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct (he project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply 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). I am exempt from licensure under the Contractors' Slate License Law for [he following reason. ey 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 Isgall� all a structure that I have built as an owner-buildar 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:flw .leginfo.ca.gov/calaw.html. ilgnature of Property Owner or Authorized Agent -_-_ueteA ACENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f Di yS� 3 of the Business and Profes on d my license is in full force rid effect. License Class License. No Date 4 L Contractor Signature JORKERS' COMPENSATION DECLARATION ARMING. FAILURE TO SECURE WOR8E145' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAN DOLLARS ($100,000), IN ADDITION TO THE OST 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: I 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 th EiTormance 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 Cade. for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date as of Agent LII certify that. in the peN�,N"G' 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 agre that, if i should becomethe workers compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. 1 DIECaLARATION ture of Applicant NSTRUCTION LEND --Date,NG AGENCY - hereby affirm under perjury that there is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code). Lenders Name Lender's Address By my signature bafow, certlty to each of the following: T - '— I am life ad this owner or and the In to art on the p vi owner's behalf. I have read this application and the Information I he v rovidetl is correct. I agree to comply with all s ofapplicable city cloy and t nhe ab and slats laws relating to building construction. f authorize representatives of this aty or count to a the above -Identified property for inspection purposes. Signature of Pnofim erly Owner or Authorized Agent Print Property Owners or Authorized Auent s Nae ^ naia ACTION DATE BY t LARATION OF C CE %,VITH CODE OF FEDERAL R.,G UTATIONS PART el OF TITLE. 40 AND AQMD RUI.F 1403 FOR OFFICE USE ONLY PERMIT E'XWRED LJ ISUBMITTF,D A58E5TOS NOTIFICATION TO PERMIT CANCILLPD PERMIT FN Ef OE7 _ 01/17/2y —[]EPA �gQMp PI'AMIT FlNAI CERTIFICATE OF OCCUPANCY I5SIfrf1 DL -�ow•R4❑AS8ESTOSAIOIIFICATIONI5NOIAPPLICASLE TO I PROPOSED DEMOLITION y SIGNATURE