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H2023-0662 - Permits
City of Newport Beach III I I III II II II II I I II e. Community Development Department- Building Division D i 100 Civic Center Drive, Newport Beach, CA 92660 rPermit Counter Phone: (949) 718-1888 newportbeachca.gov/civic c9Cr I Mechanical Permit : H2O23-0662 Plan Check No : PC2023-2524 Work Class : Other Issued Date : 10/13/2023 Inspection Area: 1 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 : 5008 SEASHORE DR, A Legal Desc : N TR 3813 BLK LOT 83 Description: MECH INSTALL (N) HEAT PUMP UNDER (E) STAIRS "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED-' (XR2023-2902) Owner: LIGHT LILLIAN K TR THE L Contractor : YCD INC Address : 2831 ROSECRANS AVE STE326 EL SEGUNDO, CA 90245 Address : 5456 PUMALO ST RANCHO CUCAMONGA, CA 91701 Phone : (949) 795-4038 Phone : (951) 258-7010 Con State Lic : 1011691 Applicant: TREVOR ALLEN YOUNG Address: 92625 Phone : (951) 258-7010 Owner/Builder : Address Phone: Lic Expire: 03/31/2024 Bus Lic : BT30067194 Bus Lic Expire:01/3112024 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01406900 W. C. Expire : 12/16/2023 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: INNOVAIR Type of Construction : Model# : SEV30H2R19 Occupancy Groups: Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 10 TI Flood Zone : X ERS T1,pZ Use Zone : R-2 - Two -Unit Residential f 1C®,H/B/TEC, ON HEAT %rop4 PROCESSED BY: SPECIAL CONDITIONS: ION N0jsE . N SATURDAyS OWNER -BUILDER I hereby affirm 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 carets) (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 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 fora 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 (_) 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 mprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built of Im roved for the purpose of Sale)- 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 lapply 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). El I am exempt from licensure 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 resided for 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 -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 Web site:http:ftwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent_�__�......._.._._._�_...�._�._ Data !i LICENSED CONTRACTOR'S DECLARATION iI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70DO)pf Division 3 of the Business and Professions Cadg=end my license is in full force (sand effect. License Class License No Date (i / Contractor Signature WORKERS' COMPENSATION DECLARATION (WARNING: 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 IS100A001, 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: © 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 tht performance 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 Phone 4 Date 11 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 fat, if I should become subject to the worker •�e. ensati revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant Date— /��/ate DECLARATION REGARDVNG CONSTFjlJ6' ON LENDfNG AGENCY —� hereby affirm under penally of DIE gory that there 1s a construction Iendlng agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Roder's Name Lender's Address _ y my signature beloIw, certify to_ each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building Construction, I authorize representatives of this city or county to enter the above -identified roperty, for inspection purposes. ianature of PrODertv Owner or Authorized Agent __1 Print PreDerty Owner's or Authorized Aaemt's Name Date /O/'x42911 PERMIT EXPIRED PERMIT EXTENCED PCAMIT FINAL CERTIFICATE OF 014/10AH Mfrn. OCCUPANCYISSUED 1403 OF COMPLIANCE WITH CODE OF FEDEI PART 61 OF TITLE 40AND AQMD RULE TO L,J ASBESTOS Not INCATION IS NOT APPLICABLE 'fO PROP05ED DEMOLITION FOR OFFICE USE ONLY