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Home My WebLink AboutH2023-0653 - Permits�EWPpQT City of Newport Beach Community Development DepR-tmen, '9uilding Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 ems. newportbeachca.gov/civic c94co aP�P II I III II II II I I II Mechanical Permit : H2O23-0653 Plan Check No : 0762-2020 Work Class : Other Issued Date : 10/09/2023 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 : 6 PINNACLE POINT Legal Desc : N TR 14038 BLK LOT 57 TRACT NO 14038 LOT 57 FOR OF I P+ !r--% V-- Description: MECH INSTL (3) A/C UNITS @ THE SIDE YARD, TAMPER RESISTANT CAPS REQ, REPLACE (2) FURNACES Owner: GEWEI SONG Address: 6 PINNACLE PT NEWPORT COAST, CA 92657 Phone: Applicant: ELUZAINIEMANTIK Address : 10866 WASHINGTON BLVD. 140 CULVER CITY, CA 90232 Phone: (909)319-9172 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone: PC - Newport Coast PROCESSED BY SPECIAL CONDITIONS: 1111 Fire Hazard Zone Contractor : R J J CONSTRUCTION INC Address : 17736 LILIANA COURT ROWLAND HEIGHTS, CA 91748 Phone : (626) 617-8161 Con State Lic : 963340 Lic Expire : 07/31/2025 .. , Bus Lic : BT30076401 Bus Lic Expire:08/31/2024 Workers' Compensation Insurance . Carrier: STATE COMPENSATION INSURANCE FUND , Policy No: 9041710 W. C. Expire: 1/11/2024 - YES Manufacturer: AC PRO Model# : AULD630W2/A1- DQ ) OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the ContractorsState 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, after, improve. demolish, or repair any structure, Few 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 Drofesslons Code) or that he or she is exempt from Iicensure 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 not more than five hundred dollars ($500), ❑ 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, 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 'unproved 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 5ply 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 licensers 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 Iegali, 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, Saction 7044 of the Business and Professions Code, is available upon request When this application is submitted or at the following Web site:http:tlw y.legmfo.ca..govlcalaw.html. Signature of Property Owner or Authorized Agent Data _ LICENSED CONTRACTOR'S DECLARATION I hereby air nn under penally of perjurythat i am licensed under provisions of Chapter 9 (commencing with SeGW 7000) 4f atvisi�3 of the SUS11ss and Prate geipns Code and my license is in full force and effect. License Class License No die I �![ 7- Cantra r Signature �p „��A,�. ✓JORKERS' COMPENSATION DECLARATION NARNINGi FAILURE TO SECURI WORNERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SIDO,000), IN ADDITION TO THE Co:,T OF CO�AF ENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. huroby sCirm under ponL:ty of perjury one of the following declarations: I Five 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 ormance of the work for which this permit is. issued. Policy No. hove End will meirlmn 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 an^ policy number are: ier 5 rP-M V--LA ND Policy Number Expiration Date of Agent certify !hal. 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 agr t, it I should beu,r e s aiatiaf,.t to file workers compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. ru;:, c of Ap erg i_`!T'v1, _. Did L ° 19 { y 3 CLARATIO AD CONSTRUCTI N LENDING AGENCY :reby 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). (oars Name Lenders Address _ my signature below, I certify to each of the following: I am the property owner or aulhorizeo 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 writhe. all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city arc ny tWf/lnt�er tthally ove-Identified property for inspection purposes. / 2 // nature of Prooerty Owner or Authorized AQen( VA-AJ �.v--r Print Property Owner's Gr Authorized Aoerh/0amo k la �" i L" i t4 C -Je 1 ACTION DATE BY DECLARATION OFYOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i I RFGUI ATIONS PART 61 OF TITLE 40 ANDAQMD RULE PER➢drf EXPiHED U I SIIBMITTFD ASBESTOS NOTIFICATION TO PERP41T CANCELLED DEPA PERMAEXTENDED ry /; pr� fCIAQ,Mp PFPoWTFINAL � via/V)�Gl DL Yp, RL ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUEO '.. SIGNATURE;