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Home My WebLink AboutH2023-0597 - Permits��F,W PORT City of Newport Beach III II I II I III II IIII II II II Mechanical Permit : H2O23-0597 p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Work Class : Other U 'w. T newportbeachca.gov/civic �i r n�, Issued Date : 09/1212023 c9</F00.N�P -A: „ t. _ ; �, ., Inspection Area : 4 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 : 5 PINEHURST LN Legal Desc : N TR 7223 BLK LOT 70 Description: MECH R/R DUCTWORK AND HEAT PUMP AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED'" Owner: SHUXIANG KNOTT Address : 5 PINEHURST LN NEWPORT BEACH, CA 92660 Phone: (714)757-0299 Applicant; BOBBY HORTON Address : 610 Jacaranda Place Fullerton, CA 92832 Phone: (714)335-3369 Owner/Builder Address: Phone: Contractor : HORTON'S HEATING & AIR CONDITIONING Address : 610 W JACARANDA PLACE FULLERTON, CA 92832 Phone : (714) 335-3369 Con State Lie: 587686 Lie Expire : 02/29/2024 Bus Lie: ST30082458 Bus Lie Expire:08/3112024 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INSURANCE COMPANY Policy No : SWC1449942 W. C. Expire: 8/2/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer : GREE Type of Construction : Model# : FLEXX60HP23OV1AO Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Rear: 15 , Flood Zone : Use Zone: X PC - Big Canyon TIMERS PROHIBITED, ON HEAT PUMPS - PROCESSED BY: - SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 items) 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 he permit to Cie 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 �rofassions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section7031.5 by any applicant for a permit subjects the applicant to a civil penalty of Of more than rive hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusinass 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 mprovemams are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completlon, the Owner -Builder will have the burden of proving that it was not built or roproved 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 Oply 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). J 1 am exempt from licensure under the Contractors' Slate License Law for the following reason _._ dy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year poor to completion of the Improvements covered by this permit, I cannot legall7 .all 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:ilvrvw.leginfo.ca.govlcalaw.html. iignature of Property Owner or Authorizer) Agent i_ _ Date .ICENSED CONTRACTOR'S DECLARATION 71 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 or Division 3 of Business and Profes nse is in fall force Ind effect, License Class License No Contractor Signature VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARS IS100,0001, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3906 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: 7 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 th erprmance of the work for which this permit is issued. Policy No. Al 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' compensado nsurance carrier and policy number are: :airier Policy Number Expiration Date Jame of Agent Phone N -1I certify that, in the performan"th.r.o,, " permit Is issued, I shall not employ any person in any manner so a$ to become subject to the workers' compensation laws of California, and. agre hat, if I should become subject t'i rovisions of Section 3700 or the tabor Code, I shall forthwith comply with those provisions. —� iignature of Applicant, , _ __ Data7ECLARATION REGARDING CAGENCYhereby affirm under penalty of pstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .tinder's Name Lender's Address ty my signature h9low, I certify to each of the following I am the p-t on rry owner or authorized to act on ale property owner's behalf. I have read this application and the information I have provid of is I agree to cotopl; with all applicable city and county Ina es sir It to building construction. I I authorize representatives of this city county to er it' property for inspection purposes. G' 'iignature of Property Owner or Aulhorized A ant Print Property Owner's or Authorized Agent's Name !'p Date AC'!CN DATE BY DEG A ONO PLIANCGN.9Tli COMCODE OF FEDERAL FOR OFFICE USE ONLY RF'GU. TIONS PART 61 OF TIT). F 40 AND AQN40 RULE FdRMtT EXPIRED 1403$uBMITTFD ASBESTOS NOTIFICATION TO P6bViIT CANCEU ED —CEPA "- PERNITEX ^ �-I ....."..."."_ . ..._ PlRMlFIfJAL �27� D.Tyr i QASHp57O5 N071FICA PION 1 IS NDf APPLICABLE TU..__.._ iER 1�Ca CCF CM5' I PROP TSED DEMOLITION OCC /PANG b5f. O