HomeMy WebLinkAboutH2024-0289 - Permits�EW�Rr City of Newport Beach III I I I II I I II II II I II I I I II PlanCC heck No:
Permit: H2O24-0289
p Community Development Department - Building Division
-3 100 Civic Center Drive, Newport Beach, CA 92660
u # i Permit Counter Phone: (949) 718-1888 Work Class :Other
m.newportbeachca.gov/civic _ Permit Status: Issued
Issued Date: 05/22/2024
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 : 3901 PARK GREEN DR Legal Desc : N TR 6634 BILK LOT 7
Description: MECH R/R (2) A/C UNITS AT REAR **TAMPER RESISTANT CAPS REQUIRED**
Owner: GEORGE A LIVINGSTON
Address : 3901 PARK GREEN DR NEWPORT BEACH, CA 92625
Phone : (415) 652-1108
Applicant: JERMAINE MAEWEATHER
Address : 3675 RUFFIN RD. SAN DIEGO, CA 92123
Phone: (619) 677-8487
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups :
Fire Hazard Zone : NO
Building Setbacks : Front: 21, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: N5
SPECIAL CONDITIONS:
Contractor : KLONDIKE AIR INC
Address : 1308 LOGAN STE E COSTA MESA, CA 92626
Phone:
(714) 979-2070
Con State Lic
: 754456
Lic Expire:
09/30/2024
Bus Lic :
BT30080447
Bus Lic Expire: 01 /31/2025
Workers' Compensation
Insurance
Carrier :
ACCREDITED SURETY AND CASUALTY COMPANY INC
Policy No:
1AGCA160074420
W. C. Expire:
10/10/2024
Manufacturer: AC PRO
Model# : AULD36W2/A1-D(U)
OWNER -BUILDER DECLARATION
I hereby affimi under penally of perjury that I am exempt from the Contractors Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
iection 7031-5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie 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
rofessions 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
3t more than five hundred dollars ($500)..
11, as owner of the property, or my employees with wages as their sole compensation, will do ( 1 all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usinass and Professions Cade: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves theproperty, 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).
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
pp€y 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 I am exempt from licensure under the Contractors' State License Law for the following reasom —
y 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 improvementscovered by this permit, I cannot legalll
ell a structure that I have built as an owner -builder if it has not been constructed In itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
:rofessions Code, is available upon request when this application is submitted or at the following Web site:httpi/iw .leginfo.ca.govlcalaw.html.
ignature of Property Owner or Authorized Agent _ Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 700 of Division 3 of the Business and Profession Code, and my license is in full force
nd effect. License Class License. No Date .Z.1 `2. Contractor Signature _ I
VORKERS' COMPENSATION DECLARATION
'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVEL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AOD5TION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES.
hereby affirm under penalty of perjury one of the following declarations:
3 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
erformance of the workfor 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 compensatiol
lsurance carrier and policy number are;
:ar'ier Policy Number ASw d'732 '° Expiration Date
is of Agent
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 agre
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Of
Date ]"-a 7- -'
areby 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).
Tder's Name Lender's Address
my signature below, I certify to each of the following:
I am the proreK; owner or authorized to act on the property oWner'S behalf.
I have read this e�plication and the information I have providedis correct.
I aq,ee to cmmoly with. all applicable city and county ordinances and state laws relating to building. construction.
I authorize epkesentatwes of this city or county to er er the above -identified property for inspection purposes.
rnat;;re of Prooerty Owner or Aur-- Pdnt Property Owner's or Authorized Agent's Name
^ER,vT EXPIRED
,^ER,kf, CANCELLED
GATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED
TO
PERMITNNAL DL -V6i LjASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
LfRdHC8TE OF C, W PROPOSED DEMOLITION
OC7X.' NCY 15SUED SIGNATURE: ___,