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Home My WebLink AboutH2024-0333 - Permits°oRT City of Newport Beach C ) ) m Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 > - newportbeachca.gov/civic 9</FO RN. III I I I II I I II II IIII II II II c enk ai.Permit : H2O24-0333 Plan Work Class : Other Permit Status: Issued Issued Date: 06/1112024 Inspection Area : 8 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: 612 ST JAMES PL Legal Desc : N TR 1218 BILK LOT 27 Description: MECH - R/R AC CONDENSER. TAMPER RESISTANT CAP REQUIRED Owner: LACKEY DENISE M TR Address : 612 SAINT JAMES PL NEWPORT BEACH, CA 92663 Phone : (949) 548-5220 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone: Use Zone: PROCESSED BY Front: 10, Side: 4, Side: 4, Rear: 10 R-1 - Single -Unit Residential SPECIAL CONDITIONS: Fire Hazard Zone : NO rnr-f", r I`O��' r Contractor : HOME COMFORT USA HEATING & COOLING Address : 1120 N TUSTIN AV ANAHEIM, CA 92807 Phone: (714) 632-8789 Con State Lic : 1106323 Lic Expire : 06/30/2025 Bus Lic: BT30082061 Bus Lic Expire: 07131/2024 Workers' Compensation Insurance Carrier: AIU INS. Policy No: WCO20396019 W. C. Expire: 4/1/2025 Manufacturer: LENNOX Model#: ML17XCl-036 /2� � nl l �j ' c,V4-L V � TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BET`NEEN 10 P.M• AND 7 A M 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 item(s) - (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 ficensure 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 (_) all of or U 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 improved for the purpose of sale). ❑ I, 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). ❑ 1 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:/lwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) Ff Di ision of the Business and Profes s Co nd my license is in full force and effect. License Class License No axome IA Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND USAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: El 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 glarformance 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 certify that, in the performance of the work for which this permit is , if I should become subject to the workers'yompensation provisic of Date not employ any person in any manner so as to become subject to the workers' corn ens lion laws of California, and agre 3700 of the Labor Code, I shall forthwith comply with those provisions. I Date `� C CLARATION REGARDING CONSTRUCTION PgNMG AGENCY Ireby affirm under penalty of perjury that t a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ides s Name Lenders Address my signature below, certif of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is corre�roperty I agree to comply with all applicable city and county ordinances and sluilding construction. I authorize representatives of this city or county to enter the above-idespection purposes. .r nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name v TION I DATE BY DECLA5AfrON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RWKATIONS PART 61OF TITLE 40 AND AQMD RULE PERMITEXP'REO LIISUBMITTEDASBE OS,..NOTIFICATION TO PERMITCCNFELL5 EPA - , PERMIT EL7ECIDCD QM D ' PERMIT HNAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF I/�Iltj /� PROPOSED DEMOLITION OCCUPANCY 65L'EO �:' oS�SIGNATURE: PERMIT FEE DETAILS FOR PERMIT H2O24-0333 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Boilers and Compressors 0-3 HP Fee $23.00 $0.00 Building Plan Check Fee $20.01 $0.00 Hourly Plan Check Fee - Planning $53.75 $0.00 Issuance Fee - Mechanical $40.00 $0.00 GRAND TOTAL: $136.76