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Home My WebLink AboutH2024-0352 - PermitsWHO fF r Rre D t 1 i4 > �T=.e, _; City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic II IIII II I I II Mechanical Permit Plan Check No : Work Class : Other Permit Status: Issued Issued Date : 06/18/2024 Inspection Area : 6 H2O24-0352 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: WTESORO Legal Desc : N TR 15484 BLK LOT 3 Description: MECH -REPLACE EXTG GROUND MOUNTED A/C UNIT, REPLACE FURNACE `TIMER, NOISE AGREEMENT AND TAMPER RESISTANT CAP REQ"' Owner: RICHARD KALVODA Address : 25442 GALLUP CIR LAGUNA HILLS, CA 92653 Phone: Applicant: RON STANGE Address: 24310 MOULTON, #0-137 LAGUNA HILLS, CA 92637 Phone : (949) 207-3468 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Newport Ridge PROCESSED BY SPECIAL CONDITIONS: Contractor: CAPISTRANOHVAC Address : 2301 MOULTON C-13 LAGUNA HILLS, CA 92653 Phone: (949)481-9605 Con State Lic : 910228 Lic Expire : 09/30/2025 Bus Lie: BT30073657 Bus Lic Expire:12/31/2024 .' Workers' Compensation Insurance Carrier : EMPLOYERS PREFERRED INSURANCE COMPANY - Policy No : EIG495206001 W. C. Expire: 5/4/2025 Fire Hazard Zone : YES Manufacturer: LENNOX - Model# : ML17XC1-060 TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. OWNER -BUILDER DECLARATION I hereby afford under penalty of perjury that I am exernol from the ContractorsState License Law for the reascri ndicated below by the checkmark(s) I have placed next to the applicab)". ibu I(s`y-, (Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve. dernclish, 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's exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 5 by any applicant for a permd subjects the applicant to a civil penalty of not more than five hundred dollars (Sb00). ❑ 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 iota, nded 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' Slate License Law). ❑ I am exempt from Iicens.,re under the Contractors' Stale License Lawlor the following reason'. By my signature below I ackno^Medge that. except for my personal residence in which I must have iesidod 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:ll"".Iegtnfo.ca.gov/calaw. html. Signature of Property Owner or Authorized Agent . _ _ _ - _ _ ,..1. - L Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am !icensed under provisions of Chapter 9 (commencing with Sed.flon ) fDIISKlj 3 of Business and Prcfe s Co an tj my i se-i5 in lull force and effect, License Class License No to b-1—�f`ractor Signature GJ 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 (61DIL000), NI ADorril TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm urns, ?'na'ty of perjury one of the following declarations: ❑ I hay= and wit a,n.nlatn a certificate of consent to self -insure for workers' compensation. issued by the DirRctnr of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh rjLl.l'.l ice of Ihr -u-y , for which this permit is issued. Policy No. find Mill 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 andi policy number are: Policy Number Date ,micro( Agent _. Phone # Jf .:rr'Ai that in ne-formance of the work for A4uch 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 r d I srould become IrG to tahel 'work rs co pensation provisions of Seeder 3700 of the Labor Code, 1 shall forthwith comply With those provisions. � / p '] �% q -LAR Of AJU dr\ �V�- . I eta !O �l O /O{.i _ o CLAFATION 'd4C 4CONSTRUCTION LEN G AGENCY 1 _r_7 effirm miler peel TV of perjury that there Is a cc structior lending agency for the performance of the work for which this permit is Issued (Section 3097, ivil Code). is, P. s Name _ - . - _ _ Lender s Adcress _ iv my signature ue"uhr: ?certify to each of the follow-ng. '[,? ar*1r !-,-T r.n. s'--.-e• ,-, -- ., :.r I am the property owner or authorized to act on the property owne`f 5 behalf. I have read this application and the information I have provkjb8 iA.dQrLecPfl ,[+_;,^ I agree to comply with all apolica aly and county ordinances and state laws relating to building runs trucllon. I authorize representatives of this city r county yy/g�nnter t�� abo,�{e-tile perty for inspection pu �nses. /� 1. iionature of Property Owner or Authorize gent "l/ . �� Print Prop rty Owner's or Authorized Age s Nacre yield �-J � - SIt Rpj& F . 4 Date %IIUI e ACTION DATE BY - - y DECLARATION OF COMPLIANU WITH CODE OF =E0[RAL FOR OFFICE USE RFCULATIONS PART 51. OF TITLE 40 ANT) AOMD RUI F PERa017 EXPIRED U�I squ—RMITTFD ASBFSTOS NOTIFICATION TO Pi CANCELLED {JLPA PER101T EXTENDED - •___._ _ ____—..__—_�.r CMD - - - . PORN T FWAL �I 1 ❑LASSBBESTOS NOTIFICATION 15 NOT APPLICABLE TO CER7r7CATE OF �Q1 PROPOSED DEMOLITION OCCLPANCYISSUEO j/i ILvA,V1A„'1, SIGNATURE: