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Home My WebLink AboutH2023-0025 - Permits,gwvoRT City of Newport Beach III I I I II I III II II II I II I II p� d Community Development Department- Building Division Mechanical Permit: HZO23�oO�a7C > Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1337-2021 .,. S Permit Counter Phone: (949) 644-3288 }�D Work Class: Other a.. Inspection Requests Phone: (949) 644-3255 Issued cq[�pOpN�P newportbeachca.gov/inspections Inspection t Area / 623 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 : 3723 PARK GREEN DR Legal Desc : N TR 6634 BLK LOT 2 Description: MECH -INSTALL 3 A/C CONDENSERS -2 IN ROOF MECHANICAL WELL, 1 ON GROUND REQUIRES TIMER. TAMPER -RESISTANT CAPS REQ'D ON ALL Owner: HOSTETLER CAMILLE Address : 3723 PARK GREEN DR CORONA DEL MAR, CA 92625 Phone: Applicant: SKY HEATING & COOLING INC Address: 769 N GLASSELL ST ORANGE, CA 92867 Phone: (714).883-0623 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks: Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: W SPECIAL CONDITIONS: Contractor : SKY HEATING & COOLING INC Address: 769 N GLASSELL ST ORANGE, CA 92867 Phone: (714)883-0623 Con State Lie: 1045281 Lie Expire : 12/3112023 Bus Lie : BT30065983 Bus Lie Expire:02/28/2023 Workers' Compensation Insurance Carrier : NORGUARD INSURANCE COMPANY Policy No: SKWC350975 W. C. Expire: 2/1/2023 TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Manufacturer: AMERICAN STANDARD Model# : 4A7A6049J rj t. i..i.! I OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 -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 file a signed statement thathe 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 licensors 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 Tot 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 [_) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business 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 the property, provided that the mprovements 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 reproved 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 R ly 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). L7 I am exempt from Iicensure 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 [east one year prior to completion of the improvements covered by this permit, I cannot legallt sell a structure that I have built as an owner -builder if it has not been constructed in Its entirely 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 s[te:httpJlwww.leginfo.ca..govfcaiaw.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 Dj of imii 'o of the Business and Profession + icenso is in full force and effect License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION MASHING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO T USANO DOLLARS tEf 00,D00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION STaS OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEE& hereby affirm under penalty of perjury one of the following declarations: 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 ormance of the work for which this permit is issued. Policy No, ave 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' compensation ins ante carrier and policy number are: Policy Number Date is of Agent rnone IT 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 agree , if I should become subject to nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant._=L't-- v hereby affirm under penal erjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, lull ode). of enders Name - Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. 1 have read this application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances qfd state laws relating to building construction. I authorize representatives of this city or county to en4dr 1G filed property for inspection purposes. 1.� signature of Proper ACTION PERMIT EXPIREO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE I BY 1-23 OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMO RU LE I SUBMITTED fe UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE mer's or Authorized AD FOR OFFICE USE ONLY (//Z