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Home My WebLink AboutH2023-0785 - PermitsC(" P0", City of Newport Beach dCommunity Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 S newportbeachca.gov/civic OQN`P Mechanical Permit Plan Check No: Work Class: Other Issued Date : 12/1812023 Inspection Area : 8 H2O23-0785 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: 600 POWELL PL Legal Desc : N TR 2150 BLK LOT 1 Description: MECH - INSTL (N) A/C (2). TAMPER RESISTANT CAP REQUIRED Owner: POWELL PLACE PROPERTIES LLC Address : 3972 SAN BONITO AVE. LOS ALAMITOS, CA 90720 Phone: (713)689-9097 Applicant: DEWALDBEZUIDENHOUT Address: 87 VERMILLION IRVINE, CA 92603 Phone: (949)649-9447 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 20, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor: ENLIGHTENMENT INC Address : 26985 DURANGO LN MISSION VIEJO, CA 92691 Phone: (714)726-3305 Con State Lic : 833817 Lic Expire : 03/31/2025 Bus Lic: BT30056260 Bus Lic Expire:02/28/2024 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INSURANCE COMPANY Policy No: SWC1402665 W. C. Expire: 9/16/2024 Manufacturer: YORK Model#: HMCG22B601S OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable fism(s) Section 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 is 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 licensors 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 of morethanfive hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;usiness and Professions Coda 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 nprovements are not intended or offered for sale. If, however, Ilia 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 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 poly 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). 3 1 am exempt from licensors under the Contractors' State License Law for the following �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 improvements covered by this permit, I Cannot legall, all a structure that I have built as an owner builder if It ties not been constructed in its entirety 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:http://%vw.leginfo.ca..gov/calaw.htMi. signature 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 7000) f Division a of the Business and Professi ns e, ^ n my license � in full force nd effect. License Class License No Date I� ]� Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA OLLARS (S70S,B00), IN AocrrION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEYB FEES. Ihereby affirm under penalty of perjury one of the following declarations: Ih u 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 ,p_artirmance of the work. for which this permit is issued. Policy No. q 1 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' compensation insurance carrier and policy number are: Carrier. _ Policy Number Expiration Date Name Df Agent Phone ff DI certify the(, in the perfor e o e 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 Is S of California, and agre that, I( I should become sub' ct I workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ,a _ Date_ DECLARATION REGARDIN T NDING AGENCY I hereby affirm under penalty of fe ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi`Code), 2 Lender's Name Lender's Address By my signature below, I certify to each of the following: l am the property owner or authorized to act on the properi vmer's behalf. I have read this application and the information I - id rd is correct. I agree to comply with all applicable city and coo ty inn es and state laws relating to building construction. I authorize representatives of this city or county a bove-identified property for inspection purposes. •-��-� Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent s Name Dat' ACTION DATE BY TI OF COMPUANCF W CODE OF FEDERAL FOR OFFICE USE ONLY Rl - TION3 :40 AND ACtMO RII LF PERMIT EXPIRED tJ I SUBMITTED ASBFSTO$ NOTIFICATION TO PERMIT CANCEt.LEO �11PA ____ --- — — -- ---IIAt7M.D _ FERMIT EMENDED -- - PERMITFINAL A/ I7/Z9 IUL Apo- BT I E] ASBESTOS NDTFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED ( 1 S.CNATURE: