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Home My WebLink AboutH2024-0186 - Permitsa�WPo", City of Newport Beach @ Community Development Department- Building Division r, 100 Civic Center Drive, Newport Beach, CA 92660 u n 2 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic cq4 FORN'P Mechanical Permit : H2024-01$S Plan Check No: 1782-2021 Work Class : Other Issued Date : 04/0212024 Inspection Area : 2 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 : 1900 SEADRIFT DR Legal Desc : N TR 2813 BLK LOT 8 Description: MECH 3 NEW HEAT PUMPS *TAMPER PROOF CAP REQ* Owner: TNG SZ LLC Address: 11720 EL CAMINO REAL STE250 SAN DIEGO, CA 92130 Phone : Applicant: R C AIR CONDITIONING & HEATING INC Address: 169 N MAPLE ST STE D CORONA, CA 92880 Phone: (951) 735-8046 Owner/Builder: Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Contractor : R C AIR CONDITIONING & HEATING INC Address : 169 N MAPLE ST STE D CORONA, CA 92880 Phone: (951)735-8046 Con State Lic : 657924 Lic Expire: 06/30/2025 Bus Lic: BT30066849 Bus Lic Expire:04/30/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 1354374 W. C. Expire: 7/1/2024 Manufacturer: AC PRO Model# : AUD60WA-1 OWNER -BUILDER DECLARATION I hereby affimr under penalty Gf perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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 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 of more than five hundred dollars ($500), 1, 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 Code: The Contractors' State License Law does not apply to an owner of property who, through amployees' or personal effort, builds or improves the property, 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). 11. 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 pply 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 Levi). I I am exempt from licensure under the Contractors' Stale License Law for the following reason. _T 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 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:htip://www.leginfo.ca.govlcalaw.html. 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 Secti 7 00) of Division 3 o the Business and Prof ions e, and my license is in full force nd effect. License Class License No D Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL PINES UP TO ONE: HUNDRED THOUSAND DOLLARS 15100,0001, IN ADDITION TO THE DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, 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 ormance 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 Date ame of Agent Phone # ]I 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 tat, it I should become subject to th rkers' compensation provisions of Section 37GO of the Labor Code, I shallforthwith comply with those provisions. / ignalureofApplicant�, Date`— 7—c"�r / )ECLARATION .n.EGA$ CONSTRUCTION LENDING AGENCY hereby zffirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 N11 Code) .t-ndei's game _ Lenders Address 3y my signature betUu, I certify to each of the following: I am ;he property owner or authorized to act on the property owner's behalf. 1 have read thi- J ,plicafion and the information I have provided is correct. I ogre s to comd:/ A:th all applicable city and county ordinance d state laws relating to building construction. I authorize rep-asectntives of this city or county o Ater t ove-identified property for inspection purposes. 3gnature of Propet' O+%aer or Authorized Agent Print Propea Owner's or Authorized Agent's Nam ..._r / ACTION DATE BY JI KCILARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 5t OF TITLE 40 AND AOMD RULE 1403 P-NMIT F,"PIRED Ll I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLEO .._ EPA __..... -_.. PERMITEXTENDED LIAQMD PERMIT FINAL {>�-1"' ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTiFiCATEQf"�'2� Go'C' PROPOSED DEMOLITION OCCUPANCYISSUEP 9 SIGNATURE: