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Home My WebLink AboutH2024-0026 - Permits��EWPp�r City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 D Permit Counter Phone: (949) 718-1888 u s newportbeachca.gov/civic O9G/FOPN�P III I I I II I I II II II II I III II Mechanical Permit : H2024-0026 Plan Work Class k Other 179-2021 Issued Date : 01/17/2024 Inspection Area : 1 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 : 251 CEDAR ST Legal Desc : N TR 772 BLK 4 LOT 11 TR 772 LOT 11 BLK 4 NELY 10 Description: MECH - INSTL (N) AC CONDENSER. TAMPER RESISTANT CAP REQUIRED Owner: SCOTT WOODS Address : 251 CEDAR ST NEWPORT BEACH, CA 92663 Phone : Applicant: ROBERT LEYVA CONSTRUCTION Address: 953 UNION AVE COSTA MESA, CA 92627 Phone: (714)323-5820 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks: Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone: X - , Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : ROBERT LEYVA CONSTRUCTION CO Address : 953 UNION AVE COSTA MESA, CA 92627 Phone: (714)323-5820 Con State Lie : 825124 Lie Expire: 09/30/2025 Bus Lie: BT30078214 Bus Lie Expire:03/31/2024 Workers' Compensation Insurance Carrier: Policy No: CWC00293602 W. C. Expire : 11/10/2024 Manufacturer: INNOVAIR Model#: SEV60H2R19 �� u OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reBson(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 ho 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 €3usinass and 'rofesslons Code) or that he or she is exempt from licensore 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 lot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sale compensation, will do U all of or I portions of the work, and the structure Is not intended or offered for sale (Section 7044, Susiness 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 (het the Tlprovement6 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 mproved 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 Ipply 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), I am exempt from licensors under the Contractors' State License Law for the following reason• ly 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 OR 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:hhp:/lwww.leginfo.ce.gov/calaw.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 Section 70 O) of D€vi ion 3 of the Business and Prate ssy'',/ Co F} license is in full force Ind effect. License Class License. No Date ' / Contractor Signature VORKERS' COMPENSATION DECLARATION EARNING: 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 ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S 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 Be �orformance of the work for which this permit is issued. Policy No. 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` ranee carrier and policy number are: Policy Number Date Jame of Agent Phone If :1I 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 s�Ih,toompensation provisions of5ec[ion 3700 of lhl: Labor Code, I shah forthwith comply wim lhnse. provisions. �gnature of Applicant __-__ Date,)ECLARATIONREG LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), enders Name Lenders Address ly 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. I have read this application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. /! I authorize representatives Of this city or county e e ve-dentified property for Inspection purposes. j{e ,e 1YU� Date signature of Property Owner or Authorized Agent %"W _._. Print Property Owner's or Authorized Agent's Name r� rt / t� Y ACTION DATE BY' DECLARATION Or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PeRMrT kNPr/PED LJ I SUBMITTFO ASSESTOS NOTIFICATION TO PERMETCAACFUL I, L.IEPA PERMIT EX,EkDED _ AOMD PERMIT FIAEAI // �/�. ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF F_. �Q/J PROPOSED DEMOLITION DCCUPANCY ISSUED SIGNATURE; _......_. -__--- ._