The URL can be used to link to this page

Home My WebLink AboutH2024-0197 - PermitsV P.oke City ommuniityDeelopmentDDepaartment IIIIIIIIIIIIIIIIIIII IIII Mechanical Permit: H2024-0197 o� - BuildingDivision r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-25D2 2 Permit Counter Phone: (949) 718-1888 ,. , _ , __ ,. " - Work Class :Other newportbeachca.gov/civic ...,, Issued Date: 04/09/2024 .. 4 .4.- Inspection Area :5 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 : 603 ACACIA AVE Legal Desc : N TR 682 BLK LOT 64 Description: MECH INSTALL (2) HEAT PUMPS AT 3RD FLOOR DECKS --TAMPER RESISTANT CAPS REQUIERD & TIMERS PROHIBITED'* (XR2022-2667) Owner: LA21G LLC Address : 26880 ALISO VIEJO PKWY, 200 ALISO VIEJO, CA 92656 Phone: Applicant: PAM PULLEN Address: 26880 ALISO VIEJO PKWY, Ste 100 ALISO VIEJO, CA 92656 Phone: (949)669-3796 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: 80!:5 SPECIAL CONDITIONS: Contractor : T J C HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY, 200 ALISO VIEJO, CA 92656 Phone : (949) 281-0482 Con State Lie : 1025507 Lie Expire : 04/30/2025 Bus Lie: BT30059037 Bus Lie Expire:05/31/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE CO INC Policy No: TWC4395303 W. C. Expire: 3/1/2025 Model#: RXTQ45TAVJU says cf, I v ' ®31181H OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable item(a) ;action 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 a permit to file a signed statoment 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 -ofesslons Code) or that he or she is exempt from IiCensure 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 it more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended oroffered 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 iprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwfll have the burden of proving that it was not built or iproved for the purpose of sale). 1, 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 o 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) I am exempt from licensure under the Contractors' State License Law for the following reason: — ---- - - ----- --- --- ------ y try 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 A 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http:VAvww.leginfo.ca.gov/calaw.html, ignature of Property Owner or Authorized Agent a-- '-"—"� ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0 is 3 of the Business and Prof n C e, no my license is in full force nd effect. License Class License No Date Conlracfor Signature VORKER5' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 1s100.000), IN ADDITION TO TH DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 t erformance of the work for which this permit is issued. Policy No. Ahave 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' compensatil w"Wce carrier and policy number are:. .,,rip, Policy Number Expiration Date of Agent certify that, in the perfcrmal , if I should become subject of the work forFf i h t - permit is issued, I. shall not employ any person in any manner so as to become subject to the workers' com ten atop aws of lifomia, and agre o�wpfk�l'sosa on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /U17II dri_ ...—.. ._.._-.___.___ Date____ - L.LAKAIIIVN NLw^KIJINV 4 YS Vaaw„ v,wµF.,.,. are ly affirm under penalty of p rjurythat there is a cons ction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Co o). ider's Name Lender's Address 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 t� Ii. application and the information I have provided is correct. agree to co.rply with all applicable city and c or an as late I ws relating to building construction. , I authorize rrp•reantafives of this city or count,"1EEP" e tefUlh. bov -i ntifi property for inspection purposes. Q L mx:ura of Pro^env Owner or Authorized Agent 1 Print Property Owner's or Authorized Agents Name -C ACTION - - _ _...._. __.-.._.._— FERf 71T EXiENnEO DATE By DE LARA710N OF COMP CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND, RULE PERMIT FINAL CERTfFICA7E of l DCCUPANCY ISSUED ASBESTOS NOTIFICATION TO L-I ASBFSI'OS NOTIFICATION I$NOT APPLICABLE TO PROPOSED DEMOLITION