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Home My WebLink AboutH2025-0001 - Permitspl"e City of Newport Beach 449 Community Development Department- Building Division 100 Civic Center Dnve, Newport Beach, CA 92660 S.Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic ' 94tFnRNf` Permit: H2O25-0001 ........ ..... ...... . Plan Check No : Work Class : Addition/Alteration Permit Status: Issued Issued Date : 01/02/2025 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 kNORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 222 PEARL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 8 LOT 35 Description: MECH - INSTL ROOF MOUNTED HEATPUMP. TAMPER RESISTANT CAP REQUIRED Owner: TRACEY RUDD Address : 54 S MAIN ST ESSEX, CT 6426 Phone: Applicant: BEN MEDINA Address: 31225 LA BAYA DR, 213 WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder: Address Phone: Contractor : JUST RIGHT SERVICES PLUMBING HEATING & & A/C Address : 23482 PERALTA DR LAGUNA HILLS, CA 92653 Phone: (949)228-2108 Con State Lie : 970383 Lie Expire : 04/30/2026 Bus Lie: BT30066798 Bus Lie Expire:04/30/2025 Workers' Compensation Insurance Carrier : SECURITY NATIONAL Policy No: EIG56592500 W. C. Expire: 7/15/2025 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: MITSUBISHI Type of Construction --Occupancy-Groups - Model#: NTYMhAY9nA19�rA Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1 TIMERS PROHIBITED - Use Zone : R-BI - Two -Unit Residential, Balboa Island ON HI FAT P Mp PROCESSED BY: SPECIAL CONDITIONS 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 checkmre, prior to It Pssuance also requires ctheeappl (cant for ;Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, p be 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 Professions 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).7044, ) all of or L) portions of the work, and the structure is not intended or offered for sale (Section d ❑I, as owner of the property, or my employees with wages as their sole compensation, will do Lthe Business 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 that the improvements 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 improved for the purpose of sale). ❑Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not I, as Owner of the property, am exclusively contracting with licensed ��plply 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: By 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 Improvement covered by this permit. I cannot legall sell a structure that I have built as an owner -builder if it has not been constructed in it entirety 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 site:http://www.leginfo.ca.govfcalaw.html. — Date _ Signature of Property Owner or Authorized Agent — LICENSED CONTRACTOR'S DECLARATION �p I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with SecDate7 l/7 3 of tContractor Sign d Professio no my license is in full force and effect. License Class License No WORKERS' COMPENSATION DECLARATION WARNING: COMPENSATION.FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS GES OF THE UNLAWFUL, AND SHALL SUBJECT AN EMPLOATTORN YER F CRIMINAL PENALTIES AND CIVIL FWES UP TO ONE SANG DOLLARS 1E100,000), IN AGORR]N TO THE COST CTION E. Y'S I hereby affirm under penalty of perjury one of the following declarations: issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the 1 have and will maintain a certificate of consent to self -insure for workers' Compensation. performance 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' compensalior insurance carrier and policy number are: Expiration Date Carrier Policy Number Phone # Name of Agent I certify that, in the performance of the work for wfn rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I cos ofCalifornia, and agre that, if I should become subject to the e ' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j� _ Dale__ Signature of Applicant---------�---" �------- DECLARATION REGARD UCTION LENDING AGENCY I hereby affirm under ally of a at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)- _ Lender's Name Lenders Address By 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, agree to comply with all applicable city and cou rdinances nd state laws relating to building donstYifctidn""" I authorize representatives of this city or county t ter t a v -id ifiedp operty for inspection purposes. Datev Signature of Pro erl Owner or Authorized Agent /T Print PropertyOwner's or Aruthorized A ent's N aas 7—PERMIT N DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 EXPtRFDI SUBMITTED ASBESTOS NOTIFICATION TO T CANCELLFC _ EPA T FX'Ef" ED QMD PCRMIT FIN 4L ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF / S.i jDA-4 i PROPOSED DEMOLITION —11, ,.n c,w mu anI SIGNATURE: