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HomeMy WebLinkAboutH2024-0279 - Permits�EWPORT City of Newport Beach D� e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C �P 9</PORN III II I III I II II III I IIII II enChecNo Mechanical : Permit: H2O24-0279 34 Work Class: Other Permit Status: Issued Issued Date : 05/1512024 Inspection Area : 6 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 : 1516 SANDCASTLE DR Legal Desc : N TR 6152 BLK LOT 50 Description: MECH - INSTL (N) AC CONDENSER. TAMPER RESISTANT CAP REQUIRED (XR2023-3307) Owner: 1516 SANDCASTLE LLC Address : 1516 SANDCASTLE DR CORONA DEL MAR, CA 92625 Phone: Contractor : R C AIR CONDITIONING & HEATING INC Address : 169 N MAPLE ST, D CORONA, CA 92678 Phone: (888)248-3335 Con State Lic: 657924 Applicant: R C AIR CONDITIONING & HEATING INC Lic Expire : 06/30/2025 Address ioU N MAVLL b 1, D CORONA, CA 92878 musLie: Phone: (888) 248-3335 Bus Lic Expire:04/30/2025 Workers' Compensation Insurance Owner/Builder: Carrier: STATE FUND Address : Policy No: 1354374 Phone: W. C. Expire: 7/1/2024 Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X -- Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Manufacturer: AC PRO Model#: AWHI2ATCXB-A3DNA1C/0 OWNER -BUILDER DECLARATION I hereby affirn under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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, aleo requires the applicant for the permit to fife a signed statement thathe or she is licensed pursuantto 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 711, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_.) portions of the work., and the structure is notintended or offered for sale (Section 7044, 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). ❑ 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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 ficensure 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 Improvements covered by this permit, I cannot legalll sell a structure that I have built as an owner !wilder 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:!lwww.leginfo.ca.gDv/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divyision ,�33 of the Business and Professions od d my license is in full force and effect. License Class License. No Date S�S�Z`I Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION DOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000t, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 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' ranre carrier and policy number are: Policy Number Date in of Agent Phone It 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 , if I should become subject to the wortWs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date_ i' I s 1Zf f CLARATION REGARDING CONSTRUCTION LENDING AGENCY ereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 rders Name Landers Address _ my signature below, I certify to each of the following: I am the property owner or authorized to act an the property owners behalf, 1 have read this application and the information I have provided is correct.. 1 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 to enter th eve Jed roperty for inspection purposes. nature of Property Owner or Authorized Anent Print Property Owner's or Authorized Agent's Name �J Ir 5 ACTION ( DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AGMD RULE PERMTTEXPIRW I I I L11 SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENOZO IJAQMD PERMITFINAL / ii ASBESTOS NOl"IFICATION 15 NOT APPLICABLE 10 CERTIFICATEOF 6I i PROPOSED DEMOLITION OCCUPANCY ISSUED V 1 II 1!!l1 ;SIGNATURE_ Civil Code).