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HomeMy WebLinkAboutH2023-0668 - Permits��EWPp?T City of Newport Beach p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C9C,FOR��P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 1011712023 Inspection Area : 6 H2O23-0668 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 BILK LOT 50 Description: MECH -NEW A/C CONDENSERS (2). TAMPER RESISTANT CAP REQUIRED Owner: 1516 SANDCASTLE LLC Contractor : R C AIR CONDITIONING & HEATING INC Address : 1516 SANDCASTLE DR CORONA DEL MAR, CA 92625 Address : 169 N MAPLE ST STE D CORONA, CA 92880 Phone: Phone: (951)735-8046 Con State Lic : 657924 Applicant: R C AIR CONDITIONING & HEATING INC Lic Expire : 06/30/2025 , 288 Phone: (951) 735-8046 Bus Lic Expire:04/30/2024 Workers' Compensation Insurance Owner/Builder; Carrier : STATE COMPENSATION INSURANCE FUND Address: Policy No: 1354374 Phone: W. C. Expire : 7/1/2024 Code Edition : 2022 Type of Construction Occupancy Groups: Building et ac s : Front: 20, Side: 6, Side: 6, Rear: Flood Zone : X — — - Fire Hazard Zone : NO Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY : SPECIAL CONDITIONS: O Manufacturer : AC PRO Model#: AULD36W2/A-D(U)/AULD680W2/A-D(U) 'a-, 4, 0j 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 checkmark(s) I have placed next to the applicable heri (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 the permit to rile 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 licensors and the basis for the alleged exemption. Any violation of Section 7C31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001. '❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended 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 sala). ❑ 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 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 licensure under the Contractors' Slate License Law for the followinq 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 legatl sell a structure that I have built as an owner -builder if It has not been constructed in its ontirety 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 //w v.leginfo.ca.gov/calaw.html. 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) Divi ion 3 of the Business and Profes$15j de and li ecse is in full force and effect. License Class License No Date Contractor Signature LL11((//ll WORKERS' COMPENSATION DECLARATION WARNING: 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 t$100,000i, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 the Fance of the work for which this permit is issued. Policy No. Ve 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone P ❑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 agree That, if I should become sub' t to the workers' ensetlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicants/ J/[�/'��r�X��, DECLARATION REGA;—W G CONSTRUCTION LENDING AGENCY I 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). Lenders Name Lender's 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. I agree to comply with all applicable city and county or ' ances and state Ia s r lacing to building construction. I authorize representatives of this city or county to a th above-1 entifle pr erty far inspection purposes. '/ Signature of Pro ed Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Z(. G Date Q TL ACTION DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE PERmfr€XPIR€D PERMITCANCEUED PERMIT EXTENDED PERMIT FINAL CERTIRCATEOP to OCCUPANCYISSUED TO U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: