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Home My WebLink AboutH2024-0118 - PermitsCity of Newport Beach D 6 Community Development Department- Building Division ty" 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 718-1888 a newportheachca.gov/civic C9</FORN`P III I I I II I I II II III II II I II Mechanical Permit : H2024-01 1 8 Plan Check No : PC2023-2261 Work Class : Other Issued Date : 03/15/2024 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 WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 729 VIA LIDO SOUD Legal Desc : N TR 907 BLK LOT 27 Description: MECH RELOCATE (2) HEAT PUMPS AT ROOF **TAMPER RESISTANT CAPS REQUIRED** (XR2023-2591) Owner: EAGLE DEVELOPMENT AND CONSTRUCTION INC Address : 23679 CALABASAS ROAD #724 CALABASAS, CA 91302 Phone: (818)597-1326 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: b SPECIAL CONDITIONS: HIGH DENSITY ZONE Fire Hazard Zone : NO Contractor : TRUE HOME HEATING A/C Address: 4 FARADAY IRVINE, CA 92618 Phone: (949)382-6337 Con State Lic : 1025397 Lic Expire : 04/30/2025 Bus Lic: BT30064629 Bus Lic Expire:10/31/2024 Workers' Compensation Insurance Carrier : TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No : UB9S682838232SG W. C. Expire: 12/1/2024 TIMERS PRC)HIBITED Manufacturer: LENNOX Model# : VPC048 'qO A. O NSTL7Y.1°s.,r tl 11MWIaRK ON SATURDAv.S OWNER -BUILDER DECLARATION I hereby affirm under penally 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) iection 7031-5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any slmcture, prior to Its Issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved 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 pply 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 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 peril, I cannot legal ell 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:Owww,leginfo.ca.govic law.htmi. ignature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) io 3 the Business a s Code, and my license is In full force nd effect. License Class License No Date Contractor Signa VORKERS' COMPENSATION DECLARATION 1 f lARNNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO O NDREO THOUSAND DOLLARS I$100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND 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 the o"ance of the work for which this permit is issued. Policy No. I 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' compensatiol 1s ante carrier and policy number are: tamer Policy Number Expiration Date Jame of Agent Phone H :1I certify that, in the performance of the work for which this permit is issued, I shall note loy any person in any manner so as to become subject to the workers' compensation aws of California, and agm Tat, if I should become subject to ers' compensation provisions of 0 of the Labor Code, I shall forthwith comply with those provisions. signature of Applic Date_ )ECLARATION REGARD[ TRU NDING AGENCY hereby affirm under p at there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lenders Address ly my signature belokv, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 have provided is correct. I agree tc comp y with all applicable city and county ordinances and state laws relatin building construction. I .luthorize representatives of this city or county to enter the above-ide roperty for inspection purposes. _f Un,.,no — A. ah—i—A Anama� Print Prooerty Owner's or Authorized Anent's Name F Date AC, ION DATE 7U.IAUTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PFRMIT EXPIRED Ul5UBMITTED ASOEST05 NOTIFICATION TO ^FRMITCANSC.EC LJEPA ^rRMITW NDEO QMD 77MITFINAL IaASBESTOS NOTIFICATION IS NOT APPLICABLE TO CEPTIFICATE Of V—V- S PROPOSED DEMOLITION OCCUPANMS' UED SIGNATURE: