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Home My WebLink AboutH2024-0578 - Permits�'WPoRT City of Newport Beach y p� A Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 - > newportbeachca.gov/civic Yt i F00.N� P III I I I II I I II II III I III I II Mecha nicalPermit: H2O24-0578 Work Class : Alteration Permit Status: Issued Issued Date : 09/09/2024 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: 421 HELIOTROPE AVE Legal Desc : A TR CORONA DEL MAR BILK 434 LOT 3 Description: MECH - **AS -BUILT** REPLACE GOUND MOUNTED A/C UNIT @ THE SIDE YARD, TAMPER RESISTANT CAP REO Owner : EUGENE SETO Address : 2370 CARMEL DR PALO ALTO, CA 94303 Phone : (949) 629-8455 Applicant: BEN MEDINA Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder : Address Phone : Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: 2022 Front: 15, Side: 3, Side: 3, Rear: 5 X R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 124-3955 Fire Hazard Zone : NO Contractor : SERVICE CHAMPIONS Address : 3150 E BIRCH ST E BIRCH ST BREA, CA 92821 Phone: (714)777-7777- Con State Lic : 799170 Lic Expire : 10/31/2025 Bus Lic: BT01080105 Bus Lic Expire:07/31/2025 Workers' Compensation Insurance Carrier : SAFEPY NATIONAL CASUALTY CORPORATION Policy No : LDC4068914 W. C. Expire: B/1/2025 Manufacturer: A/C PRO Model# : AULD60W2/A-D(U) OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ilem(s) ction 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 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 fessions 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 more than five hundred dollars ($500). I, 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 or offered for sale (Section 7044, ,mesa and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or Improves the property, provided that the rovements 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 roved 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 ly to an ownei of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from licensure under the Contractors' Slate License Law for the following reason: Iv my signature blow 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 eli 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 B 'rofessions Cede, is available upon request when this application is submitted or at the following Web site:http:/lww .leginfo.ca.gov/calaw.html. Ii£nalure of Pm,l .rty Owner or Authorized Agent _ Da1P _ .ICENSED r03\TRACTOR'S DECLARATION hereby affirm t-ndel penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 0041 3 oft mess and P to ode, and my license Is in full force nd effect. License Class License No D Co ctor Si UORAERS' COMPENSATION DECLARATION and ING' FAILURE TO FE;URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINIS UP TO ONI'frii THOUSAND DOLLARS 1$100.(100), IN ADDITION TO THE Or COMPENSATIJN, 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: have and will rnntntam 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 Triance of the Work for which this permit is issued. Policy No. 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' ,carder and policy number are: _ Policy of Agent Date :1I certify that, in the performance of the work ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp sa n laws of California, and agree hat, if I should become subject to the wor compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions. Signature of Appli n __ XCLARATION R CTION LENDING AGENCY hereby affirm ui er era o hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _ender's Name Lenders Address 3y my signature be—low-1-certify to each of the following: I am the properly owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances aila a laws rotating to building construction. I authorize representatives of this city co ty toe r the ve-identified property for inspection purposes. ii nature of Property Owner or Authorized nt Pdnt Property Owner's or Authorized A ents ame ACTION DATE B DE A710N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMITEXPIRED LJ II SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED -1' j OEPA PERMIT EXTENDED OMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED s-9! LJ♦ Jrl ASBESTDS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: