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Home My WebLink AboutH2025-0359 - PermitsE o City of Newport Beach III I I I II I II I II IIII I I I I II Permit: H2O25-0359 A�? Community Development Department- Building Division (F ' yj 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : XR2024-6894 6p .z i Permit Counter Phone: (949) 718-1888 Work Class : Other newportbeachca.gov/civic Permit Status: Issued Issued Date : 05/2212025 1 ,� Kam; �• Inspection Area : 8 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 : 2418 HOLLY LN Legal Desc : N TR 1702 BLK LOT 24 Description: MECH INSTALL (1) HEAT PUMP AT SIDE *"TAMPER RESISTANT CAPS REQUIRED** (XR2024-6894) Owner: THOMAS DAVIES Address : 2418 HOLLY LANE NEWPORT BEACH, CA 92663 Phone : (347) 971-1018 Applicant: JAN ELLE DAVIES Address : 2418 HOLLY LN NEWPORT BEACH, CA 92663 Phone : (349) 971-1018 Owner/Builder: JANELLE DAVIES Address: 2418 HOLLY LN NEWPORT BEACH, CA 92663 Phone : (349) 971-1018 Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: 55 SPECIAL CONDITIONS: NEIGHBOR HIGH NOISE CONSENT LETTER SCANNED Contractor : OWNER/BUILDER Address Phone: Con State Lie: OWNER/BUILDER Lie Expire: Bus Lie: Bus Lie Expire: Workers' Compensation Insurance Carrier : EXEMPT Policy No: 0000 W. C. Expire: Manufacturer: AC PRO Model#: AWHI8QD-D3DNB5K/O OWNER -BUILDER DECLARATION I hereby affrm under penalty of perjury that I am exempt Irom the Contractors State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable terms) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its issuance, also requires the applicant for the 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 licensors 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044. Business and Professions Code: The Contractors Slate 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 impr 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsSlate License Law). ❑ I am exempt from licensure under the Contractors' Stale License Law for the lollowrng 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 legallN sell 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 Professions Cotle, is available upon request when pplication is submitted or at the following Web site:http://www.leginfo.ca.govic law.htmi. Signalure of Property Owner or Authorized Agent _ _ ____-.__ Date LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am He Ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. License Class License No Date Contractor Signature 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 HUMORED THOUSAND DOLLARS IS100.0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. iI hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the iperformance 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 ranee carter and policy number are: Policy Number Date m"i Agent Phone R _ 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 L if I should become subject to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of Applicant Dale CLARATION REGARDIN NSTRUCTION LENDING AGENCY Heby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lenders Address my signature below. I certify to each of the following: I am the phisi; 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 ordinances and state laws relating to building construction. I authorize mpresdntatives of this city or coo9�4LIn,enter the a�bovv identified property for inspection purposes. i.afnrA of Pronadv OwnAr nr Authodzed Anent------ Print Prooertv Owner's or Authorized Anent's Name 74r ✓I��-e D n Vl es Date AL) ION DATE BY // DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL i FOR OFFICE (� REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE -^PMIT EXPIRFV LJ I SUBMITTFD ASBESTOS NOTIFICATION TO -'PMITCANCELUD LIEPA P'PA"1T EXTENDED �/7 T-�QMD _ PERtr4TFINAt I /�%77 I —I ASBES105NOTIFICATION IS NOT APPLICABLE TO CFFTrFICATE Oh PROPOSED DEMOLITION OCCL'PANCYIZ.;.D j v SIGNATURE: