HomeMy WebLinkAboutH2025-0656 - Permits_ City of Newport Beach
- _ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Permit: H2O25-0656
loom nu um umnnuwnn°winiwn°r noun Plan Check No : XR2024-5613
Work Class: Other
Permit Status: Issued
Issued Date : 10/03/2025
Inspection Area : 9
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 S.ATURDAY OR SUNDAY IN HIGH DENSITY AREAS .AND NO VVORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 74 CHANDON Legal Desc : N TR 14565 BLK LOT 3 UN 13 TRACT 14565, LOT 3 OF P
Description: MECH CHANGE OUT GROUND MOUNTED A/C UNIT IN BACK OF PROPRTY *TAMPER PROOF CAP REQ*
Owner:
HADIESTAKHRI
Address:
74 CHANDON NEWPORT BEACH, CA 92657
Phone:
(714) 634-4552
Applicant:
CABIFORNIA INC
Address:
26611 NACCOME DR. MISSION VIEJO, CA 92691
Phone :
(949) 308-3137
Owner/Builder
:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone: X
Use Zone: PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor: CABIFORNIA INC
Address : 26611 NACCOME DR. MISSION VIEJO, CA 92601
Phone: (949)308-3137
Con State Lic : 1077008
Lic Expire : 08/31/2027
Bus Lic: BT30083836
Bus Lic Expire:03/31/2026
Workers' Compensation Insurance
Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy No: CWCO2822901
W. C. Expire: 1/27/2026
Fire Hazard Zone : YES Manufacturer: BRYANT
Model# : 115S
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 iterms)
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
m 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
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 for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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).
11. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState 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 permit, I cannot legallj
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 sfe:http://wvk'w.leginfo.ca.gov/Calaw.html.
.ignature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section*7D�i-is�.the Business and Prof sio ode and my license is in full force
nd effect. License Class License No Dat'ontractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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
e ormance of the work for which this permit is issued. Policy No.
e 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' compereatioi
isurance carrier and policy number are:
Policy Number
Date
lame of Agent
31 certify that. In the pe or ante of the work for which this per is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and age,
tat. it I should become)bcls' compensation r isions Df Section 3700 of the Labor Code, 1 shall Fodhwith comply with those provisions. Isignature of Applicant_. Dale _ _. _ - ___ _._______-- ____._. .IECLARATION REGARI }WG G CY
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 309 Civr Code).
ender's Name _ _ Lender's Address _ __ _...-_.
Iy 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 coupp ordinances and state 1 ws relating to building construction.
I authorize representatives of this city or cou'rf x y['enter the above-iden I b property for inspection purposes. (VI 2 �P
n,.,..o�.,r A. ah„�,on n,.oe11 /� /V1 l' X _ _ _ Print Prooertv Owner's or Authorized Aare nt's Name y m i Fze 1 A HAkA d)0 to
DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED lin�`�
BY ✓ DECLnATION OF COMPLIANCE W[TH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
I SUBMITTED
TO
I—' ASBESTOS NJTIFICATInN 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: