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Home My WebLink AboutH2025-0157 - Permits��EWPORr City of Newport Beach p @,, Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 718-1888 P newportbeachca.gov/civic Permit: H2O25-0157 uninmunnunininumononmunuwmnim Plan Check No: Work Class : Other Permit Status: Issued Issued Date : 02/2812025 Inspection Area : 4 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 : 4 RUE GRAND VALLEE Legal Desc : P BK 42 PG 32 PAR 2 Description: MECH -INSTALL (1) ROOF -MOUNTED A/C UNIT & (1) FURNACE IN CLOSET Owner: FRANCIS, RAYMOND J TR Address : 4 RUE GRAND VALLEE NEWPORT BEACH, CA 92660 Phone: (949)433-6474 Applicant: BEN MEDINA Address : 31225 LA BAYA DR, 213 WESTLAKE VILLAGE, CA 91362 Phone: (818) 735-7876 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone: X Use Zone: P\\C- Big Canyon PROCESSED BY: 1•, SPECIAL CONDITIONS: Contractor : DIAL ONE SONSHINE INC Address : 3655 W MCFADDEN AV W SANTA ANA, CA 92704 Phone: (714)826-5198 Con State Lic : 1085205 Lic Expire : 12/31/2025 Bus Lic : BT30081230 Bus Lic Expire:04/30/2025 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INSURANCE COMPANY Policy No : SNP1532540 W. C. Expire : 12/20/2025 NO Manufacturer : AC PRO Model# : SPAC-B-1036BA I hereby affirm under penalty of perjury that 1 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 items) (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 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 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 not 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 (_) 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 sale). 111, 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 appty 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' Stale License Law for the following 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 legallt sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:ttwww.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 700D i isipw9 of the Business and Pro de, and my license is in full farce and effect. License Class License No Date G �l Contractor Si e 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 ON THOUSAND DOLLARS (Ef00,000i. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 07H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 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 p�erform�ance of the work for which this permit is issued. Policy No. JI`rta'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' compensation isurance carrier and policy number are: ;artier Policy Number Expiration Date lame of Agent Phone # 3I certify that, in the performance of the work for is permit is issued, I shall not employ any person in any manner so as to become subject to the workers'compensatton laws of California, and agre Tat, if I should become subject to the wo mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. lignature of Applicant �d�Z IECLARATION REGARDIN CT10N LENDING AGENCY hereby affirm under p that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address ly my signature below. 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 I have provide correct. I agree to comply with all applicable city and county ordi ces and sta I authc-ize representatives of this city or county to 9PISr the a bjxw entifie< cf Prooc-ty Cwrar or Authorized ACTION I DATE I BY PE"MfT EYPIRED PE. iA.T &(TENDED Ptr(10,1 FINAL I CE,7IFIC4T: OF I t o/11 OCCJ^Lf'CY155UED as relating to building construction. property for inspection purposes. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO Date