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Home My WebLink AboutH2023-0423 - Permitsa�� WoRr City of Newport Beach III I I I II I III II II III Community Development Department- Building Division ey 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic ^ 7, a �t IIMechanical Permit : H2O23-0423 Plan Check No : PC2022-1707 Work Class : Other Issued Date : 06/28/2023 Inspection Area : 6 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: 708 LARKSPUR AVE Legal Desc : A TR CORONA DEL MAR BLK 738 LOT 10 Description: MECH INSTALL 2 HEAT PUMPS AT DECKS **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (XR2022-1853) Owner: LA21 G LLC Address : 26880 ALISO VIEJO PKWY, STE100 ALISO VIEJO, CA 92656 Phone: (949)894-8034 Applicant: NELLIEMONTEJANO Address: 26880 ALISO VIEJO PKWY, 200 ALISO VIEJO, CA 92656 Phone: (949)669-5118 Owner/Builder : Address: Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : T J C HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY, 200 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lic : 1025507 Lic Expire : 04/30/2025 Bus Lic: BT30059037 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE CO INC Policy No: TWC4227597 W. C. Expire: 3/1/2024 Manufacturer: DAIKIN Model#: RXTQ48TAVJU TIMERS PRomw-rF ON HEAT PUMPS I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ieciton 7031.6, 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 is 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 'rofessiona 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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through amployees' or personal effort, builds or Improves the property, provided that the nprovemenls 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 n 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' Stale License Law does not ply 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 licensors under the Contractors' State License Law or the following reason: ly 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 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 70" of the Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:hdp:tlwww.leginfo.ca,govlcalaw.html. �Ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION -X� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Vt f the Business and Professlo C n m 1 e is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (940 ), IN ADDITION TO TH 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: I I have and will maintain a certificate of consent ID self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 11 erformance 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' rance carrier and policy number are: ter _.. ....._ Policy Number Expiration Date to of Agent '�/y Phone if ome ect to If I shot ld become eco ecertify that, in the eSul e' tom Tr� rs corrlQ$tsah an ov slons of Section ll3700aof the Labor Code,lI shall forthwith complyWithhose provisions- onse workers' compnn a Ile o�allfomia, and agree Ireby affirm under penalty of perjury that there is a construUn lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). iders Name Lender's Address 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 thi; 3,)pication and the information I have ptcrYed is c,(orrect. I agree to comity with all applicable city and c only o��prpd{in Ps Sol late relating to building construction. I authorize rep'esqrtalives GF this city or coon to pgr t pbove6tif d pr arty for inspection purposes. ry\ Yy I �� Y Y yt17ITJ/A __ __ ...,,------ .___. 1IUU /1 EE// UUUUUU ��1��1 «..,.., n..rr.,..;. A A---vt nle el lt��t i11 I ' V l fZ/ ) A'.TI')N DATE BY DECLARATION OF COMPLIAN4,E TH CODE OF EEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE O AND AQMD RULE 1403 PcRMf i eXPIRED Of suaMITTED ASBESTOS NOTIFICATION TO PthMIr CANCELLED -- EPA PERMITEXTENDEO .. r �nQ_M1) PERA9TF@!AL _ _ C�ASBESTOS NOTIFICATION( SNOT APPLICABLE TO CERTIFICATEOF �, _ PROPOSED DEMOLITION O::LDPAN'Y ISSUEO SIGNATURE: