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HomeMy WebLinkAboutH2022-0373 - Permits�gWPO�T City of Newport Beach Mechanical Permit III I I I II I II I II IIII IIII II 0�. A Community Development Department - Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1 ? Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 C94FORN\P newportbeachca.gov/inspections Issued Date : 7/22/2022 Inspection Area : 3 H2O22-0373 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 : 2036 HIGHLAND DR Legal. Desc : N TR:3057 BLK LOT 32 Description: MECH CHANGE OUT HEAT PUMP & AIR HANDLER *TAMPER PROOF CAP RED* Owner: MARGRET DOEDENS Contractors LEWIS AIR SERVICES Address : 2036 HIGHLAND DR NEWPORT BEACH, CA 92660 Address : 23121 ANTONIO PKWY#155 RANCHO SANTA MARGARITA, CA 92688 Phone : Phone : (949) 589 0609 Con State Lie : 972182 Applicant: LEWIS AIR SERVICES Lie Expire: 04/30/2024 Address : 23121 ANTONIO PKWY#155 RANCHO SANTA MARGARITA, CA 92688 Bus Lie: Phone : (949) 589-0609 Bus Lie Expire Workers' Compensation Insurance Carrier Policy No: W. C. Expire :T Code Edition : 2019 Fire Sprinklers : NO Manufacturer v�9.oa Type of Construction : Fire Hazard Zone • Y Model# : Occupancy Groups : - C, Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) often T031,5, Business and Professions Code Any city or county thatrequires permit to construct, alter. Improve, demolish, or repair any structure, prior to its Issuance, also requires the appticantfor permitto file a signed slatement 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 fesstons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyviolation of Section 7031,5 by any applicant for a permit Subjects the applicant to a civil penalty of more than five. hundred deflate ($500). I, as owner of the property,: or my employees with wages as tMek sole compensation, will do (_)all of or U portions of the work; and the structure is not intended or offered for sale'(5ection 7044, :mess and professions GOOD; 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 rovements are not Intended or offeredfor 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 builtor roved for the purpose of sale),. 1, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section Business and Professions Code-, The. Contractors' State License Law does not ly 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). 1 am exempt from licensure under theContractorstState License Law for the following reason: _,. my signature below I acknowledge that, exceptfor my personal residence in which I must have resided for at least oneyear prior to completion of the. improvements covered by this permit,.). cannot legall a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.) understand that a copy of the applicable law, Section7044 of the Business and fessions Code, is available upon request when this: application is submitted or at the following Web site:http:/iwww,feginfo.ca.govic law.htmi. nature of Property Owner or Authorized Agent. Date AGEN5ED GON FKAU'l OWN Ut_GLARAI IUN'. hereby affirm under penalty of perjury that.I am licensed under provisions of Chapter-9 (commencing with Sectio 0 D of ivision 3 of the Business and PrITUSAND ode, end '; rise is in full force. ind effect. License Class License No Dat 7.L Contractor Signaturt VORKERS' COMPENSATION DECLARATION tARNiNG: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND.$HALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL FINES UP TO ONE HUNDRDOLLARS tSt00A001, IN ADDITION TO THE DST OF COMPENSATION; 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 €oliowing, declarations: -❑qqq 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 t4 o Omumee of the work for which this permit Is issued. Policy No. I 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 compensatoor ,sure ce carrier and policy number. are: Carrier Policy Number Expiration Date Name of Agent Phone # 711 certify that, in the pert rman of the work for which pis 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 agree IMat, if I should beteype, the workers' stomp tan provisions of Section 3700 of the Labor Code; Isnall forthwith comply with those provisions. Signature of ApplicaDate/— DECLARATION REINSTRUCTION LENDENG AGENCY I hereby alarm underjury thatthere is a construction lending agency for the performance of the work forwhich this. permit: is issued (Section.3097, civil Lenders Nacre. Lenders Address By my signature beleach of the fol€owing: 1 am theproperty owner or authorized to act on the: property owner's behalf. t have read this application and the information :I have provided is correct.. I agree to comply with all applicable Olry and county o i antes a,d s aws-relating to building Donsiructio,, t authorize representatives of this city or, Court io the abdve4 of property for inspection purposes. f Signature of Property Owner or Authorized ant Print PropertyOwner's or Authorized Agent's Nama / Dat L71 ACTION DATE BY. LARATI€iN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE AO AND.AQMD RULE 1403 PERMITERPIRED U i SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EIVA. All required alarms, latches gates and fenceswhichserve as part of a pool/spa barrier, shall PERMIT EXTENDED AOMD Iq be In place prior to approval to fill pool/spa & shall remain to place & be maintainedforthe PERMIT FINAL ST S F ATION IS N07A CABLE TO life of the pool. CERTIFICATE OF /� PROPOSED �{AT ION I ,�//$//p�/pn11C ©CCUPANCYISSUED ��'��� / S46NANR /I YGiil�6w/,