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Home My WebLink AboutH2022-0564 - Permits�£WPORr City of Newport Beach III I I I II Community Development Department -Building Division > "y' 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 e« Inspection Requests Phone: (949) 644-3255 c7L�FOr+��P newportbeachca.gov/inspections Mechanical Permit : H2O22-0564 "Plan Check No : 1835-2021 Work Class : Other Issued Date : 10/14/2022 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: 20 COLONIAL DR Legal. Desc : N TR'15389 BILK LOT 44 Description: MECH: INSTALL (3) HEAT PUMPS jff.95jjjj1W, **TAMPER RESISTANT'CAPS REQUIRED &.TIMERS PROHIBITED" (X2021-2121) Owner : MICHAEL PIETSCH Contractor :: LIVING AIR DESIGN LLC Address : 20 COLONIAL DR NEWPORT BEACH, CA Address : - '1250 ARROW WOOD DRIVE BREA, CA 92821 Phone: (949)466-3919 Phone: (626) 7342146 Con State Lie : 1091394 Applicant: LIVING AIR DESIGN LLC Lie Expire :. 05/31/2024 Address : 1250 ARROW WOOD DRIVE BREA, CA 92821 Bus Lie: - BT30079898 Phone: (626)734-2146 -Bus Lie Expire:10/31/2023 Workers' Compensation Insurance Owner/Builder : Carrier : Address : - Policy No: ! EXEMPT Phone: -. W. C.'Expire: Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: YORK Type of Construction : Model# : HMH72B481S Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear 10 - Flood Zone : X Use Zone: PC - AeronutronicFord a , =maaao a e a ca'o� oaoo PROCESSED BY: SPECIAL CONDITIONS: a��a Wamc�_ a arr=ao a aes oo a Ca 0 a BC OWNER -GUILDER DECLARATION I hereby affirm under penalty of perjury, that i am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) 'action 7031.5, Business and Professions Code: Any city or county that requires a permitto construct, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant far 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 Imlossions 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). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the worts, 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 sate. 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). 3 L 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 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).. I am exempt from licensors 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 permiL I cannot legalli 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 site:http:/Aw .leginfo.ca.govtcalaw.html. signature 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 7000) of Division 3 of the Business and Professions jj�a is in full force nd effect. License Class License No Date /0-/0 -72 - Contractor Signature PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THOUSAND DOLLARS (5500,000J, rN MOTION TO THE OST OF COMPENSATION. DAMAGES AS PROVIDED FORIN SECTION ST03 OF SHE LABOR COVE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ] I 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 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: Policy Number Date certify that, in the performance of the work for whicf rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre , if I should become subject sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. miure of Applicant _ DaTQ�p — ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permitis issued (Section 3097, Civil Code) nders Name Lenders Address my signature below, I certify to each of the following: I am the, arplagI4 owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. .'agree tore KMV with ail applicable city and county Ordinances and 9 fate laws relating to building construction. f 2thoriis i.�resentatives of this city or county to Mter 0 niitiedp gperly for inspection purposes. •AftION + • REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE •S�%RP 117 EXPiR£D��.. I I I L.I]SURMrrr€D ASBESTOS •�P;MR�Vhl` f tAltNfjtU ee LJAQMD • FfNAl'•e ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PF1CATEOP• •• PROPOSED DEMOLITION on renuTV Or FOR OFFICE USE ONLY