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HomeMy WebLinkAboutH2022-0381 - Permits�EwP R City of Newport Beach pv@, 3y Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, y CA 92660 /i Permit Counter Phone: (949) 644-3288 e Inspection Requests Phone: (949) 644-3255 c9 Foa P" newportbeachca.gov/inspections IIIMechanical Permit : H2O22-0381 Plan Check No: Work Class : Alteration Issued Date: 07/26/2022 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: 3 HARBOR RIDGE DR Legal Desc : TR 9587 LOT 7 UNIT 1 OF PROJECT LOCATED ON AP 461-074-11 TOG ETHER WITH AN U ND 1/15 INT IN LOT 7 Description: MECH*A/C CHANGE OUT* TAMPER RESISTANT CAP REQUIRED Owner: LIND E JANET TR R & E Address : 3 HARBOR RIDGE DR NEWPORT BEACH, CA 92660 Phone: Applicant: HAVEN Address: 2075 N SHAFFER ST ORANGE, CA 92865 Phone: (714)998-7879 Code Edition : 2019 Fire Sprinklers: NO Type of Construction : Fire Hazard Zone : Y Occupancy Groups: Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 5 Flood Zone: X Use Zone: PC - Harbor View Hills PROCESSED BY: q9L Contractor: HAVEN Address : 2075 N SHAFFER ST ORANGE, CA 92865 Phone: (714)998-7879 .... Con State Lic : 748387 .....• ° Lic Expire: 01/31/2024 Bus Lic: BT30077210 •°� ,e Bus Lic Expire 11/30/2022 °,°• ; Workers' Compensation Insurance ° °• ; °,' Carrier: FALLS+LAKE+FIRE+AND+CASUALTY+COMPANYoRQ ° .°�.. Policy No: FLA01536601 ° •*.v°°• W. C. Expire: 10/1/2022 ° • ° e a s °9 ec°ec. Manufacturer: sa AC PRO ° • _ � • Model#: AULD60WZ/A-D(U) TIMERS PROHIBITED _N HEAT PUMPS I P C�0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors'State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Cade: 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 forthe 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 ($5GO). J 1, as owner of the property, or my employees with wages as their sole compensation, Will do L) all of or L) portions r ;usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throug nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of coi nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrac 7 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 on ell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .lEq ',ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perury tit I am licensed under provisions of Chapter 9 (commencing with Section 7000 nd effect. License Class (i" %it> License No Ors DaIW I/ORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN OST OF COMPEN%41811,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebyoffirm unSPr•olanalty of perjury one of the following declarations: •••• • eea I hale and Nilhmaintain a certificate of consent to self -insure for workers' compensation, issued by the Director Nance of "a work for which this permit is issued. Policy No. ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the A (.Ur l-AV-(. CAI Pk t CA�vD i--c f ClIolicY Number F L A 0 I-S So �j'Ji fd �. that. in Qhe performance of the wo�rk for which this permit is issued, I shall not employ any person in any ould tpcor=le subject to the wgrkers' compensation provisions of Section 3700 of the Labor Code, I shall . . •� A ' Ireby affirm Iy Sr aerially of perjury that there is a construction lending agency for the performance of the work for Ides s Name Lender's Address my signature below, 1 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 Corect. I agree to comply with all applicable city and county ordinanyes and state laws relating to building construction. I authorize representatives of this city or county enter t above -identified property for inspection purposes. nature of Property Owner or Authorized AGent°J Print Property Owner's k, and the structure is not intended Or offered for sale (Section 7044, Res' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors State License Law does not pursuant to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and fcalaw.html. Date ,iSiO9,3 of the Business and ssions e, and my license is in full force Contractor Signatu AND CIVIL FINES UP TO ONE NUN RED THOUSAND DOLLARS (3100,000), IN ADDrION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Bon Date 104, # g(8 G%4 • �.`t8s `r so as to become subject to the workers' compensation laws of California, and agre fth comply with those provisions. Oat ch this permit is issued (Section 3097, tivil Code). ACTION ( DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY a REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO�I PERMIT CANCELLED OEPA All required alarms, latches gates and fences which Serve a5 part of a pool Spa barrier, Shall PERMIT EXTENDED LIAGIVID be in place prior to approval to fill pooVspa & shall remain in place & be maintained for the PERMITFINAL �j ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool. CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYMSUE0 SIGNATURE: