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HomeMy WebLinkAboutH2023-0061 - PermitsoRr City of Newport Beach III II I IIIIII II IIIII III 0� a Community Development Department- Building Division Mechanical Permit 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: T Permit Counter Phone: (949) 644-3288 Work Class : Other a. C'G�FO Inspection Requests Phone: (949) 644-3255 Issued Date RN�P newportbeachca.gov/inspections Inspection on Area : 4 H2O23-0061 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: 307 ENCINA Legal Descc: N TR.8682 BLK LOT 7 Description: MECH - R/R HEAT PUMP AIR HANDLER & DUCTWORK:. TAMPER -RESISTANT CAP REQ'D Owner: LEONARD STEINBERG Address : 2640 WEATHERLY CT ANCHORAGE, AK 99515 Phone : Applicant: APEX HEATING & AC Address: 26935 NEW BEDFORD DR LAKE FOREST, CA 92630 Phone: (949)228-4764 Owner/Builder : Address Phone Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : APEX HEATING & AC Address r 26935 NEW BEDFORD DR LAKE FOREST, CA 92630 Phone : (949) 228-4764 Con State Lic : 1056220 Lic Expire : 07/31/2023 Bus Lic: BT30077859 Bus Lic Expire: 02128/2023 Workers' Compensation Insurance Carrier : NORGUARD INS CO Policy No: JOWC249952 W. C. Expire: 9/1/2023 Manufacturer: AC PRO Model#: AUD60W/AD OWNER -BUILDER. DECLARATION I hereby al(irni underpenally of perjury that I am exempt from the Contractors' Slate License Law forthe reason(s). indicated below by the checkmark(s) I have placed next to the applicable Item(s) Section 7031.5. Business and Professions Code: Any city or county (fiat requires a permitto construct, alter, improve; demolish, orrepeir any structure, prior to its issuance, also requires the applicant for he permit to file a signed statement thathe or she is licensod. pursuant to the provisionsofthe Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Builnass and Ifolessions 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 lot more than five hundred dollars.(.$500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work; and the structure Is not intended oroffered'for sale (Section 7044, tushiess and Professions Code: The Contractors' State License Law does not. apply to anowner of properly who, through employees' or personal effort,. builds or Improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completon, the Owner -Builder will have the burden of proving that It was not built of Tproved 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' Slate License Law does not yly 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), t em exempt from Ilcensure under the ConlrectOrs' Slnls License Law for the following reason: ly my signature below I acknowledge that, except for my personal rosidence in which I must have feslded for at least one year prior to completion of (tie improvements_ covered by this 1 cannot legail ail a structure that I have built as an ownef-buil(ler if It has not been constructed it) its cnrrciy by licensed contractors. I understand that a copy of the applicable law, Section 7044 oftho Businessand 'mfesslons Cods, is available upon request when this application is submitted or at the following Web site:http:)Iwww.leginfo.ca.govicaliw.hbiil, lignatum of Property Owner or Authorized Agent -....-..._._. .-_._._ .. -_---- .__.__,_-..Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury (lint I am licensed tinder previsions of Chapter 9 (commencing with Section 7000) pf 'visi f the Businessaraitfr a e, and my license is in full force no effect. License Class License No Date ( Contractor Signature PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORxERa' OOMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED I OUSAND DOLLARS tsf sL000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE. INTEREST,AND ATTORNEY'a FEES hereby affirm under penalty of perjury one of the following dectaralfons: 3 1 have and will maintain a certl4ca(e of consent to self -insure for workers' Compensation, Issued by the Director of Industrial Relations as provided tot by Section 3700 of the Labor Code, for If V011mance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: is of Agent certify that, in the performance of the work for , if [.should becomesubject to the wor *a c6 Policy Number Expiration Data Phone tF this permit Is Issued, t shell not employ any personrin any manner so. as to become subject to the workers' comp nsallon aws ofCallfomfs, and agre aliDn prdefsfo flan 3700ofthe Labor Code, I shelf forthwith comply with those provisions. /p/ Nf, Ar;F NCV � i noby affirm under -pence' liry that there is a constructionlending agency for theperformanceof the work for which this permit is issued (Section 3097, Civil Code). idersName _ _ Lender's. Address. any signature below, I certify to each of the following; - -- -- —_.T 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 I rrect. I agree to comply with all applicable city and county ordinance tale laws rel1 1no"to building construction. I authorize representatives of this city or county tosnler the above-i property for Inspection purposes. OF COMPLIANCE WITH CODE OF FEDERAL j FOR OFFICE USE ONLY PARTbi OF TITLE 40 AND AQMD RULE I PERMIT 061411FO 1 j j I-.It5UBMITFEDASaE5TO5NOnF1CAilONT0. PfRMITCXTfNDED _ / / PERMIT FINAL/5j /L3 _ ^�HESIOS Nf719FICA7tON15 NOT APPLICABLE 10 CERTIFICATE OF /// !!! PROPOSED DEMOLITION OCCUPANCYISSUED 51GNATURF-