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HomeMy WebLinkAboutH2022-0251 - Permits��EWPORT City of Newport Beach O Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Dry T Inspection Requests Phone: (949) 644-3255 C9G�F00.N`r newportbeachca.gov/inspections III I I I I I I I II I III I I II Mechanical Permit : H2O22-0251 Plan Check No : 2765-2021 Work Class : Other Issued Date : 05/12/2022 Inspection Area : 5 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: 504 SEAWARD RD Legal Desc : N TR 1237 BLK LOT 190 Description: MECH -INSTALL HEAT PUMP. TAMPER -RESISTANT CAP REQUIRED Owner: CARDELUCCI MARK TR Address : 455 CABRILLO TER CORONA DEL MAR, CA 92625 Phone: Applicant: J C L & SONS HVAC INC Address: 6651 SUTTON ST WESTMINSTER, CA 92683 Phone: (714)642-6836 Owner/Builder : Address Phone: Code Edition : Fire Hazard Zone : YES Type of Construction Occupancy Groups: 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: SPECIAL CONDITIONS: DELTA 1 - REVISE EQUIPMENT SPEC Contractor : J C L & SONS HVAC INC Address : 6651 SUTTON ST WESTMINSTER, CA 92683 Phone: (714)642-6836 Con State Lic : 759146 Lic Expire : 12/31/2024 Bus Lic: BT30078706 Bus Lic Expire:05/31/2023 Workers' Compensation Insurance Carrier : CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01183600 W. C. Expire; 10/6/2023 Manufacturer: SAMSUNG Model#: AM060MXMDCH/AA OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 items) "section 7031.5, Business and Professions Code: Any city or county that requires a penult to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for no 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 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do O all of or [W ) portions of the work, and the structure is not intended or offered for sale (Section 7044, usmess 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 tho nprovements 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' 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 licensure under the Contractors' Slate 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 permit, I cannot legal[) oil 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:flwww.leginfo.ca..govlcalaw.html. �ignatlre 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 Code, and my license Is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL 31,113JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE 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 following declarations: 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 xmance 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' compensa ratios carder and policy number are: Policy Number Expiration Date of Agent Phone # _ certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject 10 the workers' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply mth those provisions. nature of Applicant �._.wY__.�_._.,�......�...._ CLARATPON REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rider's 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 this application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of Prooelty Owner or Authorized Anent Print Property Owner's or Authorized Anent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMtl'EXpREb JAI SAMITTEDASBESTOS NOTIFICATION TO PERMITCANCELIED i EPA FERM11 EXTENDED p PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED ASBESTOS NOTiFiCAT10N IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: