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Home My WebLink AboutH2022-0472 - PermitsaEWPoRT, City of Newport Beach I I I I II I II I II II II III I II of R 6 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C7��FOM1N`P newportbeachca.gov/inspections Mechanical Permit : H2O22-04%2 Plan Check No : 1056-2021 Work Class: Other Issued Date: 09/0812022 Inspection Area: 1 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: 413 EDGEWATER PL Legal Desc : A TR BALBOA BAYSIDE TR BLK 2 LOT 8 BALBOA BAYSIDE TR LOT 8 B LK 2 ALL -INC BET SAME & Description: MECH: INSTALL (3) ROOF MOUNTED HEAT PUMPS **TIMERS PROHIBITED & TAMPER RESISTANT CAPS REQUIRED** (X2021-1197) Owner: BH BELGRAVIA LLC Address : 2312 E NOTTINGHAM ST SPRINGFIELD, MO 65804 Phone: Applicant: PRO WEST MECHANICAL INC Address : 15431 RED HILL AVE #F TUSTIN, CA 927BO Phone: (714)651-8737 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 7, Side: 3, Side: 3, Rear: 5 Flood Zone : AE, 8 FT; X; AO 1 Use Zone: R-2 - Two -Unit Residential Fire Hazard Zone : N Contractor : PRO WEST MECHANICAL INC Address : 15431 RED HILL AVE #F TUSTIN, CA 92780 Phone : (714) 651-8737 Con State Lie : 974570 Lic Expire : 06/30/2024 Bus Lie: BT30051314 Bus Lie Expire:05/3112023 Workers' Compensation Insurance Carrier : ACE AMERICAN INSURANCE COMPANY Policy No : C69981331 W. C. Expire: 11/1/2022 Manufacturer: CARRIER Model#: 38MARBQ12AA3 PROCESSED BY: NO CONSTRICTION NOISE TIMERS PROHIBITED ON HEAT PUMPS ON THE WEEKEND OWNER•RUILDER DECLARATION I hereby afflrm under penally 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 ftem(s) Section 7031.6, Business and Professions Code: 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 is permit to rile 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 licensors and the basis for the alleged exemption. Any violation of Section 703L5 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 L ) portions of the work, and the structure is not intended or offered for sale (Section 7044, lreaness 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 sole. 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'rproved for the purpose of sale). „„t I, as owner of the property, am exclusively contracting Will licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply 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: ly 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 ell a structure that) 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 fallowing Web Site:htip:l/w .leginfo.ca.gov/calaw.btml. signature of Property Owner or Authorized Agent _ D to .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000 o r r 3 of the Business and Proles o t an is se is i all force nd effect. License Class License No Date ` Contractor Signature PORKERS' COMPENSATION DECLARATION 'ARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS If100,0001, IN ADDITION TO TH DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 07H OF THE LABOR COPE, INTEREST, ANO ATTORNEY'S FEES. rhelepy affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to selFinsure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for tl adom)ance 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' compensatior Trance carrier and policy number are: nor _. - Policy Number _. -... .....Expiration Date - no of Agent Phone certify that, in the parlor lanctotlk-for-iWich this permit is is3•u , I shall not employ any person in any manner so as to become subject to the workers'componsation laws of California, and agre' it I should become s - os' compensation pro ' `ohs Section 3700 of the Labor Code. I shall forthwith comply with those provisions. ;Store o! Appllcar6l-/% nT Date____ Q Z .....•. ... ., nor , c�,nnrn ancury hereby affirm unclereo((Lpoflry that there is a construction lend rg sgency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _enders Name Lenders Address 3y my signature below, I certify to each of the following: I am the ;)roperty owner or authorized to act on the gr,�Jlna wo ' behalf. I have read this application and the in 1 has rrect. i agree to comply withall applicable city and county d stale laws relating to bull g construction. I authorize representatives of this city or county to -identified property LiAna,ure of Pro ert Owner or Authorized A ens rint Pro ert Owner's or Authorized A ent's Name �.��a S C'e.v=1 �r F�5 Date ACTION DATE BY LA TION OF COMPUAN 9TH DE OF FEDERAL FOR OFFICE USE ONLY R TIONS PART 61 OF TITLE 40 AND ACMD RULE ___ — PERM'T EXPIRE/' _ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELICD II{�I'[-'P''A' DEV RT EXTFNG O IJAOMD PERMIT FINAL �/ e/(/ �1 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTI ICATE 01 _v �' ` PROPOSED DEMOLITION LCCJPANCYISS11FD 1 SIGNATURE: PERMIT FEE DETAILS FOR PERMIT H2O22-0472 Fee Name Transaction Date Payment Method Building Building Plan Check Fee Heat Pumps Package Units 0-100,000 BTUIH Fee Issuance Fee OTC Plan Check Fee - Planning Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $57.42 $0.00 $66.00 $0.00 $39.00 $0.00 $53.00 $0.00 GRAND TOTAL: $215.42