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Home My WebLink AboutH2023-0340 - Permits��EWPpRT City of Newport Beach p A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 1 - ? Permit Counter Phone: (949) 71 B-1888 -.s. newportbeachca.gov/civic c94 FO NN�P Mechanical Permit Plan Check No : Work Class: Other Issued Date : 05/22/2023 Inspection Area : 4 H2O23-0340 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 : 17 SAN ANTONIO Legal Desc : N TR 15517 BILK LOT 60 Description: MECH - R/R (2) HEAT PUMPS'TAMPER-RESISTANT CAPS REQUIREDITIMER PROHIBITED Owner: SAMUELLU Address : 17 SAN ANTONIO NEWPORT BEACH, CA 92660 Phone: Applicant: REAL TIME BROS HEATING AND AIR CONDITIONING Address: 11681 ANABEL AVE GARDEN GROVE, CA 92843 Phone: (714) 247-9928 Owner/Builder: Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone: X Use Zone: PC - Bonita Canyon PROCESSED BY: 0 Contractor : REAL TIME BROS HEATING AND AIR CONDITIOISII'Jr Address : 11681 ANABEL AVE GARDEN GROVE, CA 92843 ° " Phone : (714) 247-9928 0 " Con State Lic : 1027069 Lic Expire : 05/3112025 Bus Lic : BT30078991 Bus Lic Expire:06/30/2023 Workers' Compensation Insurance - Carrier : STATE FARM GENERAL INSURANCE COMPANY ' Policy No : 92J21_2560 W. C. Expire: 9/8/2023 " EPS PROHIBITED ON HEAT PUMPS Manufacturer: BOSCH Model# : IDS BOVA 60 i s --cTU R 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 permit to construct, alter, improve, demolish, or repair any structure, prior 10 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 for the 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 ($500). 0 I, 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 notintended or offered for sale (Section 7044, .Business and Professions Code: The Contractors' State License Law does not apply to an owner at property who, through employees' or persona( effort, builds or improves the property, provided that the improvements 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 i�m 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 '.�a ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). I am exempt from licensure under the Contractors' Slate License Law for the following reason By my signatm o betcw I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit I cannot legall, .sell a structure 1,I.l I have built as an awDer-builder If it has not been constructed in itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and Professions Ccdu, is available uponrequest when this application is submitted or at the following Web site:http:liw .leginfo.ce.govlcalaw.html. 31gna'are of 1-roperry Owner or Authorized Agent bate UCFNSED CONTRACTOR'S DECLARATION i i,areby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 _0) of I Islo 3:,of the Business and Professions Cyie. nd my license is in full force and effect. Li�ens� Class License No Date GGZZ 7,` Contractor Signature i- WORKERS' COMPENSATION DECLARATION WARNING: FAILUR3' TO jEGURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIC FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000),IN ADDITION TO THE dOST OF COMPENSw101,1, DAMAGESAS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES. , I] hereby affirm under penalty of perjury one of the following declarations: J ' have and will I.Iaudain 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. forth performance of the workfor which this permit is issued, Policy No. and w; 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: Policy Number of Agent Date 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 to the workers' compensation laws of California, and agre ,I( I should become subject to the orke ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. �7 iature of Applicant � ✓ r - Data v eo nr,nr.. oeceoniu n_. nueTennnnu euntvn_ nnceirv� treby affirm under penally 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). sders 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 nd state lases relating to building construction. I authorize representatives of this city or county to enter th ove-I Ifl property for inspection purposes. nature of Prooertv Owner or Authorized Aoenl �7 Print Prooerty Owner's or Authorized Anent's Name r 1 i rl 1 ACTION I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE AO AND AOMD RULE, PERMITEXPtRED I I LII SUaMIT InED ASBESTOS NOTIFICATI ONTO PERMIT EXTENDED N L r/� plj�IAOMD / -ASBESTOS NO}"IFICATION 15 NOT APPLICABLE TO CERTIFICATE ( - PROPOSED DEMOLITION OCCUPANCY ISSUED ; SIGNATURE: �/� / S�2z-