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Home My WebLink AboutH2022-0483 - PermitsaEwPoRT City of Newport Beach III I I I II I II II 04 @ Community Development Department - Building Division - Perm t O Civic unterPhone: (949) 644r Drive, Newport Beach, CA 92660 a Inspection Requests Phone: (949) 644-3255 cqr-iLo newportbeachca.govlinspections IIMechanical Permit : H2O22-0483 Plan Check No : 1347-2021 Work Class : Other Issued Date: 09/14/2022 Inspection Area: 3 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 : 20282 RIVERSIDE DR Legal Desc : N TR 2581 BLK LOT 14 Description: MECH: INSTALL A/.0 UNIT & HEAT PUMP @ REAR "TAMPER RESISTANT CAPS REQUIRED; TIMERS PROHIBITED FOR HEAT PUMPS"' (X2021-1530) Owner : FRIENDS OF NEWPORT BEACH ANIMAL SHELTER Address : NEWPORT BEACH, CA 92658 Phone : Applicant: SLATER BUILDERS INC Address: 3100 - B PULLMAN STREET COSTA MESA, CA 92626 Phone: (714)434-4887 Owner/Builder : Address Phone : Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone: X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: F3 SPECIAL CONDITIONS: Contractor : SLATER BUILDERS INC Address : 3100 - B PULLMAN STREET COSTA MESA, CA 92626 Phone : (714) 434-4887 Con State Lie : 675832 Lie Expire : 08/31/2023 Bus Lie : BT30025319 Bus Lie Expire:02/28/2023 Workers' Compensation Insurance Carrier : CYPRESS INS COMPANY Policy No : SLWC351059 W. C. Expire: 2/16/2023 Manufacturer: YORK & SAMSUNG Model# : YCS481321S & AM053TXMDCH/AA TIMERS PROHIBITED y ON HEAT PUMPS 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 chericnark(s) I have placed next to the applicable taints) 3eclion 7031.5, 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 to 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 Section 7031.5 by any applicant for a 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 nproven3ents 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 nr�roved for the purpose or sale). ,.I I, as owner of the property, am exclusively contracting with licensed Contractors to constmct 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 licensure under the Contractors' Stale 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 legall; ell 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:htip:/Aw .leginfo.ca.gov/calaw.html. .ignature 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 70 ) iu' •io 3 of the Business an#DTHOUSAINn C d . y is in full farce ad effect. License Class License No Date Contractor Sign JORKERS' COMPENSATION DECLARATION ARNINa: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H DOLLARS IE100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37m of THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of parjury one of the following declarations: ] I 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 the rformance of the Work for which this percnit 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 whichthis permit is issued. My workers' compenselior isurance carrier and policy number are: artier Policy Number Expiration Date ame of Agent Phone # ]I certify that, in the perfor ante 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' Compensationa- wef California and agree aft, if I should become l a a vWt ers c i 1 ensatlon provisions of Section 3700 of the Labor Cade. I shall forthwith comply with those provisions. ignature of Applicant Date_Fr:1 APATIr)N up ' , rnNS DrT F ruNr AAFNI^-Y hereby affirm uncler(penVy 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) ender's Name Lender's Address IS, my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and co or�c ss and relating to building construction. I authorize representatives of this city or coo o to t 0 1 property for inspection purposes. �� lianature of Property Owner or Authorized An t / / Print Pmoertv Owner s or Authorized Aaant's Name IiN:rliy[rii[tulxl,f �� REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ' PEfP 1T CANCELLED ....—..� FP tNTEXTENDEO� --- .........._ ...i .. L1EPA -�'.._ __.__._...._..._—_—___.__.__._. .`. , A�QMD _ �P,;,?,IIT FINAL I CPT'F'CATEOF N ///''' JJ �2i��Z / /J� 1J ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION OCCUPANCY ISSUED ✓✓✓ //`//�� SIGNATURE: PERMIT FEE DETAILS FOR PERMIT H2O22-0483 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Boilers and Compressors 4-15 HP Fee $40.00 $0.00 Building Plan Check Fee $53.94 $0.00 Heat Pumps Package Units 0-100,000 BTU/H Fee $22.00 $0.00 Issuance Fee $39.00 $0.00 OTC Plan Check Fee - Planning $53.00 $0.00 GRAND TOTAL: $207.94