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HomeMy WebLinkAboutH2023-0546 - PermitsCity of Newport Beach 4v,EWPogr p�+ Community Development Department - Building Division 100 Civic Center Drive, Newpor. Beach,,SA 92660 a Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Mechanical Permit Plan Check No: Work Class: Other Issued Date : 08/24/2023 Inspection Area :4 H2O23-0546 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 : 18 HERMITAGE LN Legal Desc : N TR 7223 BLK LOT 107 Description: MECH REPLACE HEAT PUMP @ THE SIDE YARDd1TAMPER RESISTANT CAP REG* Owner: KIMBERLY DOHERTY Address : Phone: (949)923-0506 Applicant: AIR CONCEPTS Address : 801 S. LAKEVIEW AVE #E PLACENTIA, CA 92870 Phone: (714)779-1000 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone: PC - Big Canyon PROCESSED BY SPECIAL CONDITIONS: ZS Contractor : AIR CONCEPTS Address : 801 S. LAKEVIEW AVE #E PLACENTIA, CA 92870 Phone: (714)779-1000 Con State Lic : 534722 Lic Expire : 08/31/2024 Bus Lic : BT30075249 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier : ACE AMERICAN INSURANCE COP4P4NY Policy No: C70047500 W. C. Expire: 10/1/2023 NO Manufacturer : AMER!--AN CTAND/\Ru Model# : 4AGL9340i.?OOOA TIMERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reeson(s) indicated below by the checkmark(s) I have placed next to the applicable iterrl(s) (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 to 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 (commending 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars. ($500). ❑ I; as owner of the property, or my employees with wages as their sole compensation, will do Q all of or L) 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 of property who, through employees' or personal 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 improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the projecl (Section 7044, Business and Professions Code: The Contractors' State License Law does not rEL1 Dty to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). I am exempt from licensure under the Contractors' Slate License Law for the following reason; By my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot legally saki a structure that I have built as an owner -builder If it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7C44 of the Business and Professions Code, is available upon request when this application is submitted or at the following web site:htip.//wvm.leginfaca.gov/calaw.hfml, Signature, of Property Owner or Authorized Agent _ _-„ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 700 f Division 3 of the SOsin s and Professions Cod�d my license is in full force and effect. License Class L€tense. No D e -�2� contracto ignalure WORKERS' COMPENSATION DECLARATION NARKING: FAILURE TO SECURE WOR7t.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (0/00,400), IN ADDITION TO THE COST OF CCMPENSATCN, DAMAGES AS PROVIDED FOR IN SECTION 170E OF THE LABOR CODE, tNTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: © 1 have and will maintain a certificate of consentto self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th orformance of the work for whichtrig remill is issued. Policy No. and will molntai, workers' compensation insurance, as required by Section 3700 of the Lal?or Code, for the performance of the work for which this permit is issued. My workers' carrier and poiie-y Iwroti are:', Policy Number Expiration Dale area. of Agent Phone ]1 certify that, in the performance of the work for which this permit is issued, I shall notemploy any person to any manner so as to become subject to the workers' compensation laws of California, and agre at, if I should become sr bjW to ha wokars compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �[/ itInature of AppI n _ _,.„.._ D`J �`L�-7023 ECLARATION' Pf71 RN a COJm 'RGCTION LENDING AGENCY CCC hereby affirm under ry ,malty of pe fury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). enders Name __ \ _ Lenders Address _ y my signalu re balo-e. I CRnify to each e` tha following_i 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 th alcoumy to enter the a�gve-identified property for Inspection purposes. �y u,1re.I r,,, 1 BY p4RM1T £XORFD PERMIT EXFFNOED PERMIT FINAL CERTIFICATE OF f jjjjjj O/7,d 5 OCCUPANCY ISSUED / '' ,//'`'XIAI DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART FI OF TITLE 40 AND AO.MD RUI E SUBMITTFD ASBESTOS NOTIFICATION TO LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: 3