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HomeMy WebLinkAboutH2023-0010 - Permits��W POST City of Newport Beach III Q D Community Development Department - Building Division P4' 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqC/FOR�`P newportbeachca.gov/inspections Mechanical Permit : H2O23-0010 Plan Check No : 1988-2021 Work Class : Other Issued Date : 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 : 2320 CLAY ST Legal Desc : Description: MECH -INSTALL 3 A/C CONDENSERS. TAMPER RESISTANT CAPS REQ'D. TIMER REQ'D ON #2 Owner: HEINFELD DAN TR Address : 901 CHESTNUT PL NEWPORT BEACH, CA 92660 Phone: Applicant: WE CARE Address; 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Phone: (951)600-0700 Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2022 Front: 20, Side: 4, Side: 4, Rear: 5 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : WE CARE Address : 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Phone: (951)600-0700 Con State Lie : 779604 Lie Expire : 06/30/2024 Bus Lie: BT30038344 Bus Lie Expire:02/28/2023 Workers' Compensation Insurance Carrier : A I U INS CO Policy No: 053418314 W. C. Expire: 7/1/2023 Manufacturer: YORK Model#: HMH72B36 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable hems) (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 than 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 lioensure and the basis for fine 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and thestructureis 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 (hat 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 15proved for the purpose of sale) 1. 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 apply 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). ❑ 1 am exempt from Rcensure under the Contractors' State License Law for the following reason: _ By 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:/fwww,leginfo.ca:.gov/calaw.htmi.. 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 Section 700&' i ' 3 of the Business and ref is , and my license Is in full force and effect. License Class License. No Date Contractor Sign NORKERS' COMPENSATION DECLARATION MANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SU8JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S7 D0,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury 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 thi Mum of the work for which this permit is. issued. Policy No,d 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 rrier and policy number are: of Agent certify that, in the performance of tt}aWfrk for If i should become su ' t to the " work ers' leture of Applicant Policy Number Expiration Dale Phone N h this permit' shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree rovtsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DECLARATION REGARDING GeRSTRUCTI IN AGENCY \ I I ' I I hereby affirm under penalty of here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, t certify to each of the following: I am the property owner or authorized to act on the pro s behalf. . I have read this application and the infiormalion h e rod ov'IIII a%orcect. I agree to comply with all applicable city and county ordinpes and state laws rela '�' mg construction. I authorize representatives of this city or county to enter t ve-id Property for inspection purposes. C Signature of Property Owner or Authorized Agent J Print Property erty Owner's or Authorized A en ame Date G? ACTION DATE BY - DECLA F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUTATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMtr EXPINEU 0 15UBMITTE1)AS8FSTO5 NOTIFICATION TO PERMIT CANCEUED DEPA PERMIT EXTENDED 0AQMD FERMI FINAL IZ- or Z3 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF SIGNATED DEMOLITION GCCUPANCY155UE0