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Home My WebLink AboutH2023-0088 - Permits��gWPO�T City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq[ippµN�P newportbeachca.gov/inspections III I I I II I III II II III II I II Mechanical Permit : H2O23-0088 Plan Check No : 1672-2021 Work Class : Other Issued Date : 02108/2023 Inspection Area : 2 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 : 225 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 1059 TR 907 LOT 1059(AND NELY 10 FT LOT 105 8 Description: MECH -INSTALL 2 HEAT PUMPS (ON ROOF DECK). TAMPER -RESISTANT CAPS' REQ'D Owner: STEPHEN VALDER Address : 5702 MOUNTAIN VIEW AVE YORBA LINDA, CA 92886 Phone: Applicant: D L S HEATING & A/C Address: 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Phone : (714) 231-8002 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 1.5, Front: 4, Front: 10, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: „.,- NO CU vS x ruCTION N`00 ; Fire Hazard Zone : Contractor : D L S HEATING & A/C Address: 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Phone : (714) 231-8002 Can State Lic : 584220 Lic Expire : 01/31/2024 Bus Lic : BT98040420 Bus Lic Expire:12/31/2023 Workers' Compensation Insurance Carrier : STATE FARM FIRE &CASUALTY CO Policy No: 92GOK7865 W. C. Expire : 1/6/2024 NO Manufacturer: DAIKIN Model# : RXTQ48JU �'T V� � ®� i'y� OWNER -BUILDER DECLARATION I herebyaffirm under penaltyof 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 item(s) iection 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 ,a permit to file a signed statement that he or sho Is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofesslons Code) or that he or she is exempt from lCensure 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 at more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or C_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 theproperty, provided that the nprovements 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 nprovedfor the purpose of sate). J 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 pply 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). 7 I am exempt from licensure under the Contractors' State 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 improvementscovered by this permit, I cannot legall, all 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 rofesslons Code, is available upon request whenthis application is submitted or at the following Web site:http:/lwvaw.leginfo.ca.gov/calktw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION �1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) y17l yj¢n D'71Business and Profe i n Code, a y license i full farce no effect. License Class License No Date O(�G C( ntractar Signature JOR)CERS' COMPENSATION DECLARATION. 'ARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDITION 70 THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: �.L 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 ih egrmance Df pw work. for which this permit is. issued. Policy No. � n 1-v h 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 Explration Date no of Agent C_. Phone R certify that, in the performance of the ork for Ich this permit is issued, I shall of employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre I, if I should become sub' of tote' rke ' mpensation provisions of Sect' 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Cat CLARATION REGA I C TION LENDING CY ireby affirm under penaltrV perjury thatf nstruction lending agency for the performance of the work for Which this permit is issued (Section 3097, ivi Code). ides s Name Lenders Address _ my signature below. I certify to each of the following: I am the property owner or authorized to act on the prep owner`s behalf, I have read this application and the information have provided is correct e� I agree to comply with.. all applicable city and county ordinanc s and slat laws reu' mg ccnst clion. I authorize representatives of this city or county t an abov I property f spection purposes fro nature of Prooertv Owner or Authorized Aaen( Print Prooertv Owner's or Authorized ADent's NamDe Date or ACTION DATE BY TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 EGWA INS PART 51 OFTITLE 40 AND AO.MD RULE 140S PERMITEXWRED t LJ IsUBMITTED ASBESTOS NOTIFICATIONTO PERMIT CANCELLED _tL.IEPA PEWbNi PENAL I 1 j PLJ ROPOSED NO1LTCATItlN I5 NU7 APPLICABLE TO CERTiFIGATEOF `LIV1A1 INI('LIAIYAI'/ ; PRDPDSED DEMOLITION OCCUPANCYf5SUE0 I SIGNATURE: