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Home My WebLink AboutH2022-0729 - Permits��EWPORT City of Newport Beach 0 @ Community Development Department- Building Division �. 100 Civic Center Drive, Newport Beach, CA 92660 *' n Permit Counter Phone: (949) 644-3288 2 Inspection Requests Phone: (949) 644-3255 og4coa�`P newportbeachca.gov/inspections III I I I II I II I II II III II I II Mechanical Permit : H2022-0%29 Plan Check No : 0980-2022 Work Class: Other Issued Date : 12/21/2022 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: 337 HOLMWOOD DR Legal Desc : N TR 1136 BLK LOT 14 Description: MECH -INSTALL (1) NEW HEAT PUMP *PROVIDE TAMPER -PROOF CAPS AS REO'D / TIMERS PROHIBITED* Owner: INFINITI PROPERTY SOLUTIONS LLC Address : 183 ROCHESTER ST COSTA MESA, CA 92627 Phone: Applicant: 20TH CENTURY AIR INC Address : 4061 E LA PALMA AVE #A ANAHEIM, CA 92807 Phone: (714)514-9426 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 20, Side: 4, Side: 4, Rear: 0 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Contractor : 20TH CENTURY AIR INC Address : 4061 E LA PALMA AVE #A ANAHEIM, CA 92807 Phone: (714)514-9426 Con State Lic : 511598 Lic Expire : 06/30/2023 Bus Lic : BT30054933 , Bus Lic Expire:05/31/2023 Workers' Compensation Insurance Carrier : INS CO OF THE WEST Policy No : WSA55038606 W. C. Expire: 12/18/2022 Fire Hazard Zone : NO Manufacturer: AP PRO Model#: AUD60W/A-D(U) TIMERS PROHIBITEE 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 reasons) indicated below by the checkmark(s) I have placed next to the applicable (teas ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' Stale 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 hot more than five hundred dollars ($5D0),. 1, as owner of the property, or my employees with wages as their sale compensation, will do U 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 riprovements 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). 1. as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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 fell 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 applicabie law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:f/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent __ Date LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Professions C , and my license is in full force and effect License Class License No Date Contr"tSignal NORKERS' COMPENSATION DECLARATION NARNING: FAILURE 10 Ser0RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, D%MAGEB AS PROVIDED FORM SECTION ST05 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. 'n^.,eh•' •affirm under p^nalty of perjury one of the following declarations: -J I have and wid 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 IN aarfarmence of the No(k for which this permit is issued. Policy No. Lave and 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' ancu carrier and policy number are: Policy Number of Agent Date cc cifj that, in the performance of th rork 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 , if I should become nubjecl to theit ers' compensation provisions of Section 3700 of the Labor Code, i shall forthwith comply with those provisions. >,gnamre of Appicani Date OPC:..A.ZATION ZEGAFYiNG C CTION LENDING AGENCY �- hereby affirm under penalty of perju that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act an the property owo is behalf. I have read this application and the information 1 have provi s correct. I agree to comply with all applicable city and county ordi and state laws relating to building construction. I authorize representatives of this city or county to ente ov -identified property for inspection purposes. Signature of Property Owner or Authorized Arlent Print Property Owner's or Authorized Agent's Name ,r Date ACTION I I DATE BY DEt TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RLI LP PERMIT CANCELLED j L-IEPA PERMIT EXrEMDED qOM D PERMIT FINAL 4` ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE Of PROPOSED DEMOLRION OCCUPANCY ISSUED SIGNATURE: