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HomeMy WebLinkAboutH2023-0328 - Permitsof Newport Beach Community Development Building Division 100 Civic CneDrie,newport Beach, CA 926600cea s newpov III I I I II I III it IIII I II I II CgL;.,OFc f Mechanical Permit : H2023-0328 Plan Check No : 2996-2021 Work Class : Other Issued Date : 05116/2023 Inspection Area : B 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 r Job Address : 1227 BERKSHIRE LN Legal Des¢: N TR3031 BLK LOT 19.,.�° Description: MECH INSTALL 3 HEAT PUMPS AT SIDE ***TAMPER RESISTANT CAPS REQUIRED '& TIMERS PROHIBITED*** (X2021-3424) Owner: LLOYD RUCKER Address : 260 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: (949)463-4509 Applicant: AIR MAX INC Address: 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (949)46B-9999 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED Y: SPECIAL CONDITIONS: PERMIT RE D 01/23/2024 Contractor : AIR MAX INC Address : 27260 LOS ALTOS #123 MISSION VIEJO, CA R2691 Phone: (949)468-9999 Con State Lic : 1015725 Lic Expire : 07/31/2024 Bus Lic: BT30065145 Bus Lic Expire:11130/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9170882 W. C. Expire : 12/8/2024 Manufacturer: AC PRO - Model# : AULD60/A-D(U) & AOX430-24HFN1-MRC OWNER -BUILDER DECLARATION I hereby affirm under penally of pepury that t am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnarii I Piave placed next to the applicable ltern(s) (Secllon 7031.5. Bullness and Professions Code: Any city Or County that requires a permit to construct, alter, Improve, dernoiish, or repair any structure, poor 10-its issuance, also regtilres the appllgant for Iho permit to file a signed stetemont that ho or she is liconsod pursuant to Ilia provisions of tho Contractors' Slate Uconse Law (Chaptor.9 (commencing with Section 7000) of Division 3 of Pro Business and Professions Code) or that he or she is exempt from iloenstue 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 (_) all of or U portions of the work; and thestructureis net intended or offered for sale (Section 7044, Business and Professions Coder The Conlrectors' State License Law does not apply to on owner of properly who, through emplovers' or personas effort, builds or improves the property, provided that the improvements are not Inionded or offered for sale. If, however, Ilia 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 Irn, roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct. the project (Section "7044, Business and PrDeSSIDns Code: The Contractors` State License Law does not apply to an owner of property who bullds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors', State License Law), El I am exempt from lieensure, under the Contractorsstale License Law far Ole following reason: __..__,. ._._—__.__ _ _. ____ __._...______.___.________ By my signature below I acknowledge that, except for my personal residence In which I must have fielded for at least one year prior to completion of the Improvements covered bye this permit, I.cannot legally sell n 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 7044 of Ilia Business and Professions Code, Is available upon request when this application is submitted oratthe following Web sitath#kpalMaeA�r'.leginfo.ca:gov/calaw.hmtl. Signature of Property Owner or Authorized Agent I Date,,,__ LICENSED CONT,2ACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing v�'ilh SecGa 706CI) Of Division 3-of the Buslin and Professions Co and my.)Ic� sQ e Is Mull force and -e,`f, .t License lass Lfcanse.NO C �26 /nZ 4% 7 S Dato Contract r 5 nature ^r//�/� —L WORKERS' COMPENSATION DECLARATION HAS ON : FA:-URE TO SEJVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO r.RiM.INAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100000), IN ADOrrION TO THE COS, Or .. OMPENSATION, DAMAGES AS PROVIDED FOR.1N SECTION 510E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S f EES. hereov a,firm under pe,oal,y of perjury one of the following declarations: 0 I have and will mI a certificate of Consent to self -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided forBySection 3700 of the Labor Code, for IN efifii of the wore 10, Which this permlt is Issued. Policy No. and will mat itain 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 poling number are: policy. Number Narre of Arent Phone it Date Ell certify that, in the performance of the work for which this permit Is issued, I shall not employ any person inany manner so as to become subject to the woro�itjl�s" compensation laws of California, and agre [hot, If I should Cam le s ject t0 the vorkers u p ns soon prov inns of action 3700 of the Lobar Code, lshall fadhwllh comply with those provisionS� / ni Signature of Applicant _...._._--__._..._�` DECLARATION RE9 1NG CONSTRUCTION LENDING AGENCY hereby affirm undeY en of perjury th3tihere Is a construction lending agency the performance oPSFie, work far which this perm9t is issued (action i 97� Civil Code), Lender's Name __h�—._. Lender's Address By my signature bBlow, earl.iiy to eacof tha following; I am the property owner or authorized to act on the properly oviner's behalf. 1 have read this application and the information I have provided is correct. I agree to comply mdth all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of Phi city orcounty to enter the above -Idea far I pectlon purposes, Signature of Pro art owner or Author: ed AIient rent Property Owner's or Aulhorh ACTICN DAT E� OY DECLARATION OF COMPLIANCE WITH CODE OF FCDEAAL FOR OFFICE USE j RFGIAATICNS PART 51 OFTITLF TD AND AQMDRU LF ASBESTOS NOTIFICATION TO PERMIT CAN'CELEEO PERMIT EATENDED CERTIFICATE "1/t/^ If /J,�/T t LJ ASBESTOS NOTIFICATION 15 htOT APPLICABLE TO CERTIFICATE OF -/ /-7 f(N/r//j J € PROPOSED DEMOLITION OCCURANCI'ISSU£D SIGNATURE: