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Home My WebLink AboutH2023-0320 - PermitsaeWPogr City of Newport Beach III I I I III III II IIII I I II II Mechanical Permit : H2O23-0320 D� r @ Community Development Department- Building Division F :r. n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 11101t— �o3,t; G > = Permit Counter Phone: (949) 718-1888 Work Class : Other .�. newportbeachca.gov/civic Issued Date : 05/12/2023 °4iFoa��P 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 : 1531 KATHLEEN LN Legal Desc : N TR 3057 BLK LOT 14 Description: MECH - SFR INSTALL (1) NEW HEAT PUMP 'PROVIDE TAMPER -PROOF CAPS AS REQDITIMER PROHIBITED Owner: FOREST MONROE Address : 1531 KATHLEEN LN NEWPORT BEACH, CA 92660 Phone: (949)852-4822 Applicant : ABC HEATING AND A/C Address : 306 COLLEN PL COSTA MESA, CA 92627 Phone: (949)756-0064 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: 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 BY SPECIAL CONDITIONS: Contractor : ABC HEATING AND A/C Address : 306 COLLEN PL COSTA MESA, CA 92627 Phone : (949) 756-0064 Con State Lie : 940181 Lie Expire : 11/30/2023 Bus Lie: BT30043258 Bus Lie Expire:03/31/2024 " Workers' Compensation Insurance Carrier : STATE FARM FIRE & CASUALTY CO Policy No: 92GOG2871 W. C. Expire : 9/24/2023 Manufacturer : AC PRO Model# : AULD60W2/A-D(U) I, 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 item(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to constnuct, alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to filea signed statement thathe 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 licensure and the basis for the alleged exemption, Any vlolation 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 U all of or (_) 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 amployees' or personal effort, builds or improves theproperty, 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). El 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 LicenseLawdoes 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). 13 1 am exempt from licensure 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 forat least one year prior to completion of the improvements covered by this permit, Feannot Iegaih sell a structure that I have built as an owner-buildar 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 requestwhen this application is submitted or at the following Web site:http:!/%v ov.leglnfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 70g0) of Div Ion 3of the Business and Professi Code nd}ny I ceps. sin full force and effect. License Class License No Date ,lZ A0 Contractor Signature C� NORKERS' COMPENSATION DECLARATION NANNING; FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the fallowing declarations: —1 1 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 IN lorformance of the worn, for which this permit is issued. Polley No. a.md 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' carrier aid policy number are: Policy Number Expiration Date e Agent ce-tify chat, in the performance of the work 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 s., ouid become subject too-ke workers' 9pmp_5W1Jon provisions of Section 3700 of the Labor Code., I shall . forthwith comply with those previsions. Lf Appl'icaa: Data S— l 2 _zc� herehy affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 .elders Name _ Lender's Address ly :Ty cignature below, I certify to each of the following: 1 t:r r the property ova-:r or authorized to act on the property owner's behalf. 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 this city or county to eentei abo/,Y�e= nlifle property for inspection purposes. signature of Property Owner or Authorized Agent —51 7 Print Property Owner's or Authorized Aeent's Name / Ire ACTION DATE BY , DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 's REGULATIONS PART 51 OF TITLE 40 AND Ai RULE 1403 PkHA4IFEXPIRED I SUBMITTFD ASBFSTOS NCTI PERPAITFINAL E CERTIFIEATE OF PROPOSED S I I`� I Z5 D PltOPO OCCUPANCY ISSUED SIGNATrtRI NOT I FICA RON 15 NOT APPLICABLE TO Civil Code). .G AI I 5-Jz-2&