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Home My WebLink AboutH2024-0021 - Permitso��E°pkr City of Newport Beach A Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u x newportbeachca.gov/civic c'+tiFoaN�P e Mechanical Permit : H2O24-0021 Plan Check No: Work Class : Other Issued Date : 01/12/2024 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 : 221 GRAND CANAL Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 11 LOT 18 Description: MECH R/R 2 ROOF DECK MOUNTED HEAT PUMPS **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: CYNTHIA LAKE Address : 221 GRAND CANAL NEWPORT BEACH, CA 92662 Phone : (661) 378-2920 Applicant: RABECCA JOHNSTON Address : 4370 PALM, D250 SAN DIEGO, CA 92154 Phone : (714) 804-8886 Owner/Builder: Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 7, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 31 SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor : MCMASTER HEATING & AC INC Address : 2 MCLAREN #C IRVINE, CA 92618 Phone : (949),481-7995 Con State Lic : 726607 Lic Expire : 12/31/2025 Bus Lic: BT30041972 Bus Lic Expire: 01/31/2024 Workers' Compensation Insurance Carrier : HARTFORD CASUALTY INS CO Policy No: 72WECZU8138 W. C. Expire: 2/2/2024 Manufacturer: CARRIER Model# : 38MURAQ(18 & 36)AA3 TIMERS PROHIBITED 00N 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 itern(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to consiruet, alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement thathe or she Is licensod pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3.of the Business and Professions Code) or that he or she is exempt from licansure 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 not more than five hundred dollars t$500). ❑ I, as owner of the property., or my employees with wages as their sole compensation, will do (_) 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 employees' or personal effort, builds or improves the property, 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). ❑ 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 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 ant exempt from licensors under the Contractors' State License Law for the following reasore By my signature below I acknowledge [last, 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, sell a structure that I have built as an owner -builder If it has not been constructed in itsentirety 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:11www.leginfo.ca..gov/calaw.html. Signature. of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D"€€vision 3of the Business and Pro ions Code, and my lice s�e i tn �full force and effect. License Class License No Date �� Contractor Signature �19(�i WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORT ERS' COMPENSATION COVERAGE, IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS tb)00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AN➢ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declaratlons: -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 IT performance of the work. for which this permit is. issued. Policy No. have 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' ranee carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance of the work for which this permit Is issued, l shall not employ any person in any manner so as to become subject to the workers' compensation laws of Callforri and agre iat, 0 1 should become subje •t to the workers' compensfffation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. itgnalureof Applican� Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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, Civil Code). enders Name Lender's Address ly my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf, I have read flits Application and the information I have providedis Correct. I agree to wmply with all applicable city and county ordinances and state laws relating to building construction. I_ I aLthorize representatives of this city or county to anIjar the above -ids tified property for Inspection purposes. �r7 ��z,`-� III iicnatu, e of Pr Lenv Owner or Authorized Anent �.rr 9Z:9 C� Print Prooertv Owner's or Authorized Anent's Name f'" C_CJC IWL,57D✓f nat. ///Z /z` AC DATE BY t DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND ACBMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO EXTENDED L1ggM D td,vh rlMAl 0ASBESTOSNO'1'IHCATION I5NO1 APPLICABLE TO CER WfCr TE OF ��4 �Yt--��PROPOSED DEMOLITION C`CCJ .1CCy7SSUEO ( I SIGNATURE: