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Home My WebLink AboutH2023-0724 - PermitsB Community of NDewport DpartmhMechanical Permit : H2O23-0724 nt_ Building Division III I I II I III II II III I II II y „ n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Work Class : Other u c r newportbeachca.gov/civic Issued Date : 1111312023 9<IFp RN Inspection Area !A 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 : %4:5-1"P�tft�J Legal Desc : Description: MECH INSTL HEAT PUMP @ THE 2ND FLR PATIO, TAMPER RESISTANT CAP REQ Owner: VALERIEHOLLINGSWORTH Address : 205 SAPPHIRE AV NEWPORT BEACH, CA 92662 Phone: (760)445-5075 Applicant: BAKER ELECTRIC HOME ENERGY Address: 2120 HARMONY GROVE RD ESCONDIDO, CA 92029 Phone: (760)546-6000 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED B SPECIAL CONDITIONS: Contractor : BAKER ELECTRIC HOME ENERGY Address : 2120 HARMONY GROVE RD ESCONDIDO, CA D2G28— Phone : (760) 546-6000 Con State Lie : 858088 Lie Expire : 04/30/2025 Bus Lie : BT30078039 " Bus Lie Expire: 01 /31/2024 Workers' Compensation Insurance Carrier: OLD REPUBLIC INSURANCE COMPANY . , . , Policy No : MWC31255523 W. C. Expire: 3/1/2024 Manufacturer: CARRIER Model# : 3BMURAQ48AA3 TIMERS PROHIBITED ON HEAT PUMPS 1011 .1Ara¢iRIA+3:11GAN1 [i I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires o permit to construct, alter, improve; demolish, or repair any structure,prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors` Stale 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 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 the structure Is not intended or offered for sale (Section 7044, Business and Professions Coder 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). ❑ L 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 projectswith a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensors 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 legall, sell a structure that I have built as an owner-buildor if it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of be Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent .Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjurilhat I am licensed under provisions of C�apter 9 (commencing with Se�liorr 70001. of Dd ision 3 of the B ina s and Professions C. e,. and my license is in full force. and effect. Licenro Clacs C �' License. No 0) 9 0"�`� to Cent rac Signature - WORKERS' COMPENSATION DECLARATION Nr PWN9rAILURE TC SECULE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS PtID0,000), IN ADDITION TO THE Cr ST OF CUMPENSAr,OR, GArhAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR Cope, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 Vance of the work or which this permit is issued. Policy No. Viand will malnlain 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' ice easier ^rd 70c number are: CiAcA �7_-, ,L Policy Number Mac �� )Z Expiration Date �«- Z- of Agent _ Phone tl certify that, in tie penormance of thew 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 agr , if I should bar\ ms subject to the we a' c sabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica / Data l' CLARATION R RDING CONSTRU TION LENDING AGENCYm :reby affirm under salty of perjury thatlhere, is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 NO e). Ider s Name, Lendar's Address my signature below, I certify to each of the following; I am the properly owner or authorized to act on the properly owner's behalf. I have read thisapplication and the information I have provided is correct. I agree to comply withall applicable city and county Ordinances anU to laws relating to building construction. I authorize representatives of this city or county to enter the above,entified any for inspection purposes, nature of Property Owner or Authorize'dsAgent Print Procertv Owner's or Authorized Anent's Name �� 'rl� \� ��tlry Date ACTION DATE by I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONTY�[ �( I REGUIATIONSPART61OFTITLE,40ANDAQMDRULE. J/� J\\ 140B �PEaIA1TEXPtRpp ISt1BMITTEn ASBFSTOS NOTIFICATION TO PERMIT FINAL IJ ASBESTOS NOI IFICATION IS NOT APPLICABLE 10 CERTIRCATEOF .14-al -poi PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: