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HomeMy WebLinkAboutH2024-0137 - PermitsCity of Newport Beach III I I I II I I II II III III II II Mechanical Permit : H2O24-01 3% �� ry Community Development Department - Building Division r vti 4 , n 100 Civic Center Drive, Newport Beach, CA 92680 Plan Check No Permit Counter Phone: (949) 718-1888 Work Class : Other em s. newportbeachca.gov/civic Issued Date : 03/13/2024 °gcicoaN`"° Inspection Area : 6 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 : 720 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BLK 737 LOT 22 Description: MECH - INSTL (N) AC CONDENSER.-rAMPCf--ESISTANT CAP REQUIRED Owner: KATHLEEN SKIBICKI Contractor : ABELL HVAC Address : 29501 ANA MARIA LN LAGUNA NIGUEL, CA 92677 Address : 202 TERRAMAR SAN CLEMENTE, CA 92673 Phone : Phone : (949) 702-7451 Con State Lie : 1035909 Applicant: SAUL MARTINEZ Lie Expire : 08/31/2025 Address : 2075 N SHAFFER ST ORANGE, CA 92865 Bus Lie: BT30083832 Phone: (714) 998-7879 Bus Lie Expire:03/31/2025 Workers' Compensation Insurance Owner/Builder : Carrier : CLEAR SPRING PROP. Address : Policy No : CWCO2455800 Phone: W. C. Expire: 8/29/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AC PRO Type of Construction : Model# : AULD36W2/A-D(U) Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 flem(s) of 7031 -5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that. he 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 fesslons 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 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 (_) portions of the work., and the structure is notintended or offered for sale (Section 7044, :mess 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 Irovements 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 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 Professions Code: The Contractors' State License Law does not €y 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). J I am exempt from lice nsure under the Contractors' Slate License Law for the following reason:-______-_________ _ ly my signature below I acknowledge that, except for my personal residence in which I must have, resided for at east one year prior to completion of t. ell a structure that I have built as an ownar-builder If It has not been constructed in its entirety by licensed contractors. ( understand that a copy of the 'mfessions Code., is available upon request when this application is submitted or at the following Web site:http:://,Aww.leginfo.ca.gov/calaw,htmi, Ilgroalure of Properly Owner or Authorized Agent _ LICENSED CONTRACTOR'S DECLARATION ments covered by this. permit, I cannot law, Section 7044 of the Business and Date hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) f DiW i n 3 of the Business and Pro fe@;iorfr.,. and my license is in full force nd effect. License Class License No .matt#..' �i"� Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, ANDATTORNEY's FEES. hereby affirm under penalty of perjury one of the fallowing declarations: I I have and Willi maintain a .edifrcate 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 th, arformance 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' compensation ❑ante carrier and policy number are: rier Policy Number Expiration Date ne of Agent Phone # certify that, inthe performance of the Wei 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 agre , if I should become subject to the wo rs' C e a ion provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. ) nature of Applicant 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). ender's Name Lender's Address y my signature baton', certify to each of the following; - I am the properly owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and $tat laws relating to building construction. I authorize representatives of this city or county to ente ems; ,nve-id U led property for inspection purposes. m/ �/�/� ignature of Property Owner or Authorized Agent / / Print Prooertv Owner's. or Authorized Agent's Nae 5A.V V 1 16 ACTION DATE BY DECLARATION OF COMPLIANCE VVITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 0E TITLE 40 AND AOMD RULE PE'RMir EXPIRED 1❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCE,IEU[]EPA _—j¢-�MD PERMIT FlNAt 60123 ��T_,r� t�IgSBESTO5 ND11FICA PION 15 NOT APPLICABLE TO CERTIFICATE OF %/� `�j PROPOSED DEMOLITION OCCUPANCYISSUEO 6 SIGNATIIRE rz'—?