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Home My WebLink AboutH2024-0203 - Permitswiro,76 Coityof mmunity DeWpOentDeparment- BuildingDivision IIIIIIIIIIIIIIIIII II II Mechanical Permit: H2024-0203 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: n- =1 Permit Counter Phone: (949) 716-1888 Work Class; Other ¢, newportbeachca.gov/civic w Issued Date : D4/t112024 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 : 204 ONYX AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 12 LOT 3 Description: MECH INSTALL HEAT PUMP "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED" Owner: PAULSACKMAN Address : 204 ONYX AVE NEWPORT BEACH, CA 92662 Phone: (949)533-3751 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone Building Setbacks : Front: 7, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 9-T SPECIAL CONDITIONS: Contractor : TRUE HOME HEATING A/C Address : 4 FARADAY IRVINE, CA 92618 Phone: (949)382-6337 Con State Lic : 1025397 Lic Expire : 04/30/2025 Bus Lic: BT30064629 Bus Lic Expire:10/31/2024 Workers' Compensation Insurance Carrier : TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No: UB9S682838232SG W. C. Expire: 12/1/2024 NO Manufacturer : LENNOX Model# : VPCO24 TIMERS KoHIBITE ON 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 iterrus) Section 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 is 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 'rofessions Code) or that he or she is exempt from licensare 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 of more than five hundred dollars. ($500). 3 I, 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 proffered 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 nprovements 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 nproved for the purpose of sale). 11. 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 pply 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), I I am exempt from licensors under the Contractors' State License Law for the following reason: ,y 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 lagall) elt a structure that I have built as an owner -builder 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:lJwww.leginfo.ca.govicalaw.htmi. signature of Property Owner or Authorized Agent _ Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70. lot rvi ' 3 of the Business and P s Code, and license is in full torte no effect. License Class License No Date Contractor u UORKERS' COMPENSATION DECLARATION. 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL 51.113JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100000), IN ADUTION TO THE DST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEEa hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to se9f-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for bar ante 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' compensa Vance carrier and policy number are: Policy Number Expiration Date of Agent Phone N— certify that, in the performance of the work for which this permit is if I should become subject to the workers' compensatio gobvisic of Applicant I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre :clion 3700 of the Labor Code, I shall forthwith Comply with those provisions. Date G hereby affirm under - rtury that there is a construction lending agency for the performance of the work for Which this permit Is issued (Section 3097, Civil Cade). .enders Name Lenders Address iy my signature helow, I. certify to each of the follovving: I am the property owner or authorized to act on the property owner's behalf. I hav^ read this application and the information I have provided is correct.. I actree to compry wi,n all applicable city and county ordinances and state laws relating to building construction. I Pntinorize representatives of this city or county to a e a6ov:-identifi `perty for inspection purposes. iicnatu,e of Promirly Owner or Authorized A grit Print Property Owner's or Authorized Agent's Name Date i.CTICN' ( DATE BY 3 DE ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY UTATIONS PART 61 OF TITLE. 40 AND AOMD RULE 1403 PFRw+rT FXPIRED El I SUBMITTFD ASBESTOS NOTIFICATION TO "ERINIT, ANCEU Ed - ❑EPA PfF,A:1'F1NAL ❑ ASBESTOS NOI IHCAT€ON 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: