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HomeMy WebLinkAboutH2024-0369 - Permits= E`wP0 City of OAP 11 Community 100 Civic C u Permit Cou a newportbeE C9</F00.N�P. PERMITS EXF NO CONSTRUCT] Job Address : 5 BAY ISLA Description : MECH - IN; Owner: BAY ISLAND ( Address : 18 BAY IS NEB Phone : Applicant: D L S HEATINC Address : 8542 LARTHOF Phone: (714)231-8002 owner/Builder: Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: wport Beach elopment Department - Building Division r Drive, Newport Beach, CA 92660 Phone: (949) 718-1888 Mechanical Permit: Plan Check No : 1545.2020 Work Class : Other Permit Status: Issued Issued Date : 06124/2024 Inspection Area : 1 H2O24-0369 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Legal Desc : S TWP 6 RGE 10 SEC 34 AC CONDENSER & HEAT PUMP. TAMPER RESISTANT CAP REQUIRED BEACH, CA 92661 & A/C V DRIVE HUNTINGTON BEACH, CA 92646 FT Fire Hazard Zone : NO n.`0 % Contractor : D L S HEATING & A/C Address : 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Phone: (714)231-8002 Con State Lic : 584220 Lic Expire : 01/31/2026 Bus Lic : BT98040420 Bus Lic Expire:12/31/2024 Workers' Compensation Insurance Carrier : STATE FARM FIRE AND CASUALTY CO Policy No: 92-KN-Z567-4 W. C. Expire: 1/6/2025 TIMERS PROHIBITED ON HEAT PUMPS Manufacturer: AC PRO Model# : AOVE-36CN1-M14L/ AUD36W/A-D(U) OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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 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' 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 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 ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 properly, 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 ra-pT�ly 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). LJ I am exempt from licensure under the Contractors' Slate 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 -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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://Www.leginfo.ca.gov/calaw.htmi. of Property Owner or Authorized Agent *ec te LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) i 1 3 of the Business and Profn y lic se is in ful rce and effect. License Class License No Dale Contractor Signature WORKERS'COMPENSATION DECLARATIONWARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 70 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDOL (5100,000I, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th performance of the work for which this permit is issued. Policy No. ©i I 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in th part nca the work r ch thXit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation law of C ifomia, and agree Ihal, if I should beco cl to w s isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant#of DateDECLARATION REGAR- TR DINNCY hereby affirm under penaerjury t there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). _enders Name Lenders Address By 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 this application and the information I have ro4"s is correct. I agree to comply with all applicable city and county o dinan sta relatingbuilding construction. I authorize representatives of this city or coun ter tv Ida I inspection purposes. 3i nature of Property Owner or Authorized Agent Print ProperlyOwner's or Authorized A ant's Name ` Data ACTION DATE BY tLARATION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1EGULATIONS ART610F TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED A58ESTOS NOTIFICATION TO PERMfTCANCELLEO _ _ EPA PERMIT EXTENDED' ~ QMD PERMITFINAL SBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF /J PROPOSED DEMOLITION OCCUPANCY ISSUED 'Z- SIGNATURE: