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Home My WebLink AboutH2024-0095 - Permits04'. City of Newport BeachCommunity Development Department- Building DivisionMechanical Permit:H2O24-0095 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3192 Permit Counter Phone: (949) 718-1888 Work Class : Other newportbeachca.gov/ciwc ,.,1�,,, Issued Date : 0212012024 d p'. L_1� Inspection Area : 5 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 : 419 GOLDENROD AVE Legal Dead: A TR CORONA DEL MAR BLK 333 LOT 19 Description: MECH INSTALL (2) HEAT PUMPS AT DECKS **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (XR2022-3311) Owner: 419 GOLDENROD LLC Address : 419 GOLDENROD AV CDM, CA 92625 Phone: (714)335-7055 Applicant: COMFORT HEATING & A/C Address : 21962 COSALA MISSION VIEJO, CA 92691 Phone: (714)335-7055 Owner/Builder Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R'R2---''TTwo-Unit Residential PROCESSED BY: !� SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor: COMFORT HEATING &A/C Address : 21962 COSALA MISSION VIEJO. CA 92691 Phone : (714) 335-7055 Con State Lie : 632774 Lie Expire : 12/31/2025 Bus Lie: BT30005700 Bus Lie Expire:08/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 1620402 W. C. Expire: 1/1/2025 Fire Hazard Zone : NO Manufacturer : AC PRO Model# : AUD(36 & 60) W/A-D(U) TIMERS PROHIBITED ON HEAj PUMpe NO CONSTR( JGTIOI N WORK ON SARDA% S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that l am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable itemis) 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 To 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 rofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation DI Section 7031 S by any applicant for a permit subjects the applicantto a civil penalty of of more than five hundred dollars ($500), 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, usiness and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovemenls 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), I, as owner of Qre property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 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). I. am exempt from licensure under the Contractors' State License Law for the following mason. , _, ly 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 legally oil a structure that I have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. 1 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:htlp://www.leginfo.ea.govlcalaw.html. signature of Property Owner or Authorized Agent __ Date. 10 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of OMsioryry 3 of the Business and Proles s Code and mti llhense Is in full force nd effect, License Class License No Dat"el- 4(f contractor Signature 111A(%7 VORKERS' COMPENSATION DECLARATION " - If7— 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 IN erforlmance of the work for which this permit is issued. Policy No. Lll 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 canter and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone R ❑I certify that, in the performance of the 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 afire( that, if I should become sub' cl to thew erss corn osa ion provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. Signature of Applicant L G Dale,.,_ DECLARATION RE NG ONSTR CTION LENDING AGENCY I 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). Lender's Name Lender's Address ^� By my signature below. I certify to each of the following: I ant the properly owner or authorized to act on the property owner's shall. I have read this applicalloF and the information I have provided u; omec11 I agree to comply with all pplicaUe city and county ordinance., rdinances nd state laws relating to building construction. I authorize rrpre,ectatives of this city or county to ter the ova-ider 'f p�perty for inspection purposes. � •Z�� e Signature of PropertyOwner or Authorzed Agent G Plint Pro art Owner's or Authorized Agent s NTn y Date ACTION D[QE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL i FOR OFFICE USE ONLY R'EG'W ATIONS PART 61 OF TITLE 40 AND AQMO RULE 11403 PERMIT' EXPIRED, I SUBMITTED ASBFSTOS NOTIFICATION TO PERMITCAN'CEU.FDIT f4 ,—r�Epq PERMIT EXTENDED LJAflMD .— ...._.. . PERMIT FINAL _._. Q AS BEST 05 N0r1 FICA-10N 15 NO r APPLFCA8LE fb CERTIFICATE OF 0-fk-tt^ (p ,J l� ':. PROPOSED DEMOLITION OCCUPANCYISSUER , € '', SIGNATURE: