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HomeMy WebLinkAboutH2022-0459 - Permits04". City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 1 y aci P Mechanical Permit : H2022-0459 Plan Check No : 3013-2021 Work Class : Other Issued Date : 09/02/2022 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 : 23 CURL DR Legal Desc : N TR 8428 BLK LOT 28 Description: MECH: INSTALL HEAT PUMP @ REAR W/ DUCTOWRK "TIMERS PROHIBITED & TAMPER RESISTANT CAPS REQUIRED'- (X2021-3439) Owner: FRANK WRIGHT/ELIZABETH WRIGHT Address : 23 CURL DR NEWPORT BEACH, CA Phone: (949) 633-6515 Applicant: PRIME MECHANICAL HVAC Address : 2652 SIERRA DEL LEON CORONA, CA 92882 Phone : (714) 397-1090 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 5, Rear: 15 Flood Zone : X Use Zone: PC - Jasmine Creek PROCESSED BY: Contractor : PRIME MECHANICAL HVAC Address : 2652 SIERRA DEL LEON CORONA, CA 92882 Phone : (714),397-1090 Con State Lie : 708862 Lie Expire : 08/31/2023 Bus Lie: BT30075071 Bus Lie Expire:04/30/2023 Workers' Compensation Insurance Carrier : NORGUARD INSURANCE COMPANY Policy No: PRWC396192 = W. C. Expire: 8/30/2023 Fire Hazard Zone : N Manufacturer: GE APPLIANCES Model#: AUH48601GDA TIMERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby afflrm under penally of perjury that I am exempt from the ContractorsSlate License Law for the reason(s) indicated below by the checkmadQs) I have placed next to the applicable items) iection 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 parri t 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 'roressions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of of more than I've hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or L) portfons of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Slate 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 n 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 ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractars' State License Law)., i am exempt from licensure under the Contractors' Stale 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 legal] oil 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://w .leginfo.ca.govlcalaw.html. ,Ignature of Property Owner or Authorized Agent Data .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Profes ions CO a y li orce nd effect. License Class License No Date} 7 �Z j`- Contractor Signature VORKERS' COMPENSATION DECLARATION ���' ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($1e1i IN AOOmON TO THE CST OF COMPENSATION. DAMAGES As PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, 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 th prforman-e of ft work for which this permit Is Issued. Policy No. have and will maintain workers' cornpar ion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance Lan -Hi a,Id policy number are: of Agent _ certify lopt in the performance if I should become sCuu//b''j''ect to 'afure of T.6plictnt..../�,. J/ Policy Number Date this permit is issued, I shall not employ any person inany manner so as to become subject 10 the workers' compensation laws of California, and agre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / hereby affirm under penalty of perjury that there isXconstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -enher s Name _ _ Lender's Address 3y my signawfe below, I certify to each of the following: I am the, proti owner or authorized to act on the properly owner's behalf. I have reaJ'Ihis dpplicalfon and the information I have provided Tact, I agree to comply with ail applicable city and county ordinan sl laws reiaGng to building construction. I authorize representatives of this city or county t I cut ri o -i titled property for inspection purposes. Q 1] ���� ii :nature of Property Owner or Authorized A ant Print Property Owner's or Authorized A en['s Name In'lcl �.( OjA� ACTION DATE f BY 1 DECLARATION OMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED111 SUBMITTED ASBESTOS NOTIFICATION TO -------- AEFMiT CANCEllED EPA PERM TfXTENDfD 's AQM':D PERIYIIT FINAL 5713VZ5 NO7 APPLICA&LF TD CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYrSSUED I SIGNATURE 2-- ZC— PERMIT FEE DETAILS FOR PERMIT H2O22-0459 Fee Name Transaction Date Payment Method Building Building Plan Check Fee Heat Pumps Package Units 0-100,000 BTU/H Fee HVAC-Rpr/Alter/Add Fee Issuance Fee OTC Plan Check Fee - Planning Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $38.28 $0.00 $22.00 $0.00 $22.00 $0.00 $39.00 $0.00 $53.00 $0.00 GRAND TOTAL: $174.28