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HomeMy WebLinkAboutH2024-0196 - PermitsaEwr�olr City of Newport Beach - ' Community Development Department -Building Division too Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 - newportbeachca.gov/civic Mechanical Permit : H2024-0196 Plan Check No: PC2024-0134 Work Class : Other Issued Date : 04/11/2024 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 : 119 GARNET AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 3 LOT 12 Description: MECH INSTL (1) HEAT PUMP AND (1) A/C UNIT, BOTH ROOF MOUNTED, TAMPER RESISTANT CAPS REQ (}(Aza2q-o(6L) Owner: ROSS CALIFORNIA PROPERTIES LLC Address : 3144 W 138TH TER OVERLAND PARK, KS 66224 Phone : (816) 591-1188 Applicant: JARMANS CUSTOM CONSTRUCTION INC Address: 4001 HUMBOLDT LN YORBA LINDA, CA 92886 Phone : (949) 212-4651 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 63 SPECIAL CONDITIONS: Contractor : JARMANS CUSTOM CONSTRUCTION INC Address : 4001 HUMBOLDT LN YORBA LINDA, CA 92886 Phone: (949) 212-4651 Con State Lic : 1038430 Lic Expire : 04/30/2026 Bus Lic: BT30083635 Bus Lic Expire:02128/2025 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Manufacturer: AC PRO Model# : AWHD(24)ND3MO / AULD6DW2/A1-D(U) TIMERS PROHIBITED ON HEAT PIMPS OWNER -BUILDER DECLARATION I 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 -items) (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 U portions of the work., and the structure is notintended 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 property, provided that the improvements are not intended or offered for sale, If, however, the building or improvement is sold within oneyear 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 apply to an owner of property "fie builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), ❑ 1 am exempt from licensure under the Contractors' State 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-boilder 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:http:f,'"ww.leginfo.ca..govfcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION "— I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 0 of 3 of the Business and P nr is full rea,- and effect. License Class License No Date G Contractor Signer re NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV14 FINES UP TO ONE HUNDRED THOUSAND LARS (S3o0,000J, N AOORION To THE 'DST 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: -1 1 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 1hI )erformance 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' ranee carrier and policy number are: Policy Number of Agent Dale -certify that., in the performance of the work for which t is 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 agra 1, if I should become subjec a rkers' Com a provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J�� nature of Applicant Date CLARATtON REG�Q1NG _ TR.UC - N-LENL}I1JG NCY —f Ireby affirm under penalty of perjury thatch is a construe ion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). wer's Name Lender's Address my signature balow, I certtfy 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 provided is correct. I agree to comply with. all applicable city and county ordinant;sisrand state laws relating to building construction. I authorize repleseldatives of this city or counlyta<nWr the abo = ntified property for inspection purposes. GG nature of Pro aH Owner or Authorized Age Print Property Owner's or Authorized Agent's Name �J Tt3Ci'C� ,vr�,10-- Date 'ION. DATE By DECLARA C MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY REGUTATION5 PART 61 OF TITLE 40 AND AQMO RULE 1403 P1.Rh.trr PSPPJIT FXTENOEO NOTIFICATION TO P5.^F. NT F'VAI. I P/07/2y D r�oI, ❑ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO C5R71FICF iCOF I LJLT PROPOSED DEMOLITION OC177IPANCYISSUFL i DR SIGNATURE: