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HomeMy WebLinkAboutH2024-0328 - PermitsF�`*Po"" City of Newport Beach O. "1 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U Sr Permit Counter Phone. (949) 718-1888 a. newportbeachca.gov/civic Cq(/FORN`P Mechanical Permit Plan Check No : Work Class : Other Permit Status: Issued Issued Date : 06/07/2024 Inspection Area : 2 H2O24-0328 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 : 26 ESCAPADE CT Legal Desc : N TR 7817 BLK LOT 4 UN 217 TR 7817 LOT 4 UNIT 217 Description: MECH INSTALL HEAT PUMP **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: DANIEL CALLAHAN Address : 26 ESCAPADE CT NEWPORT BEACH, CA 92663 Phone : (909) 287-6846 Applicant : ANAHEIM AIR LLC Address : 1631 SALMON RIVER PLACENTIA, CA 92870 Phone : (909) 287-6846 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks Flood Zone Use Zone : PROCESSED BY: X PC - Newport Crest - UP1585 SPECIAL CONDITIONS: B5 Contractor : ANAHEIM AIR LLC Address : 1631 SALMON RIVER PLACENTIA, CA 92870 Phone : (909) 287-6846 Con State Lic : 1109245 Lic Expire : 08/31/2025 Bus Lic : BT30084519 Bus Lic Expire:06/30/2025 Workers' Compensation Insurance Carrier : CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No : CWCO2374300 W. C. Expire : 8/1/2024 Fire Hazard Zone : NO Manufacturer: STAR AIR KONTROL Model#: SAK-60ADN2-M18M 'TIMERS PROI-1104ED N EA PPS OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 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). 1, 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 am exempt from licensure under the Contractors' State License Law for the following reason. 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 ell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:llM .leginfo.ca.govlcalaw.html. tignature 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 7000 of D'vis��opp 3 of the Business and Prof es Ce a my license is In full force ind effect. License Class License No Date I 2`t Contractor Signature - VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), W ADDITION 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: 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 ;brmance 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 Trance carrier and policy number are: Policy Number Expiration Date of Agent Phone # certify that, in the performance of th ork 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 agree if I should becomes bject t he rkers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % lature of Applicant _ _ _ Dale Q / r1[—� 124 :LARATION REGARDING CO S UCTION LENDING AGENCY Ireby affirm under penalty of pekjyly that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ides s 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 owners behalf. I have read this application and the informationj___5 ve proi (correct. I agree to comply with all applicable city and coordinas nd state laws relating to building construction. I authorize represematives of this city or county7 r = entified property for inspection purposes. ,( S}onaturE of Proa Owner or Authorized Agent / Print Prone Ov+ner's or Authorizetl A ent's Name rC �J lJ Date ACTION < < DATE BY DECLA TI N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULA NS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMn EXPIREDu I SUBMITTED ASBESTOS NOTIFICATION TO PERM0 CANCELLED OEPA VERMO FXTENDE'7 rr�� QMD PERMIT FINAL 07/31/24 W. ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO t ERQFIG1TEOF I� I PROPOSED DEMOLITION UCCUPANCY ISSUED PR I SIGNATURE: