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Home My WebLink AboutH2024-0126 - Permits�2gWP0/�T City of Newport Beach p Community Development Department- Building Division Fy 100 Civic Center Drive, Newport Beach, CA 92660 G } T Permit Counter Phone: (949) 718-1888 .r. newportbeachca.gov/civic c9cicoa`'�P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 03/07/2024 Inspection Area : 1 H2O24-0126 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: 5705 SEASHORE DR Legal Desc : A TR OCEANFRONT TR BLK 57 LOT 3 Description: MECH - INSTL (N) ROOF MOUNTED HEAT PUMP. TAMPER REISTANT CAP REQUIRED Owner: KASSEL DANIEL ROBERT TR Contractor : J MARTIN INDOOR AIR QUALITY LLC Address : 5705 SEASHORE DR NEWPORT BEACH, CA 92663 Address : 22343 LA PALMA STE 123 YORBA LINDA, CA 92887 Phone : (949) 394-3761 Phone : (714) 403-6514 Con State Lic : 998956 Applicant : J MARTIN INDOOR AIR QUALITY LLC Lic Expire : 12/31/2024 Address : 22343 LA PALMA STE 123 YORBA LINDA, CA 92887 Bus Lic : BT30056372 Phone: (714) 403-6514 Bus Lic Expire:08/31/2024 Workers' Compensation Insurance Owner/Builder: Carrier : MID-CENTURY INSURANCE COMPANY Address : Policy No : A09515669 Phone: W. C. Expire : 1/1/2025 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: MITSUBISHI Type of Construction : Model# : NTXMMX36A142CA Occupancy Groups: Building Setbacks : Front: 5, Front: 0, Side: 3, Side: 3 Flood Zone: X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors` Slate License Law for the reason(s) indicated below by the checkmark(s) I haveplaced 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 he permit to filea signed statement that he or she is liGonsed 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 fora. permit subjects the applicant to a civil penalty of rot more than five hundred dollars ($500). D 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or I_.) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Coda: The Contractors' State License Law does not apply to an owner of property who, through employees' ar personal effort, builds or improves the property, provided that the mprovements 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 mproved for the purpose of sale). I. as owner of the property, am exclusively contracting with licensed Contractors toconstruct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not 3•.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: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I.cannot leg.a% sell a structure that I have built as an owner-buildor 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://w .leginfo.ca..gov/calaw.html. 5ignature 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 7000) of Division 3 of the Business and Professions Coder'`l, and my tiZZe�e is in full force and effect. License Class License. No `bete 3-�-Zvz I Contractor Signature: yn . NORKERS' COMPENSATION DECLARATION NANNING: 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 (E100.000), IN ADDITION TO THE COST 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 fallowing declara..lions: 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 'ormance of the work forwhich 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 France carrier and policy number are: of Agent certify that, in the performance of the work for , If I should become subject to the work Ts' s�..l Policy Number Date 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 agre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r+2 ynature of Applicant / / _—_., Date_ CLARATION REGARDING CONSTRUCTI N-LENDING AGENCY n-eby 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, Iders Name Lender's Address my signature 6ekOw, f 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction I authorize representatives of this city or county to 3;9tey, the abpv/e-identifi@d property for inspection purposes. Civil Code). SSch 1,-Ch I,,,_ ACTION DATE BY DECLARATION OF COMPLIANCE WITiI CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40AND AQMD RULE 11003 PEN wT £XPIREbL2 II sVwAITTED ASHFSTOS NOTIFICATION TO PERMITCANCEUED PERINITEXFENDED C A DLVbIr 13A5BE5TO5NOTIFICATION15NOT APPLICABLE TO PERMIT FINAL G3/ZO/Z4 CERTIFICATEOF CMS PROPOSED DEMOLITION OCCUPANCY ISSUED ( CIGNi.TURE: