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Home My WebLink AboutH2023-0285 - PermitsO��EWIPORT City of Newport Beach 6 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u Inspection Requests Phone: (949) 644-3255 C9C/F00.N`P newportbeachca.gov/inspections Mechanical Permit : H2023-O285 Plan Check No : 1494-2022 Work Class : Other Issued Date : 05101/2023 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: 131 JASMINE CREEK DR Legal Desc : N TR 7967 BILK LOT 68 Description: MECH -ATTACHED SF INSTALL (2) HEAT PUMP UNITS `PROVIDE TAMPER -PROOF CAPS AS REQ'D/TIMER PROHIBITED Address: 131 JASMINE CREEK DR CORONA DEL MAR, CA 92625 Phone: Applicant: MAXXAIRHEATING Address : P 0 BOX 565 SAN JUAN CAPISTRANO, CA 92693 Phone : (714) 330-0139 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks Flood Zone Use Zone : PROCESSED BY Front: 15, Side: 5, Rear: 15 X PC - Jasmine Creek M SPECIAL CONDITIONS: Fire Hazard Zone Address : P O BOX 565 SAN JUAN CAPISTRANO, CA 92693 Phone : (714) 330-0139 Con State Lic : 795756 Lic Expire : 05/31/2023 Bus Lic; BT30080294 Bus Lic Expire:12/31/2023 Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE COMPANY INC Policy No: TWC4223380 W. C. Expire: 3/4/2023 NO Manufacturer: FUJITSU '- Model# : AOU45RLXFZ ��rr�ERs P ROHIBITE�N. HEAT ,� � I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmarkfs) 1 have placed next to the applicable Items) (Section 7031.6. Business end 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 licensureand the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_,) porticos of the work., and the structure is not intended or offered for safe (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply loan 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 of improvement is sold within one year 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 a5u a ply 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). 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 feast 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 -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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwvvw.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm ui der Dei olty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession: ode, and my license is in full force a,d effec'. License Class License No Date C, Contractor Signature IA'ORKERS' COMPENSATION DECLARATION NACNINGFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE15TIHMAND DOLLARS ($100,000), IN AOorTION TO THE COST OF COMPENSATIGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm unda, ,t nafy of perjury one of the following declarations: .-I I ha•'e 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 aerformance of the work or which this permit is. issued. Policy No. ,tail 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' compensatioi rnrro carrier and policy number are: ter Policy Number Expiration Date tn. of P.gent Phone ft Cads/ that. in the nAriorman of the 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 agre if should beco able th encabrw-fuavisions of Section 3700 of the Labor Code, I shallforthwith comply With those provisions. ,azure of Applican v. Data- —Z ATAI I l 1 4 �1.11 AI l CAIAr\Ili AIfC\IFV hereby affirm underffenalty 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), enders Name Lender's Address ly my signature below, I 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 ord'nances and slate laws relating to building construction. -� I authorize representatives of this city or county] ar/l th •t -identified property for inspection purposes. r� ^� M A .�( linnalum of Pmnadv Owner nr Authorbarl Anent it Print Property Owner's or Authorized Aaenl's Name t'k-A I •' H/1 ACTION DATE BY F �fb[CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS N071FICATION TO PERMITCANC£LLED O EPA _ PERMIT EMENDED y� OMD PERMIT FINAL 1'v /'f 3 D� N BESTOS NOTIFICATION 15 NOT AP UCABLE TO OCCUPANCY SUED KK PROPOSED pFLIj10 SIGNATURE: //// Date