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Home My WebLink AboutH2024-0394 - PermitsCity of Newport Beach III I I III I II II IIII II II II Mechanical Permit: H2O24-0394 C4 o y Community Development Department - Building Division Plan Check No : 0651-2022 r ( 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (949) 718-1888 Work Class : Other _ newportbeachca.gov/civic Permit Status: Issued _ Issued Date : 0710212024 iR Inspection Area : 2 �1 l 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 : 207 CRYSTAL AVE Legal Desc : A TR BALBOA ISLAND SEC 5 BILK 6 LOT 25 Description: MECH - (2) HEAT PUMPS **TAMPER -RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (X2022-0724) Owner: DOUGLAS & MARTHA KERSTNER Contractor : D L S HEATING & A/C Address : 207 CRYSTAL AVE NEWPORT BEACH, CA 92662 Address : 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Phone : (310) 549-3011 Phone : (714) 231-8002 Con State Lic : 584220 Applicant : D L S HEATING & A/C Lic Expire : 01/31/2026 Address : 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Bus Lic: BT98040420 Phone: (714) 231-8002 Bus Lic Expire: 12/31/2024 Workers' Compensation Insurance Owner/Builder : Carrier : STATE FARM FIRE AND CASUALTY CO Address : Policy No : 92KNZ5674 Phone: W. C. Expire: 1/6/2025 Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: j�z SPECIAL CONDITIONS: NO C®NSTnU `TION Nbift- ON S T DR AY$ Manufacturer: DAIKIN Model#: RXSQ36TAVJU/RXSQ48TAVJU TIMERS PROHIBITED ON HEAT PUMPS I hereby affirm under penalty of perjury that I am exempt from the ContractorsSlate License Law for the reason(s) 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 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 Tufessions 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended 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 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 if was not built or nproved 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 ppty 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 licensors under the Contractors' State License Law for the (ollowing 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, 1 cannot Iegalll all 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:l/www.leginfo.ca.gov/calaw.html. :ignature of Property Owner or Authorized Agent ate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of -vi " n 3 of the Business and s se " i ul c nd effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION MINING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL)$100,000f IN 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 th erfomriance of the work for which this permit is issued. Policy No. laihave 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 compensabol nsurance carrier and policy number are: ;artier Policy Number Expiration Date Name of Agent Phone K :1I certify that, in the rf rm nce the work for %ent permit is sued, I shall not employ any person in any manner so as to become subject to the workers' comps satin laj'�s of California, and agre hat, if I should beco e t to t or n o isi s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date_!/ DECLARATION REGARDIN NSTRU ON LENDING AGENCY hereby affirm under penalty f perjury lh ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to a t On the p party Far 's behai . I have read this application and the infor tion I a provi d is correc I agree to col oply with all applicable city a d c ordina a t 'rig to building construction. : authod_e red�asentatives of this city or county I d r for inspection purposes. Signature of :2 operty Owner or Authorized Agent Print Pro a Owner's or Authorized Agent's Name ACLON DATE BY ECLARATION O PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS RT 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANOE' i F0 EPA PERMIT EXTENDFD OAQMD PEHPMTFINAL Z �.r n ASBESTOS ESTO5 NOTIFICATION IS NOT APPLICABLE TO CER"iIFICATE JF PROPOSED DEMOLITION CCCUPANCY ISSUED SIGNATURE: