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HomeMy WebLinkAboutH2024-0616 - PermitsCity of Newport Beach IIII III I�II�I I II I III II��iII� III T ° pg4n Check No �Ok � �@� Community Development Department- Building Division Mechanical Permit: H2O24-0616 CtDl x. 100 Civic Center Drive, Newport Beach, CA 92660 nr Permit Counter Phone: 949 718-1888 ° o ° ° © o o ° Work Class : Other V x ( ) newportbeachca.gov/clvic ° o ° ©° o o ° o o ° © o ° ° Po oirnit Status: Issued Issued Date : 09/23/2024 Inspection Area : 9 oo C PERMITS EXPIRE ISO DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER T'HAl`3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON GUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 12 TASMAN SEA Legal Desc : N TR 15857 BLK LOT 6 Description: MECH INSTALL (3) HEAT PUMPS *TIMERS PROHIBITED* Owner: JULIE SAWYER TR THE R & J S MONTGOMERY MONTGOMERY Contractor': MCMASTER HEATING & AC INC Address : 12 TASMAN SEA NEWPORT COAST, CA 92657 Address : 2 MCLAREN #C IRVINE, CA 92618 Phone: (262) 339-6994 Phone : (949) 481-7995 Con State Lic : 726607 Applicant: MCMASTER HEATING & AC INC Lic Expire: 12/31/2025 Address : 2 MCLAREN #C IRVINE, CA 92618 Bus Lic: BT30041972 Phone: (949) 481-7995 Bus Lic Expire: 01/31/2025 Workers' Compensation Insurance Owner/Builder : Carrier : HARTFORD CASUALTY INS CO Address : Policy No: 72WECZU8138 Phone: W. C. Expire: 2/2/2025 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: CARRIER Type of Construction: Model# : 38MURAQ18AA3/38MURAQ48AA3 Occupancy Groups Building Setbacks : Flood Zone: X Use Zone: PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: Professions Code) or- that he or she is exempt from licensure and the flaws Jhe­al6c,6d 6xeibpdqri. Anyiolafion of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). LJ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of of U portions of the work, and the structure is not intended proffered for sale (Section 7044, Business and Professions Code-, The Contractors' State License, Law does -not apply to-cr-,owrar of property I through employees'ar personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale. If, however, the bufirlimC� or rcxvem"q.mt ip)) sold *1;61�Qn- y*ar of completion, the Owner-Soilder will have the burden of proving that It was not built or improved for the purpose of sale), 1, as owner of the property, am exclusively contracting with licensed'Contr46t&s to c6nstf6ct_)Me project {Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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). 13 1 am exempt from flcensure under the Contractors' State License Law for Me following reason: By my signature betow 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 -guilder 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:liwww.leginto.ca,gov/calaw.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 70 of Division 3 of the Buzinass and PrQ�f (51 full force and effect. License Class License No Date 6 Signatur � Z�p d �an m a, �Js in f� /�. 7Z J7-L-1- Contractor e WORKER S'COMPEN SATION DECLARATION WARNING: FAILURE TO SECURE WORKEW COMPENSATION COVERAGE is UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRMWIN AL 7PERAILTIES AND 01ft PINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIVE0 FOR IN SF_CnON 3704 OF THE LABOR COVE, INTEREST, AND ATTORNEVS Fres. I hereby affirm under penalty of perjury one of the following declarations: 13 1 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, ter th, WrfrgWoe of the work for which this permit is issued. Policy No, 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' carrier and policy number are: Policy Number Expiration Date of Agent Phone # — I certify that, in the performance of the work for which this permit is issued, I shall riot employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre vat, if I should become sub' of to thq workers' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. &Ignaluro of, Applicant n - Da �2— ►ECLARATIONa REGA�RRD G FCONFIS�4_CMO_�_ff �651NG 0� - �ON hereby 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, Civil Code). .cinder's Name Lenders Address iy 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 &caty ordinanceysand state laws relating to building construction. _'8;7�r 'a�w* io t c 8a'� 'at I authorize representatives of this city or cou n the above-ide �Iffiiro arty for inspection purposes. .r* lam`-1143J-2 �iunalure of Prooertv Owner or Authorized Acient IPrint Property Owner's or Authorized Agent's Na)c Date PERMIT EXPIAED PERMIT CANCELLED PERMITEXTENDEV PERMIT FINAL CERTIFICATE OF OCCUPANCY,15SUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQ6w3Lt RULE 1403 LJ I S08MITTED ASBESTOS NOTIFICATION TO UASOES'TOSNOTI�ICATIONtSNOI-APPLICABLE TO PROPOSED DEMOLITION SIGNATURE,� 14-