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HomeMy WebLinkAboutH2022-0406 - Permitso��EwPoRr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u ,t Permit Counter Phone: (949) 644-3288 .s. Inspection Requests Phone: (949) 644-3255 C9C/pppN�P newportbeachca.gov/inspections Mechanical Permit : H2O22-0406 Plan Check No : 0977-2022 Work Class : Other Issued Date : 0810812022 Inspection Area : 5 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 : 2700 OCEAN BLVD _ Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 133 LOT 2 Description: MECH CHANGE OUT HEAT PUMP & AIR HANDL R W/ DUCTWORK "TAMPER-"^^^; , ©L - Owner: STEVEN DICKLER 17 L4 Contractor • DEP%MBLE.GRAHAM AC Address : 2700 OCEAN BLVD CORONA DEL MAR, CA 92625 Address : 2952 EFI�FURY�PLACECOSTA MESA, CA Phone: _Phone (714`46 1653 Con ----- --- : 47268f� L; r0 Cr L ( atr' c /0 Applicant: DEPENDABLE GRAHAM AC Lic Expire : 04/30/2024 refund Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Bus Lic BTO 113,,/� �P,. Phone : (714) 546-1653 Bus Lic Expire:'12/3T202'2 . �� lm Workers' Compensation Insurance Owner/Builder: n Carrier:' SERVICE+AMERICAN+INDEMNITY+COMP Address Policy No : SAMTWC0072801 Phone: ..:a r• "'� �+.a L i� ,_, W. C. Expire : 7i1/2023 Code Edition : 2019 Fire Hazard Zone ; N Manufacturer: MITSUBISHI Type of Construction s Model# . SUX KAl2NA2 y� Occupancy Groups : 1 p ° txy� �+ I'I '�'. < y".s r�,vx 3 N ""�.i3 '�y�J Building Setbacks : Front 15 Side 3 Side: 3, Reaf.&t:'„ I-k iw(Cii " Flood Zone: X f 11 i Use Zone : R-2 Two Unit Rd- srdntsal�,'"'"''�'�' �' @ i le L a"' �'v� PROCESSED BY: TIMERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury Thai I am exempt from the Contractors' State License Law for the ressan(s) indicated below by the checkmark(s) I have placed next to the applicable ttem(s) (Section 7031.5. Business and Professions Code: Any chy 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 licensors 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 not more than five hundred dollars ($S00). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do {_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code; The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. 11, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built. or improved for the purpose of sale). ❑ 1, as owner of the property., am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not Ia-p�ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). LJ I am exempt from licensure under the Contractors' Stale License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legal. sell a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site,http:liwv,�v.leginfo.ca.govicafew.htmi. Signature of Property prier or Authorized Agent Date., _ hereby affirm under enall�` of perjury that I nd effect. License lassj$^^af — the Business and ARNING: FAILURE 7D CUR WORKERS, COMPENSA ON COVE[iAGE IS VNLAWFVL. AND aH -EMPLOYER TtACif�IR1���AISPND CIVIL FINES UP TO ONE DST OF COMPENS An DA - IDED FO CTION 3706 OF THE LABOR CODE. INTEREST ANC ATTORNEY 'S FEES. h' C hereby affirm unde pan y o rj r, One he'f fowin clal-pns A k� E�iar�� 4� �:IQtP have and will ant n c ate o Consagt let sa f s4fY"17,'' ir.�yA rs come n � sued by e r i u erformance of PhD ork f '" perms lift v Po11�N c fysr� �.ba,e and will alntain workers' compensation insurance, as required by ectioli '�f r# bol{(�C(�(4pirj performance of the work for v ISUrance- carrier a Del re: 1rsd0 Y —�� amier F - 'f7,�jj y Expiration Date ame of Agent rf' '3 "i q t i *`n- = Phone tf �I certify that, in e pa ..- the h pf}rmit Is 4u I r' fl)Sat empl .' any rson m any manner so as to become subject to t tat. It I should be ma su fact to the wo s• ca ensatfan provisions o , IttvRhwlth-comply with those provisior IQnalure of Appff ant _ _/ _ hereby affirm ur`peer o p 'lltylt"a t.s 'r ca u hptLlar,) ng agency for ormanceo f the work for which this permit is issued _enders Name. ��>'a,,,4 d 1' al-E m i � enders, A re sy m: signature elow, I ce y to ea h of th following; Y' N" SSnn `� 1 am the to e1i rty owner or; 2-i�� fir.cnit,�f(�@T rly owner's behalf, I have read Is a plication and the information I have p (video is correct. ) agree to c 1I V 10t i applicable city and county ordinances at ate laws. relatin to ' GoN ecE 1"i U, 1 authoriio r prepentative e ove ,roparty for Inspection purposes. nature 3i of.Pr eriy Owner of Authorized Age Print Pro=lx Owner's or Authorized en' le ACTION D ION OF CCMPLIANCL WITH CODE OF FEDERAL FOR OFF n -'vsc I REGULATION. FFllirli ANn AOMIDRULE , DOLLARS (E100,000), IN ADDITION TO for=by Section 3700 of the Labor Code, for permit is issued. My workers' compensation taws of California, and agre � G � 9Yj Civil Code). PERMIT fXPOE'D tJ 1 9URMITTFr) ASREST05 NOTI FICATfON -TO -�- "" _- If ,.. k.. ;c All required alarms, latches gates and fanco's wffich serve as part of a pool/spa barrier, shall .__�. PER'wrt7CaNNCEt-.t ED i '. LPA PERMlrexrNflsO � [.]�ggMp Lie in place priorto approval to fill pool/spa & shall remain it)place & be maintained for the PFRMITFINAt j OASBES10S NOTIFICATION 15 NOT APPLICABLE TO life of the pool. CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCVi5SUEO SIGNATURE: