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Home My WebLink AboutH2023-0004 - Permits��EW POST City of Newport Beach III D Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C�CrFORN\P newportbeachca.gov/inspections Mechanical Permit : H2O23-0004 Plan Check No: 1882-2021 Work Class : Other {,,. .v %y� Issued Date: y -a `. 03 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 : 2216 PACIFIC DR Legal Desc : A TR CORONA DEL MAR BLK 328 LOT 4 Description : MECH - INSTALL 3 HEAT PUMPS. TAMPER -RESISTANT CAPS REQ'D Owner: VADEN ANDREW T TR VADEN FAMILY REVOC TR Address : 220 NEWPORT CENTER DR #11-384 NEWPORT BEACH, CA 92660 Phone: Applicant: ENDLESS SUMMER HTG & A/C Address: 110 COPPERWOOD WAY, STE G OCEANSIDE, CA 92058 Phone: (760)439-5071 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: PROCESSED BY: Jk SPECIAL CONDITIONS: Contractor : ENDLESS SUMMER HTG & A/C Address : 110 COPPERWOOD WAY, STE G OCEANSIDE, CA 92058 Phone: (760)439-5071 Con State Lic : 914490 Lic Expire : 04/30/2024 Bus Lic: BT30030164 Bus Lic Expire:12/31/2023 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INS CO Policy No : ON0919303 W. C. Expire: 12/6/2023 Manufacturer: MITSUBISHI Model# : PEAD-A24AAB/PUZ-A24NHA7 N /4fq � pU�p �® S $o J U. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the che➢kmark(s) 1 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 w 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 'rofesslons 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusfness and Professions Coda: 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 nprovements 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 nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ppiy 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 I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 legalit all a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application Is submitted or at the following Web site:httpat/ w .leginfo.ca..govlcalaw.html. ilgnalure, of Property Owner or Authorized Agent _ Data .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7 0 f " ' ' of the Business and Prof s io od" m full force .nd effect. License Class License. No Da Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIYII FINES UP 70 ONE HUNDRED THOUSAND OLLA S iS100,000), 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 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 ih Ell, of the work for which this permit is issued. Policy No, eve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade. for the performance of the work for which this permit is issued. My workers' compensatiol tsur nice carrier and policy number are: :artier Polf y Number Expiration Date lame. of Agent I Phone H �I certify that, in the perform. ce the work r whi h his 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 tat, It I should become sub' id° a worker -3700 of the Labor Code, I shall. forthwith comply with those provisions. ignature of Applicant _ IC , tECLARATFON REG I TRUC I ENDING AGENCY hereby affirm under penal of perjury that re is a cbmstruGtion lending agency for the performance of the work for which this permit is issued (Section 3097, Gvil 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 b If. I have read this application and the information i vided i tort I agree to comply with all applicable city and Couonce s ing to building. Construction. I authorize representatives of this city or county te a roperty for inspection purposes, En/F- G61 t�..o 2U-zcLSCO-=gate lionature of Property Owner or Authorized) Y Print Prooartv Owner's or Authorized Anent's Nam ACTION I DATE ( BY ` ! DECLARATION CLARA ONOFCOMCE4CODEOF H AL I FOR OFFICE USE ONLY REGULATIONS OF TITLE0 AND Ai RIFEDERAL PFRMITEXPIPF'D r LJISUBMtttEDASBrSTOSNOTIFICATIONTO PERMIT CANCELLED EPA PERM)) EXTENDED OMD PERMITFINAL ` ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: