HomeMy WebLinkAboutH2023-0562 - Permits (3)City of Newport Beach
j ; s Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
• Permit Counter Phone: (949) 718-1888
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II I I II Mechanical Permit : H2023-0562
Plan Check No : PC2023-1523
Work Class : Other
Issued Date : 0813012023
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 : 2318 PORT CARLISLE PL Legal Desc : N TR 7845 BILK LOT 67
Description: MECH INSTL HEAT PUMP @ THE SIDE YARD (TAMPER RESISTANT CAP REO), REPLACE (5) DUCTS
Owner : DAVID & MICHELLE A LIPTZ
Address : 35747 RAPHAEL DR PALM DESERT, CA 92211
Phone: (714)856-6600
Applicant : ABSOLUTE AIRFLOW INC
Address : 14122 WILLOW LN WESTMINSTER, CA 92683
Phone: (833)482-2626
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks: Front: 20, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITI0
Contractor : ABSOLUTE AIRFLOW INC
Address:
14122 WILLOW LN WESTMINSTER,, CA,92683
Phone:
(833)482-2626
Con State Lie :
1049023
Lie Expire :
01/31/2025 ,
Bus Lie :
BT30079754
Bus Lie Expire:09/30/2023
Workers' Compensation
Insurance
Carrier:
PACIFIC COMP INS CO
Policy No :
1026229
W. C. Expire:
1/27/2024
Fire Hazard Zone : NO
Manufacturer : AC PRE' • ;
Model# : AUD60W/A-D(U)
TIMERS PROHIBITED
ON HEAT PUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perury that I are exempt from the Contractors' State License Law for the reasorn(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(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
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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 8 civil penalty of
not more than five hundred dollars ($500).
111. as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or ( ) portions of the work., and the structure is notintended 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, 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
unproved 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
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).
❑ I am Exempt front licensure under the Contractors' Slate 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 improvementscovered by this permit, I cannot Iegalh
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:/Av .leginfo.ca.govlcalaw.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 7000) of Division 3 of the Business a Professions Code, and my tic In full force
and effect. License Class License. No Date 'r/ 3p / 2'S Contracts Si ature s
YORKERS' COMPENSATION PFCLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To
DST OF COMPENSATION, DAMAOESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FE
hereby affirm under pena�ty of perjury one of the !allowing declarations:
RI P CENALTIES AND CIVIL FINES UP TO NE NDREO THOUSAND DOLLARS I$100,000), IN ADOMON TO THE
ES
have and will maintain a earnficat^ 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
Trance of the sad. for which thie oermit is. issued. Policy No.,
ave and will main's'r workersnnmpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
3nce carrier and poll number are:
Policy Number
of Agent _ _ _
Date
certify that. in the performance of the work for which thispermit is issued. I shall not employ any person in any manner so as to become subject to (Lyle
if I should become ;ubj,of to 'tie wo-kers' comp!erLserin�provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nalure oRioolicent
compensation laws of California, and
hereby afli 1\nder 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).
ander's warne ! Lenders Address
3y 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 withall applicable city and county ordinances and state laws relating to building construction.
I authorize represenlaRves of Is c or county to enter the above -de operty for Inspection purposes. r
3i nature of Pro en Owner or Autl sized Agent _ Print Pi Owner's or Authorized Ay
ACTION OAJe BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGOLATIONS PART fit OF TITLE, 40AND AQMD RULE
PfRMiF EXPIRED
LJ I SUBM17FFD ASBESTOS NOTIFICATION TO
PERM(TCANCEUED
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PERMIT EXTENDED---
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IJL KK ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFfCATE Of
PROPOSED DEMOLITION
OCCUPANCY ISSUED
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