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Home My WebLink AboutH2024-0475 - PermitsCity of Newport Beach III I I I II I i II II II II IIII II Mechanical Permit: H2024-0475 �E.w.Po" - p Community Development Department - Building Division Plan Check No 1 y,, 100 Civic Center Drive, Newport Beach, CA 92660 Work Class : Other e =,; Permit Counter Phone: (949) 718-1888 � Permit Status: Issued newportbeachca.gov/civic Issued Date : 08/07/2024 `f9CI GO P��P ,. , Inspection Area : 8 PERMITS EXPIRE 1B0 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 : 17 CAPE WOODBURY Legal Desc : N TR 15012 BLK LOT 67 Description: MECH CHANGE OUT 2 HEAT PUMPS AND 2 FURNACES *TAMPER PROOF CAP FEW Owner: ADAMS ROBERT J TR Address : 17 CAPE WOODBURY NEWPORT BEACH, CA 92660 Phone: (714)981-0964 Applicant: HAVEN AIR CONDITIONING Address: 2075 N SHAFFER ST ORANGE, CA 92865 Phone: (714)998-7879 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction occupancy Groups : Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Upper Castaways PROCESSED BY: SPECIAL CONDITIONS Fire Hazard Zone : NO Contractor : HAVEN AIR CONDITIONING Address : 2075 N SHAFFER ST ORANGE, CA 92865 Phone: (714)998-7879 Con State Lic : 748387 Lic Expire : 01/31/2026 Bus Lic: BT30084929 Bus Lic Expire:08/31/2026 Workers' Compensation Insurance Carrier : FALLS LAKE FIRE AND CASUALTY COMPANY Policy No: PSIC0701329801 W. C. Expire: 10/1/2024 Manufacturer: LENNOX Model# : VPC036H4M-3PD I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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 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 a civil penalty of not more than five hundred dollars ($500). ❑ 1, 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, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of properly 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 improved 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' Stale License Law). ❑ 1 am exempt from licensure under the Contractors' State 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 prier to completion of the improvements covered by this permit, I cannot legalt, 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:lfw v.ieginfo.ca.gov/c law.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 � of Dlvl IO 3 of the Business and Prof '6n5 Cotle, a yy l� a is i ull force and effect. License Class License No Dat 7 f NORKERS' COMPENSATION DECLARATION Contractor Signature i NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($1100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COVE, 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 thr e anal of the work for which this permit is issued. Policy No. ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cotle, for the performance of the work for which this permit is issued. My workers' compensatior nsurance carrier and policy number are: PoLcy Number _ Expiration Date of Agent JI certify that, in the performance of the work for which this 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 lat. if I should beco ubjecl to the wort rg' mpp�gsabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant __ _ /// O t IECLARATION REG RDING NSTRUCTION LENDING AGENCY 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 3007, C ail Code). ender Name Lender's Address y my signature below. I certify to each of the following: I am the property owner or authorized to act on the properly owners behalf. I have read this application and the information I have provided is correct, I agree to comply with all applicable city and cou t ordinances and state laws relating to building construction. authorize representatives of this city or county tenter the apv9,ide uilil p>pper y for inspection purposes. /I Owner or AI ACTION DATE BY y DLS ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMITEXPIRED I SUBfvl ASBESTOS PE.RIXT CAATELED ❑CPA - PERMIT EXTENDED L1gOMp PERMIT FINAL ',� • LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE CERTIFICATE OF ./fvRr"�'✓l PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATUR4 TO a