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HomeMy WebLinkAboutH2024-0258 - PermitsCity of Newport Beach III I I I II I I II II II I III I I II Mechanical Permit: H2024-0258 oe 6 Community Development Department- Building Division Plan Check No: PC2023.0770 p; Permit Counter Phone: (949) 718-1888 100 Civic Center Drive, Newport Beach, CA 92660 Work Class :Other w n X Permit Status: Issued newportbeachca.gov/civic '' `�� issued Date : 0510712024 ��� 1 ] 'a'°—� d - i._ `%_y_ - j. Inspection Area : 2 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 : 1912 SEADRIFT DR Legal Desc : N TR 2813 BLK LOT 10 Description: MECH R/R (2) HEAT PUMPS AT SIDES "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED" (XR2023-0877) Owner: BARNHILL FAMILY TRUST Address : 1912 SEADRIFT DR CORONA DEL MAR, CA 92625 Phone: Applicant: A C COOL INC Address: 1116 W COLLINS ORANGE, CA 92867 Phone: (714)720-3938 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 10, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: a Fire Hazard Zone : NO Contractor : A C COOL INC Address: 1116 W COLLINS ORANGE, CA 92867 Phone: (714)720-3938 Con State Lie : 804056 Lie Expire : 01/31/2026 Bus Lie: BT30042073 Bus Lie Expire: 01/31/2025 Workers' Compensation Insurance Carrier: SIRIUSPOINT AMERICA INSURANCE COMPANY Policy No: WC46234 W. C. Expire: 6/1/2024 Manufacturer: CARRIER Model#: 38MURAQ36AA3 TIl ER."S 0 44IBITED ON HEA1 PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(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 1e 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 !rofessions 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 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements are not intended or offered for sale. If, however, the building of improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or ntproved for the purpose of sale). -t 1, as owner of the property, am exclusively contracting with licensed Contractors to construct (he project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pp€y 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). 3 1 am exempt from licensure under the Co, enactors' Slate License Law for the following reason: ly 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 Iegall: ell 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 copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Iw Jeginfo.ca..gov/calaw.html. signature of Properly Owner or Authorized Agent .Date ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700Q) of Division 3 of the Business and Professio oes'C da fl �' mull force no effect. license Class License No Date ,5 • 7- 29Ly Contractor Signaturei� VORKERS' COMPENSATION DECLARATION 'ANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (EI00,000), IN Adna O THE OST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 370e OF THE LABOR CODE, INTEREST, ANDATTORNEY'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 th erformance of the work for which this permit is issued. Policy No. have 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' compensatioi Trance carrier and policy number are: rler Policy Number Expiration Date re of Agent Phone # certify that, in the pertormanc the work for which thispermit is issued, I shall not employ any person in any manner so as to become subject to the workers compensation laws of California, and afire if I should become subliacrtot rk pe s hon/p\may\rons or Section 3700 of the Labor Code, I steall forthwith comply with those provisions. tature of Applicant ,... �i Date -j ,;� - Z C) Z L/ 'I AGATtnM oCn niMr_ rnw Toll nu Chin! —enftSA l..i hereby affirm under penalty of perjury that there is a constructioh.Winding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's 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 property owner's behalf. I hav, read this application and the information I have provi onect I agme to cemp'y with all applicable city and county or , antes a a elating to building construction. I authorize representatives of this city or county to tar thP ov, Ide ad Party for inspection purposes. 'gna!:•e of Property Owner or Authorized Agent old Prmt Prooertv Owner's or Authorized AoenCs Name ACTION i DATE I BY P591`VT C BNCELLEO I P:RM)T E.YTENUEJ , REGULATIONS PART bl OF TITLE. 40 AND AOMD RULE 1403 S➢BEAITTED ASBESTOS NOTIFICATION TO F1_XA,TF,NAL 1 U ASBESTOS NOT IFICATION 15 NOT APPLICABLE TO CE:^.'lrlCATfOF f t`` 1� �f•'�L� PROPOSED DEMOLITION OCCUPANCY ISSUED j SIGNATURE: FOR OFFICE USE ONLY