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H2023-0730 - Permits
(el."i dmr ; City of Beach- III I I I II I III II II IIII II II Mechanical Permit : H2023-0730 Building DivisionCDepartment 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No 2525-2021 Permit Counter Phone: (949) 718-1888 Work Class : Other newportbeachca.gov/civic Issued Date : 11/16/2023 c54 FoaN�P ' F.:..®a.r 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: 520 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 500 TR 907 LOTS 500 AND 501 Description: MECH INSTALL (3) HEAT PUMPS (TIMERS PROHIBITED) AND (1) A/C UNIT (W/ TIMER REQUIRED) AT ROOF TOP WELLS. **TAMPER RESISTANT CAPS REQUIRED** (X2021-2894) Owner: INTER -PRO PROPERTY CORPORATION Contractor : MAYO MECHANICAL INC Address : 3699 MILLWOODS RD NW EDMONTON, T6K3L-6 Address : 33392 CORAL REACH STREET DANA POINT, CA 92629 Phone: (780)918-0015 Phone: (949)494-5036 Con State Lic : 472592 Applicant : MAYO MECHANICAL INC Lic Expire : 04/30/2025 Address : 33392 CORAL REACH STREET DANA POINT, CA 92629 Bus Lic : BT30019941 Phone: (949)494-5036 Bus Lic Expire:07/31/2024 Workers' Compensation Insurance Owner/Builder: Carrier: TRANSVERSE INSURANCE COMPANY Address : Policy No: FORWCOD00002231 Phone: W. C. Expire: 1/1/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AC PRO / BOSCH Type of Construction : Model# : AOVA61CN1M152L/ BOVB60-18 Occupancy Groups : Building Setbacks : Front:4, Front: 10, Side: 4, Side:4 V O CONSTRUCTION NO WOR4( Flood Zone : AE, 8 FT; X +� Use Zone : R-1 - Single -Unit Residential ON SATURDAYS ' PROCESSED BY: �/� SPECIAL CONDITIONS: TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. TIMERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the resson(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 ID construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement thathe 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 sheis exempt from licensure and the basis for the alleged exemption. Any violation of Section 7W1.6 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).. ❑ I, as owner of the property, of my employees with wages as their sole compensation, will do L) 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 theproperty, 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 I roved for the purpose of sale). Er 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 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature belovu 1 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 iegali) 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:HWtww.leginfo.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7Qg0 .of vusion 3 of the Business and Professio de nd my license is in full force and effect. License Class License No Date It / Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES. I 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 ih� performance 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 Lahor Code. for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: ie of Agent _ certify that. in the p it I should become lalure of Applicant _ Policy Number Date 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 agre )ers' compensation sioprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Y� hereby affirm under flenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097 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 have read this application and the information I have provided is correct.. I ag,ee to comply with all applicable city and county or" ces and state laws relating to building construction. I authorize ,ep,6sa„tatjves of this city or county to a er a abo denfif d ooperty for Inspection purposes. `�C (} uonature of Property Owner or Authorized Auen{ �y1 �1� Print Property Owner's or Authorized AGeni's Name : l�%�� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '.. RFCI)IATIONS PART 61 OF TITLE 40 ANDAQMD RLILF 1403 PER,AT ENPiRkr, U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EpA PE4MIT FXTEND€4 ��TTTIII QMD PERMIT FINAL t UASSESTO5 NOTIFICATION 15 NOT APPLICABLE TO CERTIF'CATF OF PROPOSED' DEMOLITION 0LLUPANCV 75>UEJ Sit SIGNATURE: Civil Code).