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HomeMy WebLinkAboutH2024-0412 - Permits�Fvuvokr City of Newport Beach Mechanical Permit: H2024-0412 p e Community Development Department- Building Division r F' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone, (949) 718-1888 Work Class : Other newportbeachca.gov/civic Permit Status: Issued Issued Date : 07/11/2024 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 : 6 ROMA CT Legal Desc : N TR 14772 BLK LOT 10 UN 57 TRACT 14772, LOT 10 OF Description : MECH REPLACE HEAT PUMP, TAMPER RESISTANT CAP REQ, REPLACE FURNACE Owner : BRAVERMAN BARBARA B TR B Contractor : KEMNITZ A/C & HEATING INC Address: 211 THACKERY RD ROCHESTER, NY 14610 Address : 188 TECHNOLOGY SUITE C IRVINE, CA 92618 Phone : Phone : (949) 453-8500 Con State Lic : 695874 Applicant: JERMAINEMAEWEATHER Address : 3675 RUFFIN RD. SAN DIEGO, CA 92123 Phone : (619) 677-8487 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone: PC - Newport Coast PROCESSED BY SPECIAL CONILT4 �a- Lic Expire : 09/30/2024 Bus Lic: BT30010593 Bus Lic Expire:07/31/2024 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INSURANCE COMPANY Policy No : PSIC0701257502 W. C. Expire : 2/1/2025 ' Fire Hazard Zone : YES Manufacturer : CARRIER Model# : 38MURAQ36AA3 TIMERS PROHIBITED ON' HEST PUMPS I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Stale License Law for the reason(s) 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 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees With wages as their sole compensation, will do L) all of or L) 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 or improvement Is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved 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' Stale License Law does not pply 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). I am exempt from Iicensure under the Contractors' 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 Iegalll 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 a 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://www.leginfo.ce.govlealew.html. lignature of Property Owner or Authorized Agent DaI .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec Io 7000) o v' ion 3 of the Busln s and Pmfessions de icense is In full force no effect. License Class License No to Contra r 'gnature VORKERS' COMPENSATION DECLARATION 'ARNING: 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 1$100.000I, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN BECTON 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 erfooance of the work for which this permit is issued. Policy No. and w,ll main.aln 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 carder and policy number are: Policy Number as of Agent _ certify that, in the performance of the work f r which this if I should �bbecolyl9 subject to the workers' i.om Be to nature of ADoA..ant Date is Issued, I shall not employ any person in any manner so as to become subject to the Ions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. hereby affiah unde penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section _ender s Name Lenders Address �y my signature belcw, I certify to each of the following: I a,r. the property owner or authorized to act on the property owner's Shelf. I have read this application and the information I have provided is rect. I agree to comply with all applicabl and county ordinances a d state laws relating to building construction. I authorize representatives of thi city o, county to enter the abo-Identi party for inspection purposes. \ Signature of Pro art Owner or AuUSori d ant Print Pro ert Owner's or Authorized A ent's N e ACTION DATE By DECLARATION COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED j13AQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED 0131MIZy ILL for^ �+ CW ASBESTOS NOTIFICATION IS NOT APPLICABLE TO I PROPOSED DEMOLITION 1 SIGNATURE: compensation laws of California, and ---- Code). PERMIT FEE DETAILS FOR PERMIT H2O24-0412 Fee Name Transaction Date Payment Method Building Furnace:0-100,000 BTU/H Fee Heat Pumps Package Units 0-100,000 BTU/H Fee Hourly Plan Check Fee - Building Hourly Plan Check Fee - Planning Issuance Fee - Mechanical Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $23.00 $0.00 $23.00 $0.00 $20.01 $0.00 $55.50 $0.00 $41.00 $0.00 GRAND TOTAL: $162.51 7-AP j j \ \ w in w U- § q xw we oo X¢ >= o-i r LU LL e e 2 0/» U §§)}\/ w U ® ` Z jo ^ = E {� a. � O U LL O W F- � 3 j.. _/ LL b[ (}( w w//\){) z ui z = 7 0 03 z ! } � / m � ` _ _ L : \ j \ j 2 2 iEO § § ( } \ ) \ � � cc LL U c-aƒ p Z § 99 _O \ \�}§ } # - M.0 � LU I- / } \12- Z 16 LL - O .:. L � \ \ LU ) ) N 7 0 j \ \\ U § ( \ \\ LL -E LU w w ) ` 22 W ) U w �