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HomeMy WebLinkAboutH2025-0080 - PermitsEWyRr, City of Newport Beach III I I I II I III II II III I II II Mechanical Permit: H2O25-0080 O� @ Community Development Department - Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No U S Permit Counter Phone: (949) 718-1888 Work Class : Other r newportbeachca.gov/civic Permit Status: Issued C'9C�FORN`P Issued Date : 01/3012025 Inspection Area : 5 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 : 302 DRIFTWOOD RD Legal Desc : N TR 1116 BLK LOT 26 Description: MECH 2 NEW A/C UNITS, ELEC DISCONNECTS AND C/O FURNACE *TAMPER PROOF CAP REQ* Owner: PODMAJERSKY THOMAS E TR Address : 302 DRIFTWOOD RD CORONA DEL MAR, CA 92625 Phone: (714)264-3166 Applicant: KLONDIKE AIR INC Address : 1308 LOGAN STE E COSTA MESA, CA 92626 Phone: (714)979-2070 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Fire Hazard Zone : NO Building Setbacks : Front: 25, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SO SPECIAL CONDITIONS: Contractor : KLONDIKE AIR INC Address : 1308 LOGAN STE E COSTA MESA, CA 92626 Phone: (714)979-2070 Con State Lie : 754456 Lie Expire : 09/30/2026 Bus Lie: BT30080447 Bus Lie Expire: 0 1 /31/2025 Workers' Compensation Insurance Carrier : ACCREDITED SURETY AND CASUALTY COMPANY INC Policy No : 1AGCA160074421 W. C. Expire : 10/10/2025 Manufacturer: AC PRO Model# : AULD36W2 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State 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 ie 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). 7 I, as owner of the property, or 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, lusiness 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' 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 from Iicensure under the Contractors' Slate License Law for the following reason: iy 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 legall', 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/mlaw.htmi. lignature of Property Owner or Authorized Agent at .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Sectiod 7 0) f Divi ion 3 f the Business and Pro s" ns C e. and ice force ind effect. License Class License No Date f Z Contractor Signature YORKERS' COMPENSATION DECLARATION FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRNS L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H 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 Vormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date me of Agent Phone R certify that, in the perform nce o the work i this a It 1 issued, I shall not employ any person in any manner so as to become subject to the worke 'compensation laws of California, and agre L if I should be a subj Ito th workers' p sati pr ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica Date O z CLARATION RE STRUCTION LENDING AGENCY Ireby affirm undo penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil ode). Iders Name Lenders Address _ my signature below, 'certify to each of the following: I am the property owner or authorized to act on the property o is behalf. I have read this application and the information I haw provi d is fta I agree to comply with all applicable city and co Ty rdina ces a V ti to b g construction.I authorize representatives of this city or county t nler th abo - pe ion purposes. I / ,n� // nature of Prooertv Owner or Authorized Agent Print Pr Owner's or Authorized Agent's Nand/ Iw`k-I '�'G Date ACTION DATE BY DECLARATION IONS OF C 61 OF TNT E I AND AQMF FEDERAL FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL _ CERTIFICATE OF 2 OCCUPANCY ISSUED J 2 L-I I SUBMITTED ASBESTOS NOTIFICATION TO EJ, T1C MD ❑ ASBEq O5 NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: