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Home My WebLink AboutH2024-0121 - Permits¢a�WPoRT City of Newport Beach p + I Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718A888 u S newportbeachca.gov/civic CqC/FOM1N`P Mechanical Permit : H2O24-01 21 Plan Check No: PC2023-1167 Work Class : Other Issued Date : 03105/2024 Inspection Area :' 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 : 4719 RIVER AVE, 112 Legal Desc : R BK 32 PG 50 PAR SA Description: MECH CHANGE OUT HEAT PUMP ON ROOF* TAMPER PROOF CAP REQ* Owner: SCOTT LAIDLAW Contractor : OWNER/BUILDER Address: 4719 RIVER AVE NEWPORT BEACH, CA 92663 Address: Phone : (949) 278-1653 Phone : Con State Lie: OWNERIBUILDER - Applicant : SCOTT LAIDLAW Lie Expire Address : 4719 RIVER AVE NEWPORT BEACH, CA 92663 Bus Lie: Phone : (949) 278-1653 Bus Lie Expire: Workers' Compensation Insurance Owner/Builder : Carrier : Address : Policy No Phone : W. C. Expire Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: MR COOL Type of Construction : Model# : DIY-I2-HP-C115C25 Occupancy Groups: Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone: X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affimt under penalty 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 requiresa 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' Said 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). [11, as owner of the property, or my employees with %Vegas as their sole compensation, will do (J 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' 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 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) - Ell, 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 ra�ly to an owner of property who builds or Improves thereon, and ontracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), U I am exempt from licensure under the Contractors' State Lice. w for the following reason' By my signature below I acknowledge that, except for my person r ence in which I must have resided for at least one yea prior to completion of the improvements covered by this permit, I cannot legalh soli a structure that I have hunt as an owner boil Gr ii it has not G truued in its entirely 4y licensed contractors. t understand that a copy of the applicable law, Section 044 of the Business and Professions Code, is available upon request wh n appiicat' m' ad or at the following Web site:http:ll w .leginfo.ca..gov)calaw.html. Signature of Property Owner or Authorized Aged _, Date 7 LICENSED CONTRACTOR'S DECLARATI N I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHAD. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: El 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, far th performance of the work for which this permit is issued. Policy No. ❑I have and will maintain workers' compensation insurance, asrequiredby Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol insurance carrier and policy number are: Carrier Policy Number Expiration Dale Name of Agent Phone ff —11 certify that. in the performance f ork 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, .hat, If I should become ub'ect t era' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. %%11 DECL R Gi Applicant _ _ ,�. _ DatA`_�_ 9' 24 DECLARATION REGA t NSTRUCTION LENDING AGENCY �I\\// hereby affirm under penalty of perjury that1here is a construction lending agency for the performance of the work for which this penult is issued (Section 3097, CM Code). Lenders Name —Lender's Address, _ By my signature below, I certify to each of the following: I am the property owner or authorized to act on the prop wner's behalf. I have read this application and the Information I have prtift is correct.. I agree to comply with all applicable city and c only or ' Ltn stab laws relating to building construction. I authorize representatives of this city or co to enidentified property for inspection purposes. (' , Si nature of Pro ert Owner or Authorized A an Print Property Owner's or Authorized Agent's Name Data" ACTION DATE BY/ ( DECLARATION Or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY (( REGULATIONS PART 61 OFUTLE 40 AND ACIMD RULE 1403 PE1fMil-EXP01) i LJ I iUBMITTE7 ASBFS'O.S NOTIFICATION TO PERMIT CANCELLED -il-. ' IPA PERMLT EXTENDED MD PERMIT FINAL D9/13/24-F rr�� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CEREIFICATEOF DL TO✓' PROPOSED DEMOLITION OCCUPANCY ISSUED MS SIGNATURE