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Home My WebLink AboutH2023-0713 - Permitsoq�. City of Newport Beach Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic IIMechanical Permit : H2O23-0713 Plan Check No : 0119-2022 Work Class : Other Issued Date : 1110312023 Inspection Area: 1 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 : 490B RIVER AVE Legal Desc : N TR 3162 BLK LOT 34 Description: MECH R/R & RELOCATE 2 HEAT PUMPS AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (X2022-0104) Owner: WACHSBERGER NEIL LIVING TRUST Address : 4908 RIVER AVE NEWPORT BEACH, CA 92663 Phone : (310) 658-3800 Applicant: HENRY'S HVAC INC Address: 613 W 63RD PL LOS ANGELES, CA 90044 Phone : (323) 334-7499 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks: Front: 5, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-11 - Single -Unit Residential PROCESSED BY: +�/ ' SPECIAL CONDITIONS Contractor : HENRY'S HVAC INC Address : 613 W 63RD PL LOS ANGELES, CA 90044 Phone: (323) 334-7499 Con State Lic: 1079369 Lic Expire : 08/31/2025 Bus Lic: BT30082948 Bus Lic Expire: 11/3012024 Workers' Compensation Insurance Carrier : EMPLOYERS PREFERRED INSURANCE COMPANY Policy No: EIG515434600 W. C. Expire: 1/2/2024 Fire Hazard Zone : NO i IME �PROHIBITED Q ON HEAT PUMPS Manufacturer : YORK Model# : HMH72B(24 & 36)1S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 item(s) (Seclien 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 the permit to file a signed statement that ha or she is licensed pursuant to the provisions of the Contractors' Stale 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). ❑ i; as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or O ponions 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 of 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). ❑ 1, 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 a ly 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 licensure under the Contractors' State License Law for the following reason „ ..... . By 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} sell a structure that 1 have built as an owner -builder if it has not been constructed In itsontirety by licensed contractors. I understand that a capy of tha applicable law, Section 7044 of the Business and Professions Code, Is available upon request when this application is submitted orat the following Web site:http:/1wwW.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date, LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter-9 (commencing with Section 7000) of 9ivision 3 of the Business and Professions Code is in full force and effect. License Class License No Date a-3/ 23 Contractor Signature WORKERS' COMPENSATION DECLARATION NARRINO: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLAAS (6100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Ihereby affirm under penalty of perjury one of the following declarations: 0 1 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 IN 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 Labor Code, for the performance of the work for which this permit is Issued. My workers' ranee carrier and policy number are. Policy Number of Agent Certify that, in the performance of the work for which this permit is issued, 1 shell It I should become subject to the workers' compensation provisions of Section Date any person in any manner so as to become subject to the workers' compensation laws of California, and agre !� Labor Code, I shall forthwith comply with those provisions. / nature of Applicant Lz..._......fG Date,3/z CLARATION REGARDING CONSTRUCTION LENDING AGENCY ur by affirm under penalty of perjury thatthere is a construction lending ag4cyfor the performance of the work for which this permit is issued (Section 3097 Wer's Name Lender's Address 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 tN3 apolcallon and the Information I have provided is correct. I agree to Comply with all applicable city and county ordinances ands laws relating to building construction. I w�thorize mprPsentahves of this city or county to enter t - enfified property for InspeGion purposes. 1 /�� np�ure of Proeadv Owner or Authorzed Anent Print Property OwnermL 's or Authorized Agent's Na e iACTICN PFRMIT EXPIRE) PFRMII CANC6.L,F0 "PUP -EXTENDED OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMO RULE. TO PCRMIrWNAL �.(��N( IJASBESTOSNO11FICATIONISNOT APPLICABLE TO CERTIFICATE OF I PROPOSED DEMOLITION OCCUrANCy ISCUED SIGNATURE: Civil Code).