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HomeMy WebLinkAboutH2023-0440 - Permits�aEwPoRr City of Newport Beach D @ Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 718-1888 w.newportbeachca.gov/civic C �P gGIFORN Mechanical Permit : H2O23-0440 Plan Check No : 1589-2021 Work Class : Other Issued Date : 07/07/2023 Inspection Area: 3 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 : 20442 SANTA ANA AVE Legal Desc : N TR 456 BLK LOT 6 TR 456 LOT 6 POR OF LOT Description: MECH INSTALL HEAT PUMP AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (X2021-1842) Owner: DUNN VOYER Address : 20442 SANTA ANA AVE NEWPORT BEACH, CA 92660 Phone: (949) 214-5063 Applicant: DUNN VOYER Address: 20442 SANTA ANA AVE NEWPORT BEACH, CA 92660 Phone: (949)214-5063 Owner/Builder: DUNN VOYER Address: 20442 SANTA ANA AVE NEWPORT BEACH, CA 92660 Phone: (949)214-5063 Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Flood Zone: X Use Zane: RMD - Medium Density Residential PROCESSED BY: 03 SPECIAL CONDITIONS: Contractor Address: Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire: Workers' Compensation Insurance Carrier : Policy No W. C. Expire: NO Manufacturer: PIONEER Model# : WYS018GMF119RL OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury, that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(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 the permit to file, a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lew (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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of ,a t more -than live hundred dollars ($500). L! I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 the property, provided (hot 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 roved for the purpose of sale). U h 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 appty 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 Ifcensure under the Contractors' State Dense Law for [he following reason. By my signature below t acknowledge that, except for my personal residence in which I must have resided for at least one year poor to completion of the improvements covered by this permit, I cannot lagall) Sall a structure, that I have built as an owner -builder If it has not been cons ad to its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Bus/inessand Professions Code, is available upon request when this a ratio Is sub d or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. 7 Signature of Property Owner or Authorized Agent Date ( —I LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions oilchapler 9 (commencing with Section 7000) Of Division 3 of the Business and Professions Code, and my license is in full farce and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NANNING: 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 3705 OF THE LABOR CODE, INTEREST, ANGATTORNEY'S FEES. ^^^ hereby affirm under penalty of perjury one of the following declarations: -1 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. ,-II 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' compensatior nsurance carrier and policy number are: Carrier Policy Number Expiration Dale Na of Agent Phone N I certify that, in theperformance of the work Jor which this permit Is issued; I shell not employ any person loony manner so as to become subject to the workers' compensation laws of California, and egret [hat, If I should become sub' a workars compensation provisions of Section 3700ofthe Labor Code, I shall forthwith comply With those provisions. -7 Signature of Applicant____ Data_ DECLARATION REGAROtNG NSTRUCTIO LENDING AGENCY hereby affirm under penalty of perjury that the is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). Lender's Name T Lenders Address By my signature below, ( certify to each of the f a lowing: 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 agree to comply with all applicable city and co rdinances j'Jn d state laws relating to building construction. I authorize representatives of this city or county tcj ante the etlobe-identified property for inspection purposes. Signature of Pro a Owner or Authorized A ant l VVV Print Property Owner's or Authorized Agent's Name ,) Date ACTION DATE BY DECLARATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS ART 81 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED CERTIFICATE Or OCCUPANCYISSUEO I SUBMITTFO ASBESTOS 11/17/23 DL-Po_ �I--IASSESTOS NOTIFICATION 15 N01 APPLICABLE Tc G I„15 PROPOSED DEMOLITION SIGNATURE-