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HomeMy WebLinkAboutH2024-0075 - Permits�EWPoRT City of Newport Beach III I I I II I I II II II II IIII II 0� q Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u Y newportbeachca.gov/civic C9G/FORN`P Mechanical Permit : H2O24-0075 Plan Check No: PC2023-2032 Work Class : Other Issued Date : 02/1312024 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 : 409 CLUBHOUSE AVE Legal Desc : A TR CANAL SECTION BLK 433 LOT 2 Description: MECH INSTALL (2) HEAT PUMPS & (5) AIR HANDLERS **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (XR2023-2313) Owner: STEVENROODZANT Address : 409 CLUBHOUSE AVE NEWPORT BEACH, CA 92663 Phone: (661)345-7094 Applicant: BRANDON HAYES Address: 21205 JUAN AVE, A HAWAIIN GARDENS, CA 90716 Phone : (562) 201-3014 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 3, Front: 20, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: lea SPECIAL CONDITIONS: Contractor : THOMSON AIR CONDITIONING Address : 21205 JUAN AVE UNIT A HAWAIIAN GARDENS, CA 90716 Phone: (562)201-3014 Con State Lie : 959811 Lie Expire: 0413012025 Bus Lie: BT30081704 Bus Lie Expire:05/31/2024 Workers' Compensation Insurance Carrier : A I U INSURANCE COMPANY Policy No: WC034279549 W. C. Expire: 7/1/2024 NO Manufacturer : DAIKIN Model# : 5MXS48TVJU r I hereby affirm 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 requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Ithe 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 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 (_.) portions of the work, and the structure is out 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 properly, 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). 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 properly who builds or improves thereon. and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 11 1 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 legally sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http:flw .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) f Division 3 of the Business and Professions CoQe, 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 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 3706 OF THE LAeOR CODE, INTEREST, AND ATTORNEY'& FEES. I hereby affirm under penalty of perury one of the following declarations: Q 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 thI Performance 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 issved. My workers' carder and policy number are: Policy Number Expiration Date of Agent Phone # ^ I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and rat, If I should hecamBubjeot-1 the ,workers' compensation provisions of Section 3700 of the Labor Code, I shah forthwith comply with those provisions. Iignature of Applicant _ _„ Date?7Z_/ IECLARATION REGARDI a .DNS :TIGN L NDING AGENCY hereby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Coda). ender's Name Lender's Address 'y my signature below, 1 certify to each of the following: 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.Ct 1 J `n �[v I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. voul d ' 1 authorize rep cs.Ttalives of this city or county tormenter..t�e� a/byfVe Identified property for inspection purposes. ienature of Prooc-U _^caner or Authorized Anent X /ZL_ <+—i., ? Pont Property Owner's or Authorized Anent's Name 7�i� -�` "� "" � Date A.JIJA i DATE I PERMIT EXPIRED .. _ PSRt i7T CINCELLED 1 PERMIT EXTENDED PERfvRT PrNAL CERTIFICATEOF J�1t'E OCCWAA YISSUEC J BY 510EARATIOMF COM P LIXNCE WITH CODE OF FEDEI I RECULATIONS PART 61 OF TITLE 40 AND AOMD RULE NOtIFICATIONISN01'APPLICABLE To PROPOSED DEMOLITION I FOR OFFICE USE ONLY