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HomeMy WebLinkAboutH2023-0721 - Permits��EWPpRT City of Newr:.rt.eeach p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 6 ) S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Cgt.�F00.N\P III I I I II I III II II III II i II Mechanical Permit : H2O23-0721 Plan Check No : 1332-2022 Work Class : Other Issued Date: 11/09/2023 Inspection Area : 6 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 : 929 TILLER WAY Legal Desc : N TR 6228 BLK LOT 92 Description: MECH INSTL (2) ROOF MOUNTED HEAT PUMPS *TAMPER RESISTANT CAPS REQ` Owner: ROBERT HAMILTON Address : 929 TILLER WAY CORONA DEL MAR, CA 92625 Phone : Applicant: AIR MAX INC Address: 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone : (949) 468-9999 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Contractor : AIR MAX INC Address : 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 0 Phone: (949)468-9999 Con State Lic : 1015725 Lic Expire: 07/31/2024 • ^ Bus Lic: BT30065145 Bus Lic Expire:11/30/2023 .. Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9170882 W. C. Expire: 12/8/2023 Manufacturer: A/C RPO Model#: AULD60W2/A-D(U) ■ OWNER -BUILDER DECLARATION 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 base plaeeonext to the applicable Items) Chun 7031.5, Buslnesa and Professions Code: Any city or county that requires a permit to construct, after, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement thathe or she is licensed pursuant to the provisionsofthe Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fesSlOns Code) or that he or she is exempt from licansure 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 more than five hundred dollars ($600). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044, ;mass 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 rovements 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). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fy 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), U I am exempt from Iicensure under the Contractors' State License Law for the following reason By my signature below I. acknowledge that, except for my personal residence in which must have resided for at least one year prior to completion of the improvements covered by this pf sell a structure that I have built as an awner-buildar if it has not been Constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, $action 7044 of the Professions Code, is available upon request when this application is submitted or at the following Web sits:http:l/www.legfnfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION and I hereby affirm uprer oenaity of perjury that I am licensed under provisions of Cha ter 9 (Commencing with Section 7000) of Division 3 of the Business yind Professi s . and m e e n full force a:rd effect License Claus �i� License. No /dl,�-7 ate j��O� Contra I S' nature d WORKERS' C7MPF14SATION DECLARATION WAANINE FAILURE TO SECURE WORRIERS' COMPENSA110N COVERAGE IS UNLAWFUL, AND SHALL SUSJL07 AN EMPLOYER TOG I AL PENALTIES AND CIVIL FINES UP i NE UNtlRED THOUSAND DOLLARS (S1D0,0006 IN ADOnION TO THE COS, OF LOMPENSATI'lN, DAMAOESAS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES. I hereby affirm urrhr penalty of perjury one Of the following declarations: © I helve and wdl Maintain a. certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi m�\0/ once of :he work for which this permit is issued. Policy No. �✓e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior 3 i,e carrier and policy number are: Policy. Number TE cf Agent Date :ertify that, In :he Fedormance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to if I shoulry, become subject to -;he wor4rs'_compeg$rytion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provide of compensation laws of California, and hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address. ly my signature below, I cerfify to each of the following: I am the property owner or authorized to act on the property vwner s behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representativ$s Xthis city or county to enter the above-itlygtifiedyQoperty for inspection purposes, of Property Ow r or Au rorized Agent Print Property Owner's or Authorized A DATE BY t lDEC TION OF COMPLIANCE WITH CODE OF FEDCRAL FOR OFFICE USE ONLY \ ; ULA IONS PART GJ CrrTITLE 40 AND AQMD RULE PERMrF €XPIRFD I - SUR ED ASBESTOS NOTI FICATION TO PERMIT CANCELLED _.. ;._.. PA __. _... PERMIT EXTENDED QM D PERMITFINAL`` CERTIFICATEOF OCCUPANCYISSUEO I Ir -l(/ —OASBE5TO5N011FICATION 15 NOT APPLICABLE TQ PROPOSED DEMOLITION - SIGNATURE: Y-