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Home My WebLink AboutH2024-0734 - Permits��6W POR.r City of Newport Beach III I I I II I I II II II IIII II II Mechanical Permit: H2O24-0734 p @ Community Development Department - Building Division r y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-1458 p = Permit Counter Phone: (949) 718-1888 Work Class : Other r newportbeachca.gov/civic Permit Status: Issued Issued Date: 11/14/2024 Inspection Area : 9 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 : 11 VIA PALLADIO Legal Desc : N TR 14070 BLK LOT 87 Description: MECH INSTALL (2) HEAT PUMPS AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: HAWKINS MAURINE B Address : 11 VIA PALLADIO NEWPORT COAST, CA 92657 Phone: (714)305-5292 Applicant: ACCOLADE AIR INC Address: 22622 DUNKENFIELD CIR LAKE FOREST, CA 92630 Phone: (714)709-6672 Owner/Builder : Address: Phone: Contractor : ACCOLADE AIR INC Address : 22622 DUNKENFIELD CIR LAKE FOREST, CA 92630 Phone: (714)709-6672 Con State Lie : 1005513 Lie Expire : 07/31/2025 Bus Lie: BT30072509 Bus Lie Expire:06/30/2025 Workers' Compensation Insurance Carrier : STATE FARM FIRE AND CASUALTY COMPANY Policy No: 92KNB2112 W. C. Expire: 4/3/2025 Code Edition: 2022 Fire Hazard Zone: YES Manufacturer: INNOVAIR Type of Construction : • 1odeW: SEV(488fie)H2R79 Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: X PC - Newport Coast SPECIAL CONDITIONS: Iva TIMERS PR oTFI D oN HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penally 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) ;action 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 is 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 rofessions 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 of more than five hundred dollars ($500). ] I, as owner of the property, or my employees with wages as their sole Compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The ContractorsState License Law does not apply to an Owner of properly who, through employees' or personal effort. builds or improves the property, provided that the nprovements 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 nproved 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 pply 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 Slate License Law for the following reason:-- y 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 ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Tofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov]c law.html. signature of Property Owner or Authorized Agent _ Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Of the Business and Professions Codean my license is in full force nd effect. License Class License No Date I j I) /20 t`I Contractor Sig natur- Ii VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 IN e/r(ormance of the work for which this permit is issued. Policy No. QI 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 Isurance, carrier and policy number are: Policy Number Date is of Agent certify that, in the performance of the work 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,1and agree . if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L 17 ) 7 �I of Date jl Y I I I I ,ECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 Cade). Endei s Name Lenders Address y my signature below. I certify to each of the following: I am the pn,j_EA, .)wner or authorized to act on the property owners behalf. I tiave read this application and the information I have provided is Correct. I agree to cmnoly with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to eftlef the above -identified property for inspection purposes. p .inna,nre of Pmi,ortv Owner or Authorized Agent �/ r'!% Print Property Owner's-, Author zed Agents Name V A✓r j 'r✓Ud ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERK-fT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMrT CANCELL-D EPA �ERA'IT EXTENCEO PERMIT FINAL -- 1--r�AQMD LJ ASBESTOS NOTIFICATION IS NOT APPUCABLE TO j CERPFICATE (IF �, , 2 PROPOSED DEMOLITION 0iiUPANCYISSUF0 ' SIGNATURE: Date I I