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HomeMy WebLinkAboutH2023-0305 - Permits��EWPORT City of Newport Beach p @ Community Development Department - Building Division ty" 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 718-1888 Tb newportbeachca.gov/civic CqC/Fa0.H�P Mechanical Permit : H2O23-0305 Plan Check No : 0390-2022 Work Class : Other Issued Date : 0510912023 Inspection Area: 2 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) Job Address : 114 VIA LIDO NORD Legal Desc : N TR 907 BILK LOT 868 TR 907 LOT 868(AND SELY 5 FT LOT 869 Description: MECH INSTALL 2 ROOF MOUNTED HEAT PUMPS "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED" (X2022-0444) Owner : 114 VIA LIDO NORD LLC Address: 114 VIA LIDO NORD NEWPORT BEACH, CA 92663 Phone: (630)531-5077 Contractor : PRO WEST MECHANICAL INC Address : 15431 RED HILL AVE #F TUSTIN, CA 92780 Phone: (714)651-8737 Con State Lie : 974570 Applicant: UALLAtiUtKVAN I t5 Lie Expire : 06/30/2024 + Address : 2815 HUHLAR S, 15 BREA, CA 92821 Bus Lie: BT30051314 Phone: (714) 930-6428 Bus Lie Expire:05/31/2023 Workers' Compensation Insurance Owner/Builder : Carrier : INSURANCE COMPANY OF THE WEST Address : Policy No: C69981331 Phone : W. C. Expire: 11/1/2023 Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks: Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone: -- AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIO '.HIGH DENSITY ZONE Fire Hazard Zone : NO Manufacturer: CARRIER Model# : 25VNA4(36 & 48) ! T ii4—Il LeJ i i 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 ter(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 ;he permit to file a signed statement thathe 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 licensors 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 not more then five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or `) portions of the work, and the structure Is not: intended or affered 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 or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or m roved 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 apply 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). 0 lam exempt from licensors 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 been constructed in Its entirely by licensed contractors. I understand that 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://www.loginfo.ca..govicalaw.htm], Signature of Property Owner or Authorized Agent Data 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 Division 3 of the Business and Professions Code,. and my license is in full force and effect. License Class License. No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 i11700,000I, IN ADDITION TO THE COST OFCOMPENSATIGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-3 FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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, forth performance of the work for which this permit is issued. Policy No. ©I 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 insurance carrier and policy number are: Policy Number Date no of Agent r mums it 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, and If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ Date, DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury thatihere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lenders Name _, Lenders Address By 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 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. Si niauthorize representatives of this city or county to enter the above-identi0ed property for inspection purposes. s of Proeerrty Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE VJITN CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE 1403 PERMIT EXPIRELI I U I SUBMITTED ASBESTOS NOTIFICATION TO... PERMIT EXTENDED 11AQMD PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO - - CERTIFiCATEOF I-141'j DF--PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: