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HomeMy WebLinkAboutH2023-0633 - Permits>�EwPoRT City of Newport Beach Community Development Department- Building Division F ly} y 100 Civic Center Drive, Newport Beach, CA 92660 - = Permit Counter Phone: (949) 718-1888 tlti 9GiCOF��P newportbeachca.gov/civic Mechanical Permit : H2023-0633 Plan Check No : 1995-2020 Work Class : Other Issued Date : 09/2812023 Inspection Area : 5 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 : 3200 OCEAN BLVD Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 138 LOT 7 RESUB O Description: MECH INSTL (4) HEAT PUMPS ON THE ROO DECK, TAMPER RESISTANT CAPS REQ Owner: ZHENG EDWARD TR COASTAL JADE TR Contractor : ENDLESS SUMMER HTG & A/C Address : 25519 BRASSIE LN LA VERNE, CA 91750 Address : 110 COPPERWOOD WAY, STE G OCEANSIDE, CA S2058 Phone: Phone: (760)439-5071 , Con State Lic : 914490 Applicant: ENDLESS SUMMER HTG & A/C Address: 110 COPPERWOOD WAY, STE G OCEANSIDE. CA 92058 Phone: (760)439-5071 Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: 2022 Front: 24, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Lic Expire : 04/30/2024 Bus Lic: BT30030164 Bus Lic Expire:12/31/2023 - Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INS CO Policy No: ON0919303 W. C. Expire: 12/6/2023 Fire Hazard Zone : NO Manufacturer: BRYANT/MITSUBISHI Model# : 38MURAQ36AA3/MXZ-SM60NAM �,TTWFC'TTO'p LT)TNSPECTOR-8 k i AND APPROVAL • 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 have placed next to the applicable iter ia) Section 7031.5, Business and Professions Codes Any city or county that requires a permit to construct, allot, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for io 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 Irofessions 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 U all of or (,) portions of the work, and the structure Is not intended or offered for sale (Section 7044, lushness and Professions Code: The Contractors' Skate License Law does not apply to an owner of property who, through employees' or personal Effort, builds or improves theproperty, 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 uproved for the purpose of sale). 3 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 poly 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). 1 ant exempt from licEnsure under the Contractors' State License Law for the following reason: 1;• ny signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I cannot legal) ell a stru„ lure that I hav^ built as an owner -builder if it has not been constructed in itsentirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rc:essons Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.gov/calaw.html, 'gnal-ve of Property Owner or Authorized Agent Data .1('ENSED CONTRA.TOR'S DECLARATION oerehv dffnm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sacii n 7 Div/%sin a Bus ness rid Prof o9s off,//�JA , /jam// aseis fn full force nd effect. Lieeme r lass License No D `/YA1 !'/ r� onVact afore A/ A /L7� 7 // WORKERS' COMPENSATION DECLARATION y t T WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNOR D THOUSAND OLLARS (S i00,0001, IN ADDITION TO THE COS* OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, "a ATTORNEYS FEES. (hereby affirm under penalty of perjury one of the following declarations: 0 1 ha'. a 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 the p rmance of ,he wor:, for which this permit is issued. Policy No. ve d 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' compensatoor suranco carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent I Phone N ❑I certify that, in the perfor cB the*here hi Is permit is issued. shall not employ any parson in any manner so as to become subject to the workers' compan such laws of California, and egret that, if I should coma s lot a wawslons o action 3700 of the Labor Code, I shall forthwith comply with those provisions._- s Signature of Apollo . _ . D eDECLARATION ARD TRNDING AGENCY _hereby affirm under Pena ty of perjury ta construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name _ _ Lender's Address By my signature below, I certify to each of lira following: I am the property owner or authorized to act Dn the propel owner's behalf. 1 have read this application and the information YhaVe•p , de -is cot cL I agree 10 comply with all applicable city and. county pr 1 §OQ s an ing construction. I authorize representatives or this city or county to e e pove e o e r inspection purposes. 3i nature of Property Owner or Authorized A s Print Pro ertw Oner's or Authorized A ant,' ante/L k( L. eta { U L++ ACTION DATE ION hl`TCOM PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONL FGUI ATIONS PART fit OF TITLE 40 AND Af1Nt.D RULE 1403 PERMIT E'XPIREO LJ I SUBMITUD ASRFSTOS NOTIFICATION TO PERMIT CANCEILED EPA FERMri EXTENDED f nAgMD PERMITFINAL L{, Z'6. ZSLJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO _ CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED 3 SIGNATURE: 3