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HomeMy WebLinkAboutH2024-0759 - Permits�eWPoRr, City of Newport Beach Mechanical Permit: H2O24-0759 Community Development Department- Building Division III I I I II I I II II II IIII I I II m ,y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No ' 'S Permit Counter Phone: (949) 718-1888 Work Class : Other newportbeachca.gov/civic Permit Status: Issued C"aCiFORN�P Issued Date : 11/2212024 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 ALL AREAS Job Address : 123 VIA ORVIETO Legal Desc : N TR 907 BLK LOT 526 TR 907 LOT 526(AND NELY1/2 LO Description: MECH - R/R (1) HEAT PUMP. TAMPER -RESISTANT CAP REQUIRED. Owner: JOHANNA STAPLES Address : 123 VIA ORVIETO NEWPORT BEACH, CA 92663 Phone : (303) 525-5843 Applicant: DEPENDABLE GRAHAM AC Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone: (714) 546-1653 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups : Building Setbacks : Front: 0, Front: 4, Side: 4, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : DEPENDABLE GRAHAM AC Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone: (714)546-1653 Con State Lic : 472690 Lic Expire : 04/30/2026 Bus Lic: BT01013104 Bus Lic Expire:12/31/2024 Workers' Compensation Insurance Carrier : SERVICE AMERICAN INDEMNITY CO Policy No: SAMTWC0072801 W. C. Expire: 7/1/2025 NO Manufacturer: FUJITSU Model# : 18RLXFZ 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 item(s) 3eclion 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 Ic 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 Iicensure 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, usiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property 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 Iicensure 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 all 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 rofessions Code, is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 OO) of Division 3 of the Business and Profes ' s Cod and q� titans is In full force nd effect. License Class License No Date���f,' Contractor Signature T';2o ,Lsyi/it JORKERS' COMPENSATION DECLARATION ARNING: 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 DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 ormance 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 issued. My workers' carrier and policy number are: Policy Number Date no of Agent rnone e 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 sut;tjgcl to the workers' compensation prWsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date //--Z7 ^Z-� 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). .ei xr a.'.; Name Lender's Address 3y my signature below, I certify to each of the following: I cm 0-e property owner or authorized to act on the property owner's behalf. I have read this appFcation and the information I have provided is correct. I Pgree to comply with all applicable city and county ordinances and state laws relating to building construction. I autrlorize representatives of this city or county to ,enteryie ab iden4fi property for inspection purposes. 3ianaiure of Prooenv owner or Authorized it ., ,K1r Print Property Owner's or Authorized Agent's Name ACTION I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PEBINI i L)WIREO I SUBMITTED ASBESTOS NOTIFICATION TO PERA TCANCELLED 0EPA PERMIT EXTENDED LIAOMD PERMIT FINAL ASHE5T05 NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF O-1I-s�' pjfL_{� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Date