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HomeMy WebLinkAboutH2024-0760 - Permits�F PAR, City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 w newportbeachca.gov/civic P 9Ll FO P� Mechanical Permit unininuumninnmmi°nnnnmmnwnunn Plan Check No : Work Class : Other Permit Status: Issued Issued Date : 11/2212024 Inspection Area : 6 H2O24-0760 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 : 718 MARIGOLD AVE Legal Desc : A TR CORONA DEL MAR BLK 740 LOT 18 CORONA DEL MAR Description: MECH - R/R (1) HEAT PUMP ON ROOF. TAMPER -RESISTANT CAP REQUIRED. Owner: PAUL REYNOLDS Address : PO BOX 10534 NEWPORT BEACH, CA 92658 Phone: (949)812-2947 Applicant: AURA ENERGY Address : 4370 PALM, D250 SAN DIEGO, CA 92154 Phone: (714)804-8886 Owner/Builder: Address Phone: Contractor: WHITE MECHANICAL, INC Address : 27221 BURBANK FOOTHILL RANCH, CA 92610 Phone: (949)716-8379 Con State Lic : 822474 Lic Expire : 08/31/2025 Bus Lic : BT30056814 Bus Lic Expire:02/28/2025 Workers' Compensation Insurance Carrier : TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No: UB3R5612182426G W. C. Expire: 10/1/2025 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer : AC PRO, Y-SERIES Type of Construction : Model# : AOX430-24HFN1-MRO Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential u PROCESSED BY: SPECIAL CONDITIONS: r 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) 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 1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState 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 sale Compensation, will do U all of or L_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 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 p ly 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 State 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 legall• 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 70" of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:tlwww.leginfo.ca.gov(calaw.html. ignature 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 700 ) of Di 'sio 3 of the Business and Profession Code. and mylic '9jD.full force nd effect. License Class License No Date Contractor Signature JORKERS' COMPENSATION DECLARATION ARMING: 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 IE10u,00nl, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 17H 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 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 earner and policy number are: Policy Number of Agent Date 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 1, if I should become subject o the workers cor9gensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /// /. nature of Applicant _ _ Dale `! )7 Z1?� _ CLARATION REG ING CONSTRUCTION LENDING AGENCY !reby 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 Ider s Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 representatives of this city or county to ante the above -Id ified property for inspection purposes. nature of PrODertr Crawl or Authorized Aden l ( % Print Property Owner's or Authorized Agent s Name DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 of TITLE 40 AND AQMD RULE i 1403 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT UVCELLED F EIt'NIT LX'ENDED UEPA QMp ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO I1�N PROPOSED DEMOLITION }/ PEF.L.37.'V AE CEPT'r'C`ITE OF vJJ���J OCCUPANCYISSUED / 1 SIGNATURE- Civil Code). � OjwtS}vh