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Home My WebLink AboutH2023-0525 - Permitso�aEaraoRT - Uityof Newport Beach 6 Community Development Department - Building Division i 100 Civic Center Drive, Newport Beach, CA 92660 U ? Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C9CiF0RN�� II I II Mechanical Permit : H2O23-0525 Plan Check No: PC2023-1683 Work Class : Other Issued Date : 08/18/2023 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 : 133 TOPAZ AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 11 LOT 19 Description: MECH INSTL GROUND MOUNTED HEAT PUMP, TAMPER RESISTANT CAP REQ *REAR UNIT* Owner: CHARLESLEHMAN Address : 133 TOPAZ NEWPORT BEACH, CA 92662 Phone: (310)976-9219 Applicant: QUALITY PLUMBING HEATING AND AIR Address : 19009 LAUREL PARK RD, 266 COMPTON, CA 90220 Phone: (310)977-9111 Owner/Builder : Address Phone : Contractor : QUALITY PLUMBING HEATING AND AIR Address : 19009 LAUREL PARK RD, 266 COMPTON, CA 90220 Phone: (310)977-9111 Con State Lie : 932201 Lie Expire : 05/31/2025 Bus Lie : BT30081633 Bus Lie Expire:05/31/2024 ' Workers' Compensation Insurance Carrier : Policy No: CWC01395600 W. C. Expire : 12/15/2023 Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: TIMERS PROHIBITED Use Zone: R-81BI - -Two-Unit Residential, Balboa Island ON HEAT PUMPS PROCESSED BY SPECIAL CONDITIONS: Manufacturer : COOPER AND HUNTER Model#: CH361V61Ph, 30VO IN� ` � ^�r0 P S* rr Ls Y,j I �s° I 1 OWNER -BUILDER DECLARATION I hereby affirm under pensity of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Items) >ec ion 7031.5. Business and Professions code: Any city or county that requires permit to construct, alter, improve; demolish, or repair any structure, prior le Its issuance, also requires the applicant for is 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 of she is exempt from licensureand 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), 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Trainees 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 of improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n'lproved for the purpose of sale). J 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 iy 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 oil a strucnro 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:httpli/ .leginfo.ca.govlcalaw.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 Sec on 7 of isi n of the ness and Prof 1 srcode and my If a is in r ad effect. License Class License No can or Signature c VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORXErs' COWENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AH EMPLOYER TO CRIMINAL PENALTIES AND CIM FINES UP TO ONE HUNDRED THOUSAND DOLLARS (EI00,000), IN ADUITION TO THE DST OF COMPENSATION, DAMAGES A%?i.G V,J.a FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYrS €EES, hereby affirm under pnnpry of perjury one of the following declara8arts: I I have and WIT matnta,n a ce,414,81e 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, "mance of the work for which this permit is issued. Policy No. _ and will mEndar,.'.aorkel aLon.pensation 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 __ Expiration Date of Agent *1I certify that, in the p,edc... once of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject 10 the work m' compensaton laws of California, and afire tat, it I should becom4 'scf1��fto• Ile w ;kers' co p risation p�cy on 3700 of the Labor Code I shall forthwith comply with those provisions. �{ Ignature at Applies „m,rJl�'N+ __._�rECLARAVON ARDiNG CONo frt CTIONLE DIN1?AG 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), enders Name beLenders Address __ ly my signature faw, aedifiy to each o! tlthe following: I am tire property owner or authorized to net on the property owner's behalf. I have read this application and the Information I have provided is correct. I agree to comply with ail applicable city and county ordman ,es and state laws relating to ding construction. I authorize representatives of this city�r cour�;yttn%r the ve identifiiropert�f alien purposes. eI naiure at vroperty owner or Aumonzea rr n w not rro ACTION DATE Y DECLARATION OF COMPLIANCE WITH CO FOF FEDEI R CO;ATIONS PART 61. OF TITLE 40 AND ADMIT RULE PERMIT EXPIRED PERMIT CANCEtLfD PERMIT FINAL L.JASB€STOS NOT IHCATION IS NOT APPLICABLE TO CERTIFICATE Of PROPOSED DEMOLITION OCCUPANCY ISSUED U SIGNATURE: FOR OFFICE USE ONLY