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Home My WebLink AboutH2023-0359 - Permits��6WPORT City of Newport Beach D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 718-1888 'a.newportbeachca.gov/civic Cq(/FORN\P Mechanical Permit : H2O23-0359 Plan Check No: 1880-2018 Work Class : Other Issued Date : 05/31/2023 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 : 1119 DOLPHIN TER Legal Desc : N TR 1700 BLK LOT 1 Description: MECH 5 NEW A/C UNITS ON THE ROOF *TAMPER PROOF CAP REQ* Owner: DOLPHIN LLC Address : PO BOX 7067 NEWPORT BEACH, CA 92658 Phone: Applicant: SOLSTICE HEATING & A/C Address: 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone: (949)573-3607 Owner/Builder : Address: Phone: Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Side: 4, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: - SPECIAL CONDITIONS: Contractor : SOLSTICE HEATING & A/C Address : 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone : (949) 573-3607 Con State Lic : 938888 Lic Expire : 10/31/2023 Bus Lic: BT30041721 Bus Lic Expire:02/28/2024 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INS CO Policy No : EIG520830800 W. C. Expire: 3/19/2024 NO Manufacturer: AC PRO Model# : 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 to permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division.3. of the Business and 'rofesslons 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 fore permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500).. 11, as owner of the property, or rely employees with wages as their sole compensation, Will do U all of or L) portions of the work; and the structure Is not intended or offered for sale (Section 7044, lusiness 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 n roved 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 ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ty my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior In completion of the improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder it it has not been constructed in its: entirety by licensed contractors. I understand that 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 sits:httpaAvww.ieginfo.ca.govlcelaw.htmi. signature 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 Sectjo 00).of,pivision 3 of the Business and Pr f slon Code, d license is in full force Ind effect. License Class License. No Date 31 Contractor Signature PORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PRIES UP TO ONE HUNDRED THOUSAND DOLLARS (11100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1705 OF THE LABOR CODE, INTEREST, ANO 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 th. ormance Of the workfor which this permit is issued. Policy No. gave 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` compensator Tsurance carrier and policy number are: ;amier. Policy Number Expiration Data Jame Of Agent Phone q -1I certify that, in the p=peury ork for whit his 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 agree hat, if I should becomers' comps ' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant Date > / 31 � 1 L )ECLARATION REGANOTON LENDING AGENCY hereby affirm under pt there is a construction landing agency for the performance of the work for which this permit is issued (Section 3097, 3vtl ode). .ender's Name Lenders Address 3y 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 pity and rpunt ordinan3 and state I relating to building construction. + I authorize representatives of this city or count enter the ove-identifl operty for Inspection purposes. 3i nature of Pro Owner or Authorized A and i` Print PropertyOwner's or Authorized Agent's Name J"y� ' � `� ate ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT £XPIR£b I5UBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA _ PERMIT EXTENOEb LJAQmD PERMIT FINAL El ASBESTOS NOTIFICATION 15 NOT APPLICABLE 1L CERTIFICATE OF ry/I.LL PROPOSED DEMOLITION OCCUPANCY ISSUED �01��In SIGNATURE: _.