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HomeMy WebLinkAboutH2023-0658 - Permitse�sWPoRT City of NewporU Bach C Community Developme,,t Dgpa tment- Lil6nj'Divi&r, �y 100 Civic Center Drivel, ,4ewpun Beach, C�9 92.60 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic CqC/FOR��P Mechanical Permit : H2O23-0658 Plan Check No : 1120-2022 Work Class : Other Issued Date: 10/10/2023 Inspection Area : 1 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: 1734 PLAZA DEL NORTE Legal Desc : N TR 518 BLK L LOT 9 Description: MECH INSTALL 2 ROOF MOUNTED HEAT PUMPS "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED" (X2022-1221) Owner: MICHAEL STUHLEY Contractor : JAMES DAVID CUSTOM HOMES Address: 8 DEL PADRE FOOTHILL RANCH, CA 92610 Address : 15375 BARRANCA PKWY G102 IRVINE, CA 92618 Phone : Phone : (888) 847-0823 Con State Lic : 801389 Applicant: JAKE HAUSER Address : 15375 Barranca Pkwy Unit G-102 Irvine, CA 92618 Phone : (949) 537-8124 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Lic Expire: 10/31/2025 Bus Lic : BT30038095 Bus Lic Expire: 01/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No : WPL506566600 W. C. Expire: 5/15/2024 Fire Hazard Zone : NO Manufacturer: AC PRO Model# : KTM240D43UKT OWNER -BUILDER DECLARATION I hereby affiml under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated belcw;,y the chockmarl (s) I have prated next to the applicable ftem(s) ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve: demolish, or-epair any st.uc.urP, pho- to its issuance, also requires the applicant for :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapt•vr 9 'crnmcrncing with Section 7000) of Division 3 of the Business and professions 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 fora permit subjects the applicant to a civil penalty of net more than five hundred dolfers ($500). ❑ 1, as owner of the property,or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, &nJ the structn•e's nc::ntended or offered for sale (Section 7044, Business and Professions Code' The Contractors' State License Law does not apply to an owner of property who, through employee-' or Personal effort, builds or Improves the properly, provided that the 'mprovements are not intended or offered for sale, If, however, the building or improvement is sold within one year of completion, the C)wner-9uilde, v,JI haya the bs<den cf proving that It was not built or Improved for the purpose of sale). ❑ h 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 apply 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 am exempt from licansure under the Contractors' State License Law for the following reason By 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 legailt sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/IUv,�v.leglnfo.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of p ry that I am licensed under provisions KCh� g� p j 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,. and my license is in full force and effect. License Class I License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING: 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 TOTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE., INTEREST, "D ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: © 1 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 ih performance of the work for which this permit is issued. Policy No. 711 have 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' compensatiol `t„urance carrier and policy number are: zanier Policy Number Expiration Date Jame. of Agent Phone # �I certify that, in the partorm_,7 of the work for v�/u�h tiffs 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 agre iat, if I should become sue' cl t the work qi m Lsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those previsions. / signature of Applic t Data IECLARATfON RL'iGAF ING CONSTR JCTION LENDING AGENCY 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 _ Lender's Address_ ly my signature below, I certify to each of Vie 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 come 1,. € agree to comply with all applicable City and county ordina cos ands a laws relating l0 building. construction. I authorize representatives of this city or county to ent th abo a -id tined spectlon purposes. ii nature of Property Owner or Authorized A ent Pnnl Property Owner's or Authorized Agent's Name ac&6 4VS X?— Dale 7D 3 ACTION DATE BY DIgtLARATION OF C M PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i RIEGUI.ATIONS PART fit OF TITLE 40 AND AOMD RUL€ PERMIT V"ILD t LJ I SUBMITTED ASRFSTOS NOTIFICATION TO PFRMITCANCELLED—',, EPA _ PERMIT EXTENDED I y�rgc{MU PERMITFINAL ASBESTOS Not FICATtON 15 NOT APPLICABLE TO LfRTIFICATEOF '/•�i�'f./A/ jpROPOSEDDEMOLtTION OCCUPANCY ISSUED 1 lr ? SIGNATURE: