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HomeMy WebLinkAboutH2023-0328 - Permits (3)�Ewi�o?p. City of Newport Beach o ICommunity Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 718-1888 S newportbeachca.gov/civic CgC/FO F�*�P rn Mechanical Permit : H2O23-0328 Plan Check No : 2996-2021 Work Class : Other Issued Date : 05/16/2023 Inspection Area : 8 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 : 1227 BERKSHIRE LN Legal Desc : N TR 3031 BLK LOT 19 Description: MECH INSTALL 3 HEAT PUMPS AT SIDE ***TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED*** (X2021-3424) Owner: LLOYD RUCKER Address : 260 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: (949)463-4509 Applicant: AIR MAX INC Address: 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (626)468-9999 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 33 SPECIAL CONDITIONS: Contractor : AIR MAX INC Address : 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (626)468-9999 Con State Lic : 1015725 Lic Expire : 07/31/2024 Bus Lic: BT30065145 Bus Lic Expire:11/3012023 Workers' Compensation Insurance Carrier : STATE FUND Policy No : 9170882 W. C. Expire: 12/8/2023 Manufacturer: AC PRO Model#: AULD(36&60)W/A-D(U) TIMERS pp.OHIBIIID ON HEA"f �JI76 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 applicableiterna) (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 the 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 Businass 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Cl I, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or L) portions of the work, and the structure is not: intended or offered for sale (Section 7044, Business 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 theproperty, provided (hat the ,improvements 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 ErIm 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 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). ❑ I aril exempt from licensure 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 cowered by this permit, I. cannot legally sell a structure that I have built as an owner -builder If it has not been constructed In itsentirety by licensed contractors. I 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:/A&v .leg,nfo.ca.govfcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of C aptt r 9 (commencing with Section 7000 of Division 3 of the Business and Professlo s C e, an �y 'tcans� Is in full force and effect. License Class License No /�( ej /ZS Date 2 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS* COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0011), IN AODmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN€Y's FEES. I hereby affirm underpenalty 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 the performance of the work for which this permit is issued. Poiicy No. 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' ranee carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which thispermit 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 subject to the workAs' compipnsationrprov sions of Section 3700 of the Labor Code, I shallforthwith comply With those provisions. of Date Ireby 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). ider's Name Lender's Address my signature below, I certify to each of the following) I am the, prapprty owner or authorized to act on the property owner's behalf. I have read this appkcalion and the information I have provided is correct. I agreb to comply wideall applicable city and county ordinances and state laws relating to building construction. I authorize represe.i;atives of this city or county to ery r th bove- '�j''I"���'y�'o rty for Inspection purposes. ,A / / ,t 1 oa,ure of Property Owner or Authorized Agent X( /Il Print Prooertv Owner's or Authorized Aaent's Name Nm 11 Ms'. CIM ACTION I DATE PEAMIT WWI) I) PEAMIT CA-10ELLEo PERMIT EN rENOEi7 PEAMIT F.IfIAL CEdTIFrCAI EOF OCCUPANCY 155UEO BY !I DECLARATION OF COMPLIANCE WITH CODE OF FEDE. REGULATIONS PART fit OF TITLE 40 AND AQMD RULE 1403 I I SUBMITTED ASBESTOS NO'rl FICATION TO L_IASBESTOS N01IFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURES FOR OFFICE USE ONLY