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Home My WebLink AboutH2023-0203 - PermitsagWPORT City of Newport Beach III I I I II I III II II I I IIII II Community Development Department- Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9G/ppµH�P newportbeachca.gov/inspections Mechanical Permit : H2O23-0203 Plan Check No : 1994-2021 Work Class : Other Issued Date : 03/27/2023 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 : 1015 DOLPHIN TER Legal Desc : N TR 5130 BILK LOT 4 Description: MECH - SFR INSTALL (3) NEW HEAT PUMPS *PROVIDE TAMPER -PROOF CAPS AS READ Owner: PETER POLOS Address : 2 HERMITAGE LN NEWPORT BEACH, CA 92660 Phone: Applicant: 'Bill" James W. Jackson Address : 1000 Quail Street Quail Street, Suite 220 Newport Beach, CA 92660 Phone: (949)679-7086 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 6, Side: 4, Side: 4, Rear: 10 R-1 - Single -Unit Residential SPECIAL CONDITIONS: LANDSLIDE ZONE Fire Hazard Zone m Contractor : 'Bill" James W. Jackson Address : 1000 Quail Street Quail Street, Suite 220 Newport Peech, CA 92660 Phone: (949)679-7086 , Con State Lic : 986194 Lic Expire : 08/31/2023 Bus Lic: BT30045036 Bus Lic Expire:10/31/2023 " Workers' Compensation Insurance " >> Carrier: " �"•° Policy No: LEWC321951 W. C. Expire: 12/20/2023 Tom, Manufacturer: MITSUBISHI Model# : MXZ-SM4NAM " TIMERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION - I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law forthe reason(s) indicatedbelow by the checkmark(s) I have placed next to the applicable hernia) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve; demolish, orrepair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement thathe or she is licensed pursuantto 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 or she is exempt from licensors and the oasis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044, lustiness 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 theproperty, 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). 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 poly 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), 3 1 am exempt from licensure under the Contractors' State License Law for the following reason IV my signature. below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I.cannot legal' 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 7044 of the Business and "rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov)calaw.html. signature of Property Owner or Authorized Agent Date .ICEN'SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3of the Business and Professions de,, an se is in full force nd effect. License Clas, License No Date * -ZG2, Contractor Signature UORICERS' COMPENSATION DECLARATION 'Ar.NING: F;XURE T`l SrCURC WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV14 FINES UP TO ONE DST OF COMPENSAS iLN, vkMAGES AS PROVIDED FORIN SECTION 3798 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: (S1 o0,000], IN AODrrION TO and will meinL^in 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 :e of the work fur which this permit is issued. Policy No. Iu�a and will Tramlain 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' 2nY ,r carrier and policy number are: Policy.Number _ Excitation Date no of Agent cenity. that., in the pl , i, I should ba.:or.le iasvreof Applicant 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 agre ation provisions of Section 3700 of the Labor Code,. I shall forthwith comply W th those provisions. at,_3 areby affirm undevity of ry 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 Lenders Address my signature below. I cerfify 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 corre t agree to comply with all applicable city and county prdina s an at ws relating to building construction. I authorize representatives of this city or county to ant a ED - Mad property for Inspection purposes., nature of PrQpertt Owner or Authorized A ent - Print Property Owner's or Authorized Agent s Name < TION DATE aY - OECL EON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY R IATIONS PART fit OF TITLE 40 AND, RULE PEAM17"EXRIRE'A 1 1 E L(ISUBMITTEDASSFSTOSNOTIFICATIONTO PERMITFINAL ,r I MASBEST05 NOl'IFICATI P NOT LE TO CERTIFICATE OF 24 Z� P/"'� � PROPOSED DEM O OCCUPANCYISSUED ( SIGNATURE: „/