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Home My WebLink AboutH2024-0175 - Permits�rEWPOR, City of Newport Beach Community Development Department- Building Division �j 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u a.� newportbeachca.gov/civic C9<I FORyN,�9 I II I I II II III I IIII II Mechanical Permit : H2024-0175 Plan Check No : PC2024-0095 Work C Issued Date : 03/28/2024 Inspection Area : 6 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 : 2900 PACIFIC VIEW DR Legal Deed: P BK 149 PG 25 PAR 2 Description : COMM MECH - R/R (2) HEATPUMPS & (3) AIR HANDLERS. TAMPER RESISTANT CAP REQUIRED & TIMERS PROHIBITED Owner: EVANGELICAL LUTHERAN CHURCH OF THE MASTER Address : 2900 PACIFIC VIEW DR CORONA DEL MAR, CA 92625 Phone: Applicant: JOE DALEY Address: 26824 VISTA TERRACE LAKE FOREST, CA 92630 Phone : (949) 770-2495 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks : Flood Zone : X Use Zone : PI - Private Institutions PROCESSED BY: B SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : ALICIA A/C & HEATING INC Address: 26824 VISTA TERRACE LAKE FOREST, CA 92630 Phone : (949) 770-2495 Con State Lic : 525314 Lic Expire : 02128/2026 Bus Lid: BT20102054 Bus Lic Expire:09/30/2024 Workers' Compensation Insurance Carrier : EXEMPT - NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Manufacturer: CARRIER TOSHIBA Model#: MCY-MAP0367HS-UL /38MURAQ3T-HH 1p1181HO/dJkAiA0'9; OWNER -BUILDER DECLARATION I hereby affmn under penalty of perjury that 1 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 the permit to fife a signed statement that he 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 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). 111. 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 not intended 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 employees' or personal effort, builds or improves the property, provided that 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 improved 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 rapply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). LJ I am 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 covered by this permit, I cannot legall sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:httpY/www.leginfo.ca.govlcalaw.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 Chapter 9 (co me g with Section 70 0)pf Di�vi�ion 3 of the Business and Profession 5{e, an i t e is in full f and effect. License Class License No `7 mil- / Date !4 � Contractor Signature rh' WORKERS' COMPENSATION DECLARATION '�i INO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH60SAND DOLLARS 4$100.0001, IN ADDITION TO OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND 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 'onnance of the work for which this permit is issued. Policy No. .4ave 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' compensaboi Trance carri/eI r and policy number are: vier /T ( �% T NS MN L-if Policy Number mac. 0�-a g 3 �� Expiration Date ne of Agent Phone N certify that, in the performance of the A for which this it is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre , if I should become subject to the wor rs' a Salle rov Ions of coon 3700 of the Labor Code. I shall forthwith comply with those provisions. iature of Applicant / Date_ hereby affirm under penalty of pedulh t there is a construction lending agen enders Name V ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read',Lis application and the information I have provided is Correct. I agree to cilapl; with all applicable city and county ordin8n s an to la cuthorize repre,entatives of this city or county to enter tj1 Iden c licnature of P•CDe-l:* Owner or Authorized Aoent /� G r the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lender's Address 3 to building construction. for inspection purposes. BY REQl1lATIONS PARTO61 0 TIITI 0 AND AQMD RU ECE VJ^ CODE OF FEDERAL I FOR OFFICE USE ONLY PEIWIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELI ED OEPA PERMIT EXTENDEn LIACLIVID PERMIT FINAL 101ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIRCATEGF, PROPOSED DEMOLITION OLCJ IANCYISSUED .�� SIGNATURE: