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Home My WebLink AboutH2024-0190 - Permits��WPORT City of Newport Beach III II I II I I II II III III II II Mechanical Permit : H2O24-0190 C¢ Community Development Department- Building Division d 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1774 Permit Counter Phone: (949) 718-1888 Work Class : Other "t .,K newportbeachca.gov/civic Issued Date : 04/05/2024 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID4NSPECTION, 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 : 205 TOPAZ AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 12 LOT 10 Description: MECH INSTALL HEAT PUMP AT DECK ***TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED*** (XR2022-1920) Owner: 205 TOPAZ AVE DS INC Contractor : ROBERT FERNANDEZ CONSTR INC Address : 923 EVERGREEN PL COSTA MESA, CA 92627 Address : 923 EVERGREEN PLACE COSTA MESA, CA 92627 Phone: (949)981-9169 Phone: (949)981-9169 Con State Lie : 677390 Applicant : ROBERT FERNANDEZ CONSTR INC Lie Expire : 04/30/2024 Address : 923 EVERGREEN PLACE COSTA MESA, CA 92627 Bus Lie: BT30046730 Phone: (949) 981-9169 Bus Lie Expire:03/31/2024 Workers' Compensation Insurance Owner/Builder: Carrier: NO EMPLOYEES Address : Policy No: EXEMPT Phone: W. C. Expire: Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: SAMSUNG Model# : AMU48XMDCH/AA Type of Construction : Occupancy Groups: Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone: X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island NOISE NO OONSTRU MON PROCESSED BY: ' SPECIAL CONDITIONS: HIGH DENSITY ZONE ON SATURDAYS TIMERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that l 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 lie permit to file a signed statement that. heor she is licensed pursuant to the provisions of the Contractors' Stato License Caw (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. Anyvtolatfon of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of lot morethan five hundred dollars Q$500). I, 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, 3usiness and Professions Cade: 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 mprovements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that It was not built or mproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' Stale License. Law does not Ipply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: iy 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 improvementsCoveredby this permit, I cannot legalll 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 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:llwww.ieginfo.da,goV/colaw.html. i1gnature of Property'Owneror Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION /� hereby al under penalty of perjury that I am licensed under provisions of Chapterg (commencing with Section 70 0 of vision 3.of the Business and Profs - Cod%aril rn7 icense Is in full force Ind effect. License Class License No Date - S - L Contractor Signature VORKERS' COMPENSATION DECLARATION MRNING: FAILURE TO SECURE WOR KERB' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000), IN AD DITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 th1 erformance of the work forwhich this permit is issued. Policy No. have and will maintain wotlkers' compensaion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ratios carrier and policy number are: is of Agent certify that, in the performance If I should become s a t fo I lature of Applicant Policy Number Date work for which 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 agrer compensationprovisiens of Section 3700 of the Labor Code, I'shall forthwilh comply with those provisions. pp � ,..r,..., , .,.... . Date_ Ireby affirm under penalty fterjury thatthere 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 irr7fteqy.owner or authorized to Oct'.. on the property owner's behalf. I have rend this application and the information I have provided is correct. I agree to romply with all applicable city and count ordlnanc s an late laws relating to building construction. I authorize representatives of this city or county t, Iter theIt` IV, ntified property for inspection purposes. of eLRM1T EXTEN'DfD PhRMT FllJA1 1RTTRCATE OF DCCUPAMC'Y 65dED DATE BY 1/I DWRATION OF REGULATIONS PART61OF TITLE 40 AND AQMD RULEMPLIANCE WITH CODE OF FOR OFFICE USE1403 UA5aESTOS NOT] RCATION IS NOT APPLiCA5LE TO -7'27 1 PROPOSEDDEMOUTION Name