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HomeMy WebLinkAboutH2024-0246 - PermitsWPoRT City of Newport Beach C @ Community Development Department- Building Division 7 ` 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Mechanical Permit Plan Check No: Work Class : Other Issued Date : 04/30/2D24 Inspection Area : 4 H2O24-0246 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: 1931 PORT EDWARD PL Legal Desc : N TR 7030 BILK LOT 31 Description: MECH - R/R HEATPUMP. TAMPER RESISTANT CAP REQUIRED Owner: NORMAN GORDON K TR Address : 1931 PORT EDWARD PL NEWPORT BEACH, CA 92660 Phone: Applicant: MCMASTER HEATING & AC INC Address : 2 MCLAREN #C IRVINE, CA 92618 Phone: (949)481-7995 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: -M SPECIAL CONDITIONS: Fire Hazard Zone Contractor : MCMASTER HEATING & AC INC Address : 2 MCLAREN #C IRVINE, CA 92618 Phone: (949)481-7995 Con State Lic : 726607 Lic Expire : 12/31/2025 Bus Lic: BT30041972 Bus Lic Expire:01/31/2025 Workers' Compensation Insurance Carrier : HARTFORD CASUALTY INS CO Policy No: 72WECZU8138 W. C. Expire: 2/2/2025 NO Manufacturer: CARRIER Model#: 38MURAAQ36AA3 INSPE � OWNER -BUILDER 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 applicable items) 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 ie permit to file a signed statement that he 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 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 of more than five hundred dollars ($500).. 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, .usiness 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 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 nproved 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' 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). I I am exempt from licensure under the Contractors' Slate License Law for the following reason:______________.._____..__._.___..___._...�..._.-_�_..____—��..___,_ ;y 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 improvementscovered by this permit, I.cannot legally all 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 "rofessions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginto.ca..gov/calaw.htmi. signature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of DWI Ion 3 of the Business and Professigns Code, and tense Is in Will force nd effect. License Class License. No DaContractor Signature' ` VORKERS' COMPENSATION DECLARATION !ARNING: 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 (Si WAOO), IN ADDITION 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 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 erformance of the work for which this permit is. issued. Policy No., 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' 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 agree If I should become subject to the workers' cam eTieabon provisions of Section 3700 of the Labor Code, I shallforthwith comply With those provisions. I1 latureofAppllcarrt�'�/�'�— Date,,l„�J�O hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this pematt is issued (Section 3097, Civil Code). ender's Name Lenders Address iy my signature be`ew. I certify to each of the following: I am the propel%, iviner or authorized to act on the property owner's behalf. I hll,e read thlr Application and the information I have provided is correct. I agree to eompb- with all applicable city and county ordinances and state laws relating to building construction. I aumorize representatives of this city or county to abler the above*ntified property for Inspection purposes. A" TVIN ( DATE ( By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUtATION5 PART 61 OF TITLE 40, AgMQ RULE PLhh,I, EXWR£D I_I I SUBMITTED ASBESTOS NOTIFICATION TO PrifMil CaIVCELLED j EPA F'ERVir£XTENOCD ;LJAQMD PCRMtr / ASBESTOS NO] ITION GN 15 NO APPLICABLE TO CERTIFICATE OF ArE �/'S // TIDN /�"//�J PROPOSED DEMOLITION ISSUED SIGNATURE-