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HomeMy WebLinkAboutH2023-0649 - Permits�EWvoR� City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA. 92660 Permit Counter Phone: (949) 718-1886 PJ newport6eachca.gov/civic II I I II II II IIII III II Mechanical Permit : H2023-0649 Plan Check No : 3033-2021 Work Class : Other Issued Date : 10/06/2023 Inspection Area : 5 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 : 225 JASMINE AVE Legal Desc : Description: SFR INSTALL (2) HEAT PUMPS **TAMPER RESISTANT CAPS REQUIRED** (X2021-3462) Owner: LINSLEY M COREY Address : 426 DAHLIA AVE CORONA DEL MAR, CA 92625 Phone: Applicant : C C C C HEATING & AC INC Address : 606 E LINCOLN AVE ORANGE, CA 92665 Phone: (714) 637-7021 Owner/Builder : Address r Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Contractor : C C C C HEATING & AC INC Address : 606 E LINCOLN AVE ORANGE, CA 92665 Phone : (714) 637-7021 Con State Lie : 451863 Lic Expire : 01 /31 /2024 Bus Lic : BT30029124 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Carrier : CHUBB INDEMNITY INS CO Policy No : 000071772565 W. C. Expire: 11/11/2023 Fire Hazard Zone : NO Manufacturer: AC PRO Model#: AUD36W/A1-DU&A40G-36HFN1-M 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 applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for le 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 '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 for a permit subjects the applicant to a civil penalty of of more than I ve hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 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 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall7 oil 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:httpd/www.leginfo.ca.govlcalaw.html. 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) o&Uivision 3 of the Business and Profession ce e-i In IY orce nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION DARNING: FALURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 70 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.000), 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 th onnance of the work for which this permit Is issued. Pollcy 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' compensa6ol trance carrier and policy number are: der Policy Number Expiration Date no of Agent Phone # certify that, in the performance of the work f Ich 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 , if I should become subject to or comps on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant _ _ _ Date / L5 6 3reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097 lder's Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners beh . I have read this application and the information I have provided is ct. I agree to comply with all applicable city and county ordina d slate laws relating to building construction. I authorize representatives of this city or county to _ Id Sifie�roperty for inspection purposes. ,�� mature of Prooertv Owner or Authorized Aaen Print Property Owner's or Authorized Aaerifs Name 1: C ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED u PERMIT FJNAL 1 CERTIFICATEOF OCCUPANCY ISSUED BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE L�ASBESTOS IJUTIFICAI ION 15 NOT AP^LICABLE TO - PROPOSED DEMOLITION FOR OFFICE USE ONLY Civil Code).