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Home My WebLink AboutH2023-0413 - Permits�gWPORT City of Newport Beach III I I I II i III II II III III II C� @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C9(/FOPN�P Mechanical Permit : H2023-0413 Plan Check No: PC2023-0693 Work Class: New Issued Date : 06/23/ 023 Inspection Area 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 : 1013 GRANVILLE DR Legal Desc : N TR 14839 BILK LOT 2 UN HOLD Description: MECH -INSTALL 2 HEAT PUMPS (EITHER SIDE OF PROPERTY, ON FLOOR DECK. TAMPER -RESISTANT CAP REQ'D Owner: CLARKE JAMES A TR Address : 127 HARBOR ISLAND RD NEWPORT BEACH, CA 92660 Phone: (619)318-0900 Applicant: DEPENDABLE GRAHAM AC Address: 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone : (714) 546-1653 Owner/Builder : Address: Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone: Use Zone: PROCESSED BY: O SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : DEPENDABLE GRAHAM AC Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone : (714) 546-1653 Con State Lic : 472690 Lic Expire : 04/30/2024 Bus Lic: BT01013104 Bus Lic Expire:12/31/2023 Workers' Compensation Insurance Carrier : SERVICE AMERICAN INDEMNITY CO Policy No: SAMTWC0072801 W. C. Expire: 7/1/2023 Manufacturer: MITSUBISHI Model# : MXZ4C36NA3 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 items) (Section 7031.6, 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. riles 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 Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of not morethanfive hundred dollars ($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, 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-Builderwill have the burden of proving that It was not built or m roved for the purpose of sale), h 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 a ly 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). I am exempt from lieeesure 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 legally 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 copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application Is submitted orat.the following Web site:http:/Avww.leginfo.ca.goviralaw.htmL Signature of Property Owner or Authorized Agent Date LICENSER CONTRACTOR'S DECLARATION I hereby affirm under penalty of "perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70, )of Division 3 of the Business and Prof ion Cod ant�jmy Ilse a Is in full force and effect. License Class License No Da Contractor Signature/ .1 ,T Li _ NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS 13900,0001, IN ADMION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 oe 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' compensa carrier and policy number are: Policy Number Expiration Date of Agent i Phone # _ certify that, in the performance of the work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if i should become subject to ti)e workers compens ftign provisiorhs of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. of Dat _6Zj 3-z3 Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the. work for which this permit is issued (Section 3097, Civil Code). Iders Name Lender's Address my signature below, I certify 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 Correct. ! agree to comply with all applicable oily and countyjjjjjp11(rdinances and state laws relating to building construction. I authorize representatives of this city or coun_ty`tter th alp -identlh property for inspection purposes. nature of Property Owner or Authorized Aaenr�C Print Property Owner's or Authorized Adept's Name /�Ti 1WDAI ACTION I DATE BY 11403 IONS PARTDECLARATION OF OF NITLE 40 AND AQMD RULE MPLIACE WITH CODE OF AL FOR OFFICE USE ONLYGULATt EXPIRED CERTIFICATE OF OCCUPANCY ISSUED U I SUBMITTED ASBESTOS NOTIFICATION TO L-I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION