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HomeMy WebLinkAboutH2024-0462 - PermitseWvok City of Newport Beach Community Development Department -Building Division > + 100 Civic Center Drive, Newport Beach, CA 92660 \ i Permit Counter Phone. (949) 718-1888 .u. newportbeachca.gov/civic III I I I II I I II II II IIII I I II Plan n Check No :2819-2021 Work Class: New Permit Status: Issued Issued Date : 07/3112024 Inspection Area : 2 H2O24-0462 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 : 701 PATOLITA DR Legal Desc : N TR 1700 BLK LOT 76 Description: MECH - INSTIL HEAT PUMP AT THE SIDE YARD "TAMPER RESISTANT CAP REO" Owner: GREGORY NEWMAN Address : 24351 TITUS DR DANA POINT, CA 92629 Phone : Applicant: D L S HEATING & A/C Address : 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Phone : (714) 231-8002 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : Use Zone : '1-1 - Single -Unit Residential SPECIAL CONDITIONS: Contractor : D L S HEATING & A/C Address : 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Phone : (714) 231-8002 Con State Lic : 584220 Lic Expire : 01/31/2026 Bus Lic : BT98040420 Bus Lic Expire:12/31/2024 Workers' Compensation Insurance Carrier: STATE FARM FIRE AND CASUALTY COMPANY Policy No: 92KNZ5674 W. C. Expire: 1/6/2025 Manufacturer: AC PRO Model#: AUD60W/A-D(U) TIMERS PROHIBITED ON HEAT PUMPS DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 1e permit to file 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 five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 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 ply 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 am exempt from licensure under the Contractors' Stale License Law for the following reason: ly 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) ell 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, Sectio 44 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/colaw.html. Iignature of Property Owner or Authorized Agent _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ti Pi n of the Busin s nd Profess n C "lloense full force nd effect. License Class License No bate Contractor S nature VORKERS' COM4tNSATION DECLARATION FAPIVWd' FAILURE TO -PI-IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TOO HUNDRED THOU 100.0001, 0J ADOmDN TO THE DST OF JOMPENCAT'.ON, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ferety affirm under penalty of perjury one of the following declarations: 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 .he won. for which this permit is issued. Policy No. a ain 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' ano pnlicy number are: lame w Agent _ �I certify that in G ie performance of the 1a1, if I ;houldNc o.ne subs. a workers' comp) signature of Appli\\ nt IECLARATION RE ARD ONSTR TI LEI C hereby affirm unde al of perjury ere is a enders Name ly my signature below, I erti ch of the roll ' I am the property own r or a lhori act on it I have read this application and the information I I agree to comply with all applicabip city and cow I authorize representatives of this ci or count Policy Number Date this permit Is issued, I shall not employ any person in any manner so as to become subject to the alion 3700 of the Labor Code, I shall forthwith comply with those provisions. AGENCY compensation laws of California, and agre 3) ay 1g agency for the performance of the work for which this permit is issued (Section,9097, Civil Code) Lender's Address II erect. stale laws r ling to building construction. fentif roperty for inspection purposes. Print Prooertv Owner's or AXds Name ACTION DATE �Y DECLARATION OF REGULATIONS PART 61 OF TITLE 0 AND AQMD RULECE WITH CODE OF FEDERAL FOR OFFICEKISE ONLY \ / 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY 155UED L4.I m I SUBMITTED ASBESTOS NOTIFICATION UASBEST05 NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION Date