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Home My WebLink AboutH2023-0071 - Permits��gWPORT City of Newport Beach D p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 � n Permit Counter Phone: (949) 644-3288 �a... S Inspection Requests Phone: (949) 644-3255 cgC1FO0.N�P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 0113012023 Inspection Area : 6 H2O23-0071 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: 3721 GERANIUM Legal Desc : N TR 11949 BLK LOT 4 UN 77 TR 11949 LOT 4 UNIT 77 OF PROJECT LOCATED ON AP Description: MECH CHANGE OUT HEAT PUMP *TAMPER PROOF CAP REQ' Owner: KATHLEEN MAGNUSON Address : 141 ROFFINGHAMS WAY WILLIAMSBURG, VA 23185 Phone: Applicant: ABSOLUTE COMFORT HEATING AC Address : 2331 ORANGE AVE SAN JUAN CAPISTRANO. CA 92675 Phone: (949)877-6294 Owner/Builder : Address Phone : Code Edition : 2019 Fire Hazard Zone Type of Construction Occupancy Groups Building Setbacks : Flood Zone : X Use Zone : PC - Corona del Mar Senior's Project PROCESSED BY: SPECIAL CONDITIONS: Contractor : ABSOLUTE COMFORT HEATING AC r�-. Address : 2331 ORANGE AVE SAN JUAN CAPISTRANO, CA 9?67j' Phone : (949) 877-6294 P '� Con State Lie : 826675 Lie Expire : 10/31 /2023 Bus Lie: BT30077360 Bus Lie Expire:12/31/2023 Workers' Compensation Insurance a Carrier Policy No: CWC01256300 W. C. Expire: 10/27/2023 Q� YES Manufacturer: AC PRO Model#: AUD36WA TIMERS PROHIBITED ;, ON HEAT PUMPS". - 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 haveplaced next to the applicable item(s) (Section 7031.5. Business and Professions Code: Any city or county that requires apermit to construct, after, improve, demolish, orrepair any structure,prior to its issuance, also requires the applicant for the 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 Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sechon 7031.5 by any applicant for a. 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 U portions of the work, and the structure is notintended 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 that improvements 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 improved for the purpose of sale). ❑ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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' 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 [east one year prior to completion of the improvements covered by this permit, I cannot legal sell a structure that I have built as an owner -builder if it has not beenconstructed in itsentirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.govicalaw.html, Signature of Property owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3of the Business and Prof signs Code,. and m t;e-frvrfdll force' and effect. License Class License No Date il —Z Ccntractor Signature COMPENSATION DECLARATION IARNING: 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 (E100.000), IN ADDITION TO THE 'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY•SFEES, hereby affirm under penalty of perjury one of the following declarations: 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 Trance of the work for which this permit is issued. Policy No. . aue 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 Inca carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, arid agre t, If I should bete L' ubject to the worker�INI"ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature oiAppGoccl _ Da( CLARATION REG thli�G CONSTRUCTION LENDING AGENCY xreb,' 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, dI Code). ),far's Name _ _ Lender's Address rnv siy.rature, Le'ov, r Certify to each of the following: I am the propwl,y'winer Or authorized to act on the property owner's behalf. I havc read tW iopltdation and the information I have provided is correct. I agree to comply with.. all applicable city and c my ordinances and state laws relating to building construction. p I authorize rep'esenia0ves of this city or count nter the above -identified propert ction purposes. �rt�/, j�/� nature of PrODerty Owner or Authorized Anent Pnnt Property Owner's or Authorized Aqent's Name' /y Ur'u ' � '_ "``"� Daly DICtARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403 PER+YNFEXPIR4D I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL I0q/IZ/Z5 D(,.Ey,. MH UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE;