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HomeMy WebLinkAboutH2024-0048 - Permits��EWPoRT City of Newport Beach Q Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 716-1888 c newportheachca.gov/civic gLIFOaN\P Mechanical Permit Plan Check No : Work Class: New Issued Date : 01/2912024 Inspection Area : 2 H2O24-0048 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 : 921 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 319 Description: MECH (4) NEW HEAT PUMPS* TAMPER RESISTANT CAPS REQUIRED (XR2022-3203) Owner: ROBERT OLSON Address : 520 NEWPORT CENTER DR STE600 NEWPORT BEACH, CA 92660 Phone : (949) 271-1100 Applicant: AIRSMITHS INC Address: 1474-A POMONA ROAD CORONA, CA 92882 Phone : (951) 735-5225 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 4, Front: 10, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : AIRSMITHS INC Address : 1474-A POMONA ROAD CORONA, CA 92882 Phone : (951) 735-5225 Con State Lic : 783449 Lic Expire : 08/31/2024 Bus Lic : BT95002015 Bus Lic Expire:10/31/2025 Workers' Compensation Insurance , Carrier: INSURANCE CO OF THE WEST - Policy No: WSA506136801 W. C. Expire: 7/1/2024 Manufacturer: DAIKIN • "' Model# : RXTQ48TAVJU & RXTQ69TAVJU, !,EVVIEW ANDAPI)ROVAL PROHIBITED ON !-SEAT PUMpe s.:'=ONSI RUC:TION NOISE ')N THE WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the resson(s)indicated below by the checkmark(s) I have placed next to the applicableitem(s) coon 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 permit to filea signed statement thathe 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 desslons Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a.. permit subjects the applicant 10 a civil penalty of more than five hundred dollars ($500).. 1, 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, nness 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 Rovements 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 Proved for the purpose of sale). 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 Ay 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 lieensure 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 lei sell a structure that I have built as an owner-buildar 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 Professions Code, is avallable upon request when this application is submitted or at the following Web site:http lfw v.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent .Date LICENSED CONTRACTOR'S p DECLARATION I am g --r I hereby affirm under penalty of pelyury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of Divis' n &of the Business and Prof slo de rid m tic is in full force and effect. License Class License. No Date ontractor Signature NORKERS' COMPENSATION DECLARATION NANNING: 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 ($100,000), IN AODRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under pen lly of perjury one of the fallowing declarations: 7 1 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 p0ormar.ce of tha v.crl. ,or which this permit is. issued. Policy No, DI 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' compensatiol insurance carrier and policy number are: of Agent Policy Number certify that, in C,L �urfornnance of the Work for which if I should beco-ie subieol UiAbe-vwrkers' compant Date 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 1 provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. % G� '� b}nalura of AppG anI ...___ .c� "--�� _ _._....._.._....____. Dater _.. D ECLARATION tRLGARUIN STRUCTIO NDINGAGENCY ` J G hereby s"war and.a f.enaltyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender s Name _ __- Lender's Address _ �y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners. behalf, I have read this application and the Information I have provided is Correct. € agree to comply wrath.. all applicable city and county ordinances and state laws'Claim to building construction. I authorize representatives of this city or county to en above-Identifled pro for Inspection purposes. Iiunatuie of Property Owner or Authorized Agent \L7 ��--� Print Property Owner's or Authorized Agent's Name ACTION DATE BY / `,7 OECeARATVON OF COMI�L!ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFG UTATIONS PART fit OF TITLE 40 AND AQMD ROLE 1403 PERMIT LXPIRED I SUBMITTFO ASBESTOS NOTI FICATION TO PERMIT CANCEUED 01PA _ PERMIT EXTENDED _ AQMD PERMIT FINAL 7� E ASBESTOS NOTIFICATION 15 NOT AP BILL TO CERTIFICATE OF✓(-L-I`-1!PROPOSF-D EM 1 OCCUPANCY ISSUED 15iGNATUR