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HomeMy WebLinkAboutH2024-0193 - PermitsWPo� City of Newport Beach -i Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 -,„_ Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C9IIFQ Ii�`P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 04/05/2024 Inspection Area : 5 Ii KI ' 91T%ICj 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 : 2830 SEAVIEW AVE Legal Desc : P BK 325 PG 20 PAR 1 UN 1 PM 325-20, PAR 1 OF PROJ Description; MECH R/R HEAT PUMP AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: DUBELKO JANINE HOPKINS TR J H DUBELKO LIVING TR Address : 2830 SEAVIEW AVE CORONA DEL MAR, CA 92625 Phone : (310) 702-9825 Applicant: ADAM SMITH Address: 1921 PETRA LANE PLACENTIA, CA 92870 Phone : (714) 720-6927 Owner/Builder : Address 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-2 - Two -Unit Residential PROCESSED BY: &I SPECIAL CONDITIONS: HIGH DENSITY ZONE Fire Hazard Zone : NO Contractor : ECONO AIR Address : 555 VANGUARD BREA, CA 92821 Phone : (714) 695-6661 Con State Lie; 445220 Lie Expire : 02/28/2026 Bus Lie: BT30064026 Bus Lie Expire:08/31/2024 Workers' Compensation Insurance Carrier : CAROLINA CASUALTY INSURANCE COMPANY Policy No: BNUWC0156679 W. C. Expire: 4/7/2025 No fCONSTRUCTIGN NOISE ON SATUR®AYS Manufacturer: LENNOX Model# : EL18XOV flMERS PROHIBITED, ON HEA PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) 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 toits issuance, also requires the applicant for is permit to rite a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and rofesslons Code) or that he or she is exempt from )icensure and the basis for (he 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 L) portions of the work, and the structure is not intended o€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). 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 p ly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). lam exempt from licensors under the Contractors Slate License Law for the following reasom y 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 all a structure that I have built as an owner -builder if it has riot been constructed in itsentirety by licensed contractors. I understand that copy Of the applicable. law, Section 7044 of the Business and Tofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/mlaw.htmi. 'ignature 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) of Di ision 3 of the Business and Profs s ns C ri icense is in full force nd effect. License Class License No Date 2 Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNINi 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 (5100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGE$ AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEYS FEES. hereby BIT irm under penalty of perjury one of the following declarations: 7 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 the arl'ormance of the work for which this permit is issued. Policy No. 71 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensalior Isurance carrier and policy number are: no of Agent certify that, in the p , it I should become nature of Applicant.. Policy Number Date for which this permit is issued, f shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree compensation provisions of Section 3700 of the Labor Code, i shall forthwith comply with those provisions. Date hereby J i,m'mder penalty of a hat there is a construction lending agency for the performance of the work for Which this permit is issued (Section 3097, Civil Code). enders 1'3.T„ Y� Lender's Address iy my sionghire below, I certify to each of the -following: I am the 11cperty owner or authorized to act on the property owner's behalf. I have read This application and the informationJuly eve provide isgarrect I agree to comply with all applicable city and cOrd"�p�n and state laws Wating to building consWction. I authorize representatives of this oily or couna q he oYe-identified property for inspection purposes. Ennature of Pronadv Owner or Authorized Auent �/ Print Property Owner's or Authorized Agent's NameA),, I ACTION DATE BY - DECYARATIOROF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS. PART 61 OF TITLE 40 AND AOMD RULE 1403 Pf9MiT EXwHED (SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 13EPA i, PER WfT EXTENDED PERMITFINAL CERTIFICATE Of OCCUPANCYISSUED /���z�{ /� OMO }pv� j IZAsinisi% NDi'mCATION IS NOT APPLICABLE TO ! PROPOSED DEMOLITION JR SIGNATURE: