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Home My WebLink AboutH2024-0513 - Permits¢��W noRT City of Newport Beach III I I I I I I II II III I III II Mechanical Permit: H2O24-0513 Community Development Department - Building Division .F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: S Permit Counter Phone: (949) 718-1888 Work Class : Other ra newportbeachca.gov/civic Permit Status: Issued c"<"oa"" + , ^®r • "`,+"'+ "� Issued Date : 08/19/2024 Inspection Area : 1 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 : 202 15TH ST Legal Desc : N TR 234 BLK 114 LOT 11 Description: MECH R/R FURNACE AND INSTALL HEAT PUMP UNIT **TAMPER RESISTANT CAPS REQUIRED** Owner: COHEN ADRIAN O TR Address : 202 15TH ST NEWPORT BEACH, CA 92663 Phone: (310)804-5293 Applicant: ARTURO GUTIERREZ GUTIERREZ RAMIREZ Address: 205 E ASH AVE, B FULLERTON, CA 92832 Phone: (714)290-0582 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 19, Side: 3, Side: 3, Rear: 10 Flood Zone: X Use Zone: R--2�2-Two-Unit Residential PROCESSED BY: N SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor : AIR REVOLUTION HEATING AND COOLING INC Address : 205 E ASH AVE, B FULLERTON, CA 92832 Phone: (714)290-0582 Can State Lic : 1042990 Lic Expire : 08/31/2026 Bus Lic: BT30084954 Bus Lic Expire: 08/31/2025 Workers' Compensation Insurance Carrier : PIE INSURANCE COMPANY (THE) Policy No: WCPI955771 W. C. Expire: 4/5/2025 Fire Hazard Zone : NO Manufacturer : MITSUBISHI Model#: PUZ-A36NKA7 TIMERS PROHIBITED, OIy HEAT PUMPS 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 item(s) !action 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 ie 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). ] 1, 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, 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 pply to an owner of property who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: 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 Iegall) all 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, Section 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/I w .leginfo.ce.gov/celaw.html. 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 70 ) o ivi i n of the Business and Professions Icense is in full torte nd effect. License Class License No Da[ Contractor Signature PORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S100,000I, IN ADOmDN TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I he a and wr11 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 erf ante of the work for which this permit is issued. Policy No. I 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 compensaho. Isurance carrier and policy number are: ie of Agent certify that, in the performance of the work If I should become subject to themSrkers of Policy Number Date this 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //nn /') Date_Q 7S �� LZ- 7 hereby affirm under penally 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). enders Name Lenders Address ly my signature below, I certify to each of the following- I am the pmpert� owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is Correct. I Jgree to comply with all applicable city and county ordinances and stale laws relating to building construction. I Tulhoriz, representatives of this city or county to enter r inspection purposes. .__.,r.....-10.,...e.L, rv., , — A.Rh—Anunl / Pnnt PtoDertv Owner's or Authorized Agent's Name J112 _ PERMIT EXPIREL, PFRN,IT CANCEL.c6 . DATE BY DIEZARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 11 OF TITLE 40 AND AQMD RULE 1403 I SLIRMITTFD ASBESTOS NOTIFICATION TO PERIw1T FINAL 01/I7/ZY DL 40V` UA5BESTO5 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF CMS PROPOSED DEMOLITION OCCL'PANCYI`5'J`P SIGNATURE: Date