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Home My WebLink AboutH2024-0445 - Permits,FwPok^ City of Newport Beach III I I I II I I II II II II IIII II pF b. Community Development Department- Building Division Mechanical Permit: H2O24-0445 r S O Permit Civic Counterr PhDrive, Newport Beach, CA 92660 Plan Check No Phone (949) 718-1888Work Class :Other " newportbeachca.g0v/civ1C Permit Status: Issued P Issued Date : 07/2512024 Inspection Area : 5 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 : 306 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BLK 237 LOT 8 CORONA DEL MAR L Description: MECH INSTL HEAT PUMP @ THE SIDE YARD, TAMPER RESISTANT CAP REQ Owner: OHN EL AJIAN Contractor : DEPENDABLE GRAHAM AC Address : 151 KALMUS DR STEW COSTA MESA, CA 92626 Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone : (949) 246-4412 Phone : (714) 546-1653 Con State Lic : 472690 Applicant: DEPENDABLE GRAHAM AC Address: 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone : (714) 546-1653 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Lic Expire : 04/30/2026 Bus Lic: BT01013104 _ �:•' 9� t"'°' -`"` Bus Lic Expire:12/31/2024 Workers' Compensation Insurance Carrier : SERVICE AMERICAN INDEMNITY CO Policy No : SAMTWC0072801 W. C. Expire : 7/1/2025 Fire Hazard Zone : NO Manufacturer : AIRTEMP Model#: GXH36MSK4DH 'TIMERS PROHIBITED ON HEA,T PUMPS OWNER -BUILDER I hereby affirm under penally 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) (Section 70315. 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 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended 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 the 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 property, 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' Stale 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 legal sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:// v .leginfo.ca.gov/calaw.htmi. Signature of ProoArty Owner or Authorized Agent — Dale _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ion 7 ) of Division 3 of the Basin and Professions Code, and my license is in full force sid Jffai License Class License No;Zr—;Z 2-}r Contracto nature 71 �. WORKERS' COMPENSATION DECLARATION ', IARNAG: 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 U1100,000j, IN ADDITION TO TH COST OF COMPE.ISATAA, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and voill 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 11 p<prmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Dale ame uf Agent ___ Phone R ]I certify that. i the performance the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the lal, i1 I should b me subje he wwo�orkeersss'%',,compen 'on provisio _ of Section 3700 of the Labor Code I shall forthwith comply with those provisions. ignature of Applican __4>."JG._C�.- _ DECLARATION R RDI G CONSTRUCTION LE- DI G AGENCY hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 ender's Name Lenders 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. I agree to comply with all applicable city And county ordinances and stale laws relating to building construction. I authorize representatives of this city or c my t ter the a. / ve-ide led prop rty for inspection purposes. /L�L ( > innahua of Pronertv Owner or Authorized Ace `+1. �1 Print Prooertv Owner's or Authorized ADen' ame r i� ACTION DATE ,AY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE Of REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ( 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED _ EPA PERMITEXTENDED PERMITFINAL ��i%Zy //+ Uj.76a^ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION JR OCCUPANCY ISSUED I SIGNATURE: compensation laws of California, and Civil Code). ��/rfifr� In i i-V-y