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Home My WebLink AboutH2024-0013 - Permits��EWPoRr City of Newport Beach p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic CyC/FORN�r II I I II II II III III II Mechanical Permit : H2O24-0013 Plan Check No : PC2022-3165 Work Class : Other Issued Date: 0111012024 Inspection Area: 3 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 : 1737 CENTELLA PL Legal Desc : N TR 3176 BLK LOT 4 Description: MECH INSTALL (2) HEAT PUMPS AT SIDES. **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (XR2022-3289) Owner: ROBERT GOE Address : 1737 CENTELLA PL NEWPORT BEACH, CA 92660 Phone : (949) 283-1501 Applicant: DON FIELDS Address: 6141 ALBION DRIVE HUNTINGTON BEACH, CA 92647 Phone: (714)496-7343 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone: Use Zone: PROCESSED BY Fire Hazard Zone : NO Contractor : DON FIELDS Address : 6141 ALBION DRIVE HUNTINGTON BEACH, CA 92647 Phone: (714)496-7343 Con State Lic : 891901 Lic Expire : 03/31/2025 Bus Lic: BT30083356 Bus Lic Expire: 01/31/2025 Workers' Compensation Insurance Carrier : CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No : CWC01811700 W. C. Expire: 3/28/2024 Front: 15, Side: 10, Side: 10, Rear: 10 X R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) ___P"75 SPECIAL CONDITIONS: Manufacturer: GREE Model# : FLEXX(36&60)HP230AtAO � � � s ON HEAT s UMDC OWNER -BUILDER DECLARATION 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 Items) '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 to its Issuance, also requires the applicant for :he permit to file a 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 professions Code) or that he or she is exempt from Iicensure 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 Tot 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 (__-) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 theproperly, provided that the mprovements 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 mproved for the purpose of sale)- 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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 pursuantto the Contractors' Slate License Law), L,_t I am exempt from licensee, under the Contractors' State License Law for the following reason; —---- By my signature below 1. 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, 1 cannot legally 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:htlp:Nwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty ofperjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Proles�nslgnf d my license is in full force and effect. License Class License No Date 0 `-Z - Contractor Signature (2 �f1a WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ihereby affirm under penalty of perjury one of the following declarations: Ih u 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 Stollen 3700 of the Labor Code, forth marine of the work for which this permit is issued. Policy' No. perfohave 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' compensafol carrier and policy number are: Policy Number Date ie of Agent """ 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' compensation laws of California, and . if I should become.su4LecPlo the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. of Date___V_ Ireby 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, Civil Code). ider's Name Lenders Address my signature. below, I certify to each of the following: I am the property owner or authorized to act an the property owners behalf. I have read this application and the Information I have provided is correct. I agree to comely v4th all applicable city and county ordinances and state laws relating to building construction. l authorize representatives of this city or county it ter the aboYe-identifled property for inspection purposes. naP,,P of Prooartv Owner or Audhorized A0en1 Y U �Vi �L1C Print Property Owner's or Authorized Agent's Name ACTION ' DATE BY DECLARATION OF COMPLIANCC WITH CODE OF FEDERAL FOR OFFICE USE ONLY REC 111AT10NS PART 61 OF TITLE 40 AND AO.MD RU LF 1403 I'MM17 EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EYTENDED QM D PERMIT FINAL tf Z ASBESTOS NOl'IFICATtON IS NOT APPLICABLE TO [PIRGNATURE; <fR'IFICATE OF 1 OPOSED OBMOLITION OCCUPANCY ISSUO)