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HomeMy WebLinkAboutH2024-0086 - Permits4 �fWPoRT City of Newport Beach p @m Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 0 r Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic CgGIFOR��P Mechanical Permit : H2O24-0086 Plan Check No: 1125-2022 Work Class : Other Issued Date : 02/16/2024 Inspection Area: 2— 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: 319 VIA LIDO SOLID Legal Desc : Description: MECH - INSTL (N) HEAT PUMPS (4). TAMPER RESISTANT CAP REQUIRED Owner: 319 VIA SOLID LLC Address: 319 VIA LIDO SOUD NEWPORT BEACH, CA 92663 Phone: Applicant: COMFORT HEATING & A/C Address : 21962 COSALA MISSION VIEJO, CA 92691 Phone : (714) 335-7055 Owner/Builder Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : e PROCESSED BY Fire Hazard Zone : NO SPECIAL CONDITIONS: 9,WA, Contractor : COMFORT HEATING & A/C Address : 21962 COSALA MISSION VIEJO, CA 92691 Phone: (714) 335-7055 Con State Lic: 632774 Lic Expire : 12/31/2025 Bus Lic : BT30005700 Bus Lic Expire:08/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No; 1620402 W. C. Expire: 1/1/2025 Manufacturer: DAIKIN Model# : 4MXS36RMVJUA OWNER -BUILDER DECLARATIONthe I hereby affirm under penauy of perjury that I am exempt from thethat reLa o�es an"S permit !o cons erucloratferreimprove, Idemol sh, ororepairtany structure, prior to its issuance, also tregt requires The applicant for Section 7o3t5. Business ar+d Professions Code: Any city or County q no Horne ro nh a signori sraromenY ona< na or sna is licensee pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7040) of Division 3 of the Business and �rofeSeions Code) Or that he tlr She IS exempt from licensure and the basis for Ine alleged exemption. Any violation of Section 7031.5 by any applicant fora. permit subjects the applicant to a civil penally of on" I more than five hundred dollars ($500).. is not !, as owner of the property, or IT employees with wages as their sooes etpa nsatio an olwner 0f property who, through of or L) portions of employeee work, eor persd the onal erifOrt, builds orImprovesimproves the property,Sprowded0that the do 'it 3usinessand Professions Code: The Contractors state IS License Low d. o pp y mprovements are not intended or offered for sale If, howevat, the building or improvemant is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or myproved for the purpose of sale). _t 1. as owner of the property, am exclusively contracting with licensed Contractors To construct the project (Section 7;M4, Business and Professions Code: The Contractors' State License Law does not ly to an owner of property who bullds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1I am exempt from licensure under the Contractors' Stale License Law for the follntving reason -- —yk completion m etion of the improveents. covered by this permit, I cannot legal1 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to sotl a structure that I have built as an owner-buiidar 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:Uvnww:leginfo.ca.govlcalavr. html. .� pate Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjup� that I am licensed under provisions of Chapter 9 (Commencing with Section 7 O) 0 ivision of the Business and Prolie Slone o , and y 'ce is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNIOr COMPENSATION, TO SECURE AGES AS S' COMPENSATION N COVERAGE 15 of UNLAWFUL, AND S INTEREST,SUBJECT RNN EMPLOYER F CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS 157aS,eeal, IN ADDITION TOTHE COS ED FOR THE I hereby affirm under penalty of perjury one of the following declarations: © 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 3744 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. [1I 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' compensatior insurance carer and policy number are: Carrier Policy Number Expiration Date Phone # Name of Agent ❑I certify that, In the performance of the work tar ich 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 ogre that, II I should become subject t0 a workers mpensatren visions 9f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 4 Signature of Applicant„__ DECLARATION REGARDIN TRUCTION LEND A NCY I hereby 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). Lenders Name Lender's Address By my signature below. I certify t —each of the following; I an, the property owner cr authorized to act 0n the property owner's behalf. / I have read this application and the information I have provided is correct. L✓ /� I agree to comply Aitn. all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coune the au e n' led property Far inspection purposes. t 0 Signature of Pro art Owner or Authorized R en Print Pro ert Owner's or Authorized A =nt's Nam Q�fn Date ACTION DATE.. B IDECLAR. TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 RFGUTATIONS PART 61 OF TITLE, 40 AND AQMD RULE 1403 — PERMIT EXPIRED I L ISUBMITfED ASBESTOS NOTIFICATION TO PERMITFINAL / IItts� 1 ❑ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIRCATE Or f 2�23 •✓�`-'f`- PROPOSED DEMOLITION OCCUPANCY ISSUED ; SIGNATURE: