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Home My WebLink AboutH2022-0519 - Permits��EWPpRT City of Newport Beach , Community Development Department- Building DiJision 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u I Inspection Requests Phone: (949) 644-3255 Cg4FpA��P newportbeachca.gov/inspections Mechanical Permit : H2O22-0519 Plan Check No : 1021-2021 Work Class : Other Issued Date : 09/26/2022 Inspection Area : 2 PERMITS EXPIRE 1B0 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: 2500 MARINO DR Legal Desc : N TR 1140 BLK LOT 36 Description: MECH -INSTALL 2 HEAT PUMPS, 1 WINE CHILLER CONDENSER, 1 AC CONDENSER. TAMPER -RESISTANT CAPS REO'D Owner: KEITHKATKIN Address : 1976 PORT DUNLEIGH CIR NEWPORT BEACH, CA 92660 Phone: Applicant: SEASIDE A/C AND HEATING Address : 32959 CALLE PERFECTO, C SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 496-3639 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : SEASIDE A/C AND HEATING Address : 32959 CALLE PERFECTO, C SAN JUAN CAPISTRANO, CA 92675 Phone: (949) 496-3639 Con State Lic : 736214 Lic Expire : 08/31/2024 Bus Lic: BT30018420 Bus Lic Expire: 01 /31/2023 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WVE5049609 W. C. Expire: 7/21/2023 TIMERS PROHIBITED ON HEAT PUMPS Manufacturer: SEE PLANS Model# : SEE PLANS is F Lc1U( OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I are exempt from the Contractors' State License Law for the resson(s) Indicated below by the check'mark(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 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 ficensure 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 L) all of or U podions 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 10 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not rawly 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). LI I am exempt from ficensure under the Convectors' State 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 legaII, sell a structure that I have built as an owner -builder If if 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 avallable upon requestwhen this application is submitted or at the following Web site:http:/Jwww.loginfo.ca..govlcalaw.html. Signature of Property Owneror Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Casio siopof the business and Pro to s Code I fl force and effect. License Class License No Dat G Convector Signaiur WORKERS' COMPENSATION DECLARATION WARNING: 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 IE100,I100i, IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalh, of perjury one of the following declarations: 1 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 lh )rormance of the work for which this permit is issued. Policy No. I hav 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' compensatioi nsurance carrier and policy number are: ;arrier Policy Number Expiration Dale Jame of Agent Phone N :1I certify that, in the performance of the work for whi this permit is issued; I shall not employ any person in any manner so as to become subject to the workers' ampensatlon laws of California, and agre hat, if I should become subjectrlo the workeZZENCY ovisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those. provisions. p 3ignalure of Applioan(_ _ Dat 9-Z — Z 3ECL.ARATION RMu CONSTR � hereby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). .enders Name _ _ Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and eD y orfinances an a'ng to building construction. I authorize representatives of this city or count a er the 6 arty for inspection purposes. 3i nature of PropeU Owner or Authorized A enl Print Property Owner's or Authorized Agent s Name Lce Date .z ACTION PATE BV DE RAT[ OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ! REGULATIONS PART FI OF TITLE. 40 AND AOMD RULF. PERMIT EXPIRED i U I SUBMITTFO ASBFST05 NOTIPUAVON TO PERMIT CANCELLED 11rPA _ PERMITMENDED AOMU PERMITFINAL !--I M ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATFOF -iS-z `i ,PK—�� PROPOSED DEMOLITION OCCUPANCYISSUEO SIGNATURE: