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HomeMy WebLinkAboutH2022-0558 - PermitsagWPp� City of Newport Beach III II I II I p� A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: u949 644-3288 * ( ) � Inspection Requests Phone: (949) 644-3255 c9C/FO0.N�P newportbeachca.gov/inspections II I II IIII II I I II Mechanical Permit : H2O22-0558 Plan Check No: h Work Class : Other Issued Date : I I f Z�— ��/ Inspection Area : (o 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 : 1000 WHITE SAILS WAY Legal Desc : Description: SFR - INSTALL (1) HEAT PUMP/(1)AC; UNIT Owner: WHITESAILS HOMES LLC Contractor :° HERBERT MECHANICAL °°°°°° G Address : 428 OLD NEWPORT BLVD NEWPORT BEACH, CA 92663 Address : 927 S KENMORE ST ANAHEIM, CA 92804 °GGa Phone: Phone: (714)614-3469 Con State Lie: 1022588 ° Applicant: HERBERT MECHANICAL Lie Expire: 01/31/2023 Address : 927 S KENMORE ST ANAHEIM, CA 92804 Bus Lie : BT30079877 ' as Phone: (714) 614-3469 Bus Lie Expire:10/31/2023 G coama° Workers' Compensation Insurance ° Owner/Builder : Carrier : Address ; -. Policy No: ` EXEMPT - - Phone: W. C. Expire: ° 90 ° Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: AC PRO ° G 6 Type of Construction : Model# : AULD36W2/A-D(U) Occupancy Groups: Building Setbacks : Flood Zone Use Zone: PROCESSED BY: a SPECIAL CONDITIONS: ° G pp U4a6G G e ° G G G ax° ° s G ° G UCJG6 G Gwoa° ©aa°ae 3 B G d N+7 a9G ° G aGa° affirm under penalty of perjury that t am exempt from the Contractors''State License Law for reasonts).indicated below by the checkmark(s):I have placed next to the applicable items) 11-5, 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 I rile 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 Code) or that he or she is exempt from licenspre and the oasis for the alleged exemption. Any violation of Section 7031_5 by any applicant fora permit subjects the applicant to a evil penalty of I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended oroffered 'for sale (Section 7044,. iness and Professiens Code:. The Contractors' State License Law does not apply to on owner of property who, through employees or personal effort, builds or improves the: property, provided that the 'ovements are not intended or offered for saie. if; however, the building, or improvement is sold within oneyear of completion; the Owner -Builder will have the burden of proving that it was not built or 'oved 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 yto an owner of property who builds or improves thereon, and who contracts for the projects with a toensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from Iicensure under the Contractors' State License Law for the following reasonw,. ny signatures 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 coveredby this permit, I,cannot lee 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 copy of theapplicable law, Section 7044 of the Business and essions Bode, is available upon request when this application is submitted or at the following web site:hUp:!lwww.leginfo.ca.govlcalaw.html. 7ature of Property Owner or Authorized Agent Date :ENSED Cf; NTRACTOR'$ DECLARATION �reby affirm uadei PQrialty of perjury that.I am licensed under provisions of Chapter 9 (commencing. with Section7000) of Dhiision 3:of the Business and Profes�jons ,.and my lice full fore effect. License Class. License No.. Date,C / 2Z Contractor Signature iF4KE1tS' CfJIN'r' NSATION DECLARATION ,NINGI FAILURE T3 St3dilRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED: THOUSAND DOLLARS ($100.000), IN. ADDITION TO THE TbF'rl1MPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST,AND ATTORNEY'$ FEES. - rebX affirm under perialty:of perjury one of following declarations: ' as caa• lahawt and will maltam 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'. 'gwpnce of the.4o,Wor which this permit is issued: Policy. No. +Tare and will matnAm 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' oompensatool IEaras carrier aril policy number are: - r1er.: a a Policy Number. Expiration Date R ifogent •a' ' Phone# Itify that, lb -the performance of the work for which this permit is issued, tshall not employ any person in any manner so as to become subject to the workers` Compensation laws of California, and agre it I should become subject to the workers' oompen$atioo-provoons of Sagilo52700 of the Lobar Code, I shall forthwith comply Win those provisions. TatureofApplicant. ereby 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 on the property owner's behalf. I have read this application and the infonmalion I have provided is correct. I agree to comply with all applicable city; and county ordinances: and state lases relating to building construction. I. authorize representatives of this city or county to enter the above-ida ' dpfojient�inspection purposes. AMON DATE l BYN. us.