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Home My WebLink AboutH2022-0711 - Permits¢`��WPoRr City of Newport Beach _ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r_ n Permit Counter Phone: (949) 644-3288 uw Inspection Requests Phone: (949) 644-3255 Cq��F00.N\P newportbeachca.gov/inspections Mechanical Permit : H2O22-0711 Plan Check No : 0087-2022 Work Class : Other Issued Date: 12/15/2022 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 : 226 VIA ITHACA Legal,I Description: MECH: INSTALL (2) HEAT PUMPS @ SIDE **TAMPEI Owner: Kyle Christensen Address : 226 Via Ithaca Newport Beach, CA 92663 Phone: (949)228-7263 Applicant : BRITTANY WAGONER Address : 169 N MAPLE ST, D CORONA, CA 92871 Phone: (951)732-8046 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone: Use Zone : Front: 4, Front: 10, Side: 3, Side: X R-1 - Single -Unit Residential PROCESSED BY: S SPECIAL CONDITIONS: HIGH DENSITY ZONE TIMER INSTALL PROHIBITED Address' Phone Con State Lic Expire Bus Lic: Bus Lic E Workers' Carrier: '.. Policy. No W. C..Exp 727 SWLY 5 FT THEREOF(AND NE LY 30 FT '.PROHIBITED *** (X2022-0075) R C AIR CONDITIONING & HEATING INC 169 N MAPLE ST STE D CORONA, CA 92880 _Is: 657924. 06/30/2023 BT30066849 pire:04/30/2023 'ompensation Insurance STATE COMPENSATION INSURANCE FUND /4 23 Manufacturer: AC PRO Model# : AULD36W2/A-D(U) m® mao Q® I hereby affirm under penalty of perjury that t 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 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 s permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors State License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption, Any violat€on of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than rive hundred dollars ($500). Z 1, 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 or offered for sale (Section 7044, lusiness and Professions Code: The Contracters' 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 nprovements are not intended or offered for sale. ff. 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 nproved 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 ly 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' State License Law for the following reason: ly my signature below I. acknowledge that, except for my personal residence in which I must have rozided for at least one year prior to completion of the improvements covered by this permit, I cannot legal]) ell a structure that I have bunt 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 Irofessions Code, isavailable upon request when this application is submitted or at the following Web site:http:liw .leginfo.ca.govfcalaw.htmi.. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of D' ision f the Business and t'ro _ = s Cade n y I' arise is in full force ,nd affect. License Class License No Contractor Signaiu v VORKERS' COMPENSA'ft.ON DECLARATION rARNING: FA&.URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S4Q0,000), IN ADDIMON TO THE OAT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and Will maintain a cpArticate of consent to self -insure for workers' compensation, issued by the Director of Indus Vial Relations as provided for by Section 3700 of the Labor Code, forth erformance of the work for which this perm@ is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is issued. My workers' rance carrier and policy number are: of Agent Policy Number Expiration Date _--_ -..... Phone # 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 suit to the work mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of Date t7,Z-'[ !�� DECLARATION REGARDING CONSTRUCTION LENDING AGENCY € 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 Cade). Lenders Name Lender's Address By my signature below, i certify to each of the fotfovlingc - I am the p lope owner or authorized to act on the property owner's behalf. I have At TA9 application and the infonnation I have provided is correct, • •:agree to,pomily with all applicable city and county ordinances and state laws relating to building construction. • • • 1'authorite representatives of this city Or county to enter the Oho ide tifiad edy for inspection purposes.. • i wture of PTOLe4 Owner orAuthofized n Print Property Owner's or Authorized A eM's Name ACTION DATE j BY DECLARATION OF COMPLIANCE SMITH CODE OF FEDEI •• `• •••••. 4i REGULATIONS PART 61 OF TITLE AO AND AQMD RULE ` " • • 1403 `•'i•!FRMiTEXDit: R' •. �{� I SUB MMED ASBESTOS NOTIFICATION TO i`: 'Pk�'iMIT EXTENDED qMp PtRtM)T FtAAE •U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO s • £,(RTiF(CAZE aE • ii/I ,�t PROPOSED DEMOLITION •• OCCUPANtt tSSL'E9 t f! W % Vr-aaTI[Or,