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Home My WebLink AboutH2022-0553 - Permits��EWIPpRT City of Newport Beach p A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgt�Foft`*�P newportbeachca.gov/inspections Mechanical Permit : H2O22-0553 Plan Check No : 2306-2021 Work Class : Other Issued Date : 1010612022 Inspection Area : 6 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: 10 RIVAGE Legal Desc : N TR 15333 BLK LOT 39 Description: MECH -INSTALL (1) NEW HEAT PUMP @ ADU (2306-2021) ***TAMPER -PROOF CAP REQ'D*** Owner: JACK KLEIN Address: 10 RIVAGE NEWPORT BEACH, CA Phone: (714) 600-3719 Applicant: GOLDBAUM'SAIR/HEATING Address : 1072 B WEST 9TH ST UPLAND, CA 91786 Phone : (909) 984-2406 Owner/Builder : Address: Phone : Code Edition : 2019 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: Contractor : GOLDBAUM'S AIR/HEATING Address : 1072 B WEST 9TH ST UPLAND, CA 91786 Phone : (909) 984-2406 Con State Lie : 832367 Lie Expire : 02/29/2024 Bus Lie : BT30053286 U Bus Lie Expire:11/30/2022 ' ` Workers' Compensation Insurance Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Policy No: FLA006238 W. C. Expire : 6/30/2023 NO Manufacturer : GE APPLIANCES Model# : AUH2436ZGDA / UUY24ZGDAA OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, after. 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 pursuantto the provisions of the Contractors' Stale 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner at properly 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). ❑ 1, 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 apply 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: 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 improvementscovered by this permit, I 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:http:(lwanv.leginfo.ca.govlcalaw.html. Signature of Property Owner or 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 7000) of Division 3 of the Business and ProfessC e, an my If rise Is in full force and effect. License Class License. No Date X- \w\yIl Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LADOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: El 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 3700 of the Labor Code, for th ITT®rmance of the work for which this permit 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 work for which this permit is issued. My workers' comper iol insurancgcatger and policy number are: Policy Number Date ae of Agent rnone N 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 suhiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant )L. 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) ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to the above -identified property for inspection purposes. \ (� ianalure of Property Owner or Authorized Agent _y�� Print Property Owners or Authorized Agent's NamejC PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OE OCCUPANCY ISSUED BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGO ATIONS PART 51 OF TITLE. 40 AND AQMD RULE 1103 U I SUBMITTED ASBF,STOS NOTIFICATION TO ISNOTAPPLICABLE TO