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Home My WebLink AboutH2023-0077 - Permits�Ewao"� City of Newport Beach e 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 cq�.rtoaN'P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date: 02/02/2023 Inspection Area : 4 H2O23-0077 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 : 305 AVENIDA CERRITOS Legal Desc : N TR 5435 BLK LOT .35.TR 5435 (L.L.84-214024) PAR 35 Description: MFR - (1) ROOF -MOUNTED HEAT PUMP *TAMPER -PROOF CAPS AS.REQ'D &TIMER PROHIBITED Owner: STEVEN SHORT Address : 1078 ARBOR GROVE CT CHESTERFIELD, MO 63005 Phone : Applicant: SOLSTICE HEATING & A/C Address: 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone : (949) 573-3607 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: P SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : SOLSTICE HEATING & A/C Address : 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone : (949) 573-3607 Con State Lie : 938888 Lie Expire : 10/31/2023 Bus Lie: BT30041721 Bus Lie Expire:02/28/2023 _ - Workers' Compensation Insurance Carrier : SECURITY NATIONAL INS CO Policy No: SWC1376785 W. C. Expire: 3/19/2023 Manufacturer: AC PRO Model# : AUD36W/A-D(U) "IMER PROHIBITED ON HEAT PUMPS 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 apermit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for io permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3.of the Business and 'rofessions Code) or that he or she is exempt from iieansure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora. permit subjects the applicantto a civil penalty of otMore than Five hundred dollars (S500). 31, as owner of the property, or my employees with wages as their solo compensation, will do U all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, rosiness 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 riprovements are not intended or offered for sale. If, however, file 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 n roved for the purpose of Sala). 1, as owner of the property, am Exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License law does not Iy 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: ty my signature below t 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 legally oil a structure that I have built as an owner -builder if It has not boon constructed in its entirety by licensed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:tittp://www:leginfo.ca.govlsalaw.html, signature of Property Owner or Authorized Agent Data ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 70OG of Division 3of the Business and Profess ns Code, d rtty license is in full force :nd effect, License Class License No Date. " 2 f Z Contractor Signature VORKERS' COMPENSATION DECLARATION 1ARNING: 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 HL100,000), IN. ADDITION TO THE ofn OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION XMS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under pen^Ity 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 3700 of the Labor Code, for th, e, formanoe of thw wo,k tjr which this permit is issued. Policy. No. have Ind will m^intein 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` ranee carrier and policy number are: is of Agent __ certify that, in ti,cpl , If I should beco�7e 9f Policy Number Date Ice of the rk for which this permit is issuad, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, to the vier rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. i Data -2 F01 ARATION RILGARUINWONSTR TI LENDING AGENCY hareby afirm un,ler paaalty 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), enders 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 property owner's behalf. I have read thisapplication and the information i have provided is cormcL I agree to comply with all applicable city and coin y ordinancee$ and state laws relating to building construction. I authorize representatives of this city or cauniy tp enter the wgpve-identified property for inspection purposes j ACTION DATE NY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 0GULKtIONS PART" 51 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED QMD PERMITfINAL % �y �� - ASBESTO5NOTWILATPN 15 NOT APPLICABLE TO SUSMTURE.