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HomeMy WebLinkAboutH2023-0355 - Permits�lEWPO,PT City of Newport Beach III II I II I III II D e Community Development Department - Building Division }' 100 Civic Center Drive, Newport Beach, CA 92660 P Permit Counter Phone: (949) 718-1888 u fie.. S newportbeachca.gov/civic CAI Mechanical Permit : H2O23-0355 Plan Check No: PC2023-0398 Work Class : Other Issued Date : 0513112023 Inspection Area : 8 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: 1901 MARINERS DR Legal Desc : N TR 1896 BILK LOT 82 Description: MECH INSTALL HEAT PUMP AT SIDE ""'TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED` (XR2023-0480) Owner: JEFFREY Steven FELGNER Contractor : SOUTHWEST HVAC INC Address: 1901 MARINERS DR NEWPORT BEACH, CA 92660 Address : 11255 WOODRUFF AVENUE #4 DOWNEY, CA 90241 Phone: (949)478-2437 Phone: (562)425-4822 Con State Lic : 932164 Applicant: ANTONIO ORDAZ Address: 11255 WOODRUFF DOWNEY, CA 90241 Phone: (562)418-8763 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential Fire Hazard Zone : NO Lic Expire : 05/31/2025 Bus Lic: BT30068540 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier : ACE AMERICAN INSURANCE COMPANY Policy No: WLRC52086115 W. C. Expire: 3/1/2024 PROCESSED BY: J TIMERS PROHIBITED SPECIAL CONDITIONS: REF H2O23-0353 ON HEAT PUMPS Manufacturer: DAIKIN Model#: 2YXS18NMVJU OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(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, pdorto its Issuance, also requires the applicant for the permit to file a signed statement thathe or she is licensed pursuant le 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 licansure and the basis for the alleged exemption. Anyviolation of Section 7031.5 by any applicant fore permitsubjectsthe 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 L) portions of the work; and the structure is not intended oroffered for sale (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to on 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 rl-m-roved for the purpose of sale). 1_J 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 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' Slate 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 legail, sell a structure that I have built as an owner -builder If it has not been constructod In its entirely by licensed contractors. I understand that 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://www.leginto.ca.gov/calaw.htmi. 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 C ap r 8 (c mmeneIng with Section 7 p) of Division 3 of the Business and Professions Co Irlieense is in full force and effect License Class G - 2 Ci License.No Z r (rj 7 Date - - 9 Contractor Signature / WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNa. FINES UP TO ONE HUNDRED THOUSAND 001.6RS (E10U,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, WTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance 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' compensatiot Rance carrier and policy number are: nor. AC—AME(?-1CA0 ;V0 Policy Number_ L-0).2 C.,510 96// Is Expiration Dale ^eq/ no of Agent Phone # certify that, in the performance of the work for whic Is p9i is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree It I should become subject to the workers' co/mp Slip rovisions of Section 3700 of the Labor Code. I shalt forthwith complywith those provisions. lature of Applicant / �- Date_ e� --3 ;I.ARATION REGARDING CONSTRUCTION _ NG AArNCY hereby affirm under penalty of perjury that theirs is a onruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), ender's Name Lenders Address y mysignature 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 appication and the information I have provided Is cofirect. I agree to comply with all applicable city and county ordinanGas �(as. laws relating to building construction. I authorize representatives of this city or county to enter the li6vpyd filled property for inspection purposes. ignature of Prpperty Owner or Authorized Agent %l . _ _ Print Property Owner's or -Authorized AcenCs Name Q A%, . AC'.ICN I DATE BY DECLARATION OF C PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REOULATI NSP T 61 OF TITLE 40 AND. AQMb RULE l 1403 PEdMri 44PIREO U I SUBMITTED ASBESTOS NOTI FICATION TO PERMR CANCELLEL/ MEPA PERMIT EXTENDEDL1AQMD '�/ I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION PE.TM'T F1r'AL CERTIFICATE Or 0(CUPHN(YISSUED SIGNATURE: 3