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HomeMy WebLinkAboutH2022-0629 - PermitsaE,WPORT City of Newport Beach III I I I II I II I II II II I it l II o� Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Ua� r Inspection Requests Phone: (949) 644-3255 ob<rFOA�`�. newportbeachca.gov/inspections Mechanical Permit : H2O22-0629 Plan Check No: 1934-2021 Work Class : Other Issued Date : 11/07/2022 Inspection Area : 4 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 : 1980 PORT RAMSGATE PL Legal Dose : N TR 6624 BILK LOT 72 Description: MECH (1) NEW HEAT PUMP & (1) A/C UNIT, C/O FURNACE, AIR HANDLER AND DUCT WORK *TAMPER PROOF CAP REO* Owner: RHODES PAUL MICHAEL TR - Address : 1980 PORT RAMSGATE PL NEWPORT BEACH, CA 92660 Phone: Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address Phone : Code Edition : Type of Construction r Occupancy Groups: Building Setbacks Flood Zone Use Zone: 2019 Front: 18, Side: 5, Side: 5, Rear: 10 X PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : TRUE HOME HEATING A/C Address : 4 FARADAY IRVINE, CA 92618 Phone: (949) 382-6337 Con State Lie Lie Expire : : 1025397 04/30/2023 Bus Lie: BT30064629 Bus Lie Expire:10/31/2022 Workers' Compensation Insurance Carrier : TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No: UB9S6828382126G W. C. Expire: 12/1/2022 Manufacturer Model# : TIMERS PROHIBITED ON HEAT pUMPs I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the cheolimark(s) I have placed next to the applicable items) ;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 :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or sheis exempt from iicensure and the basiss for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of Lot morethan five hundred dollars ($500). I, as ariner of the property, or my employees with wages as their sale compensation, Will do U all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044, 3usiness and professions Code: The Contractom' State License Law does not apply to an owner of property who, through employers' or personal effort, builds or Improves the property, provided that the mprovements 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 5m roved 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 5ly 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), 1 am exempt from licensure under the Contractors' State License Law for the following reason _ 3y 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 legalh Zell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and Jrofessions Code, is available upon request when this application Is submitted or at the following Web site:http:/Iw .leglnfo.ca.:gov/calaw.htmi. 3ignaftraof 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 Sect o 00) of iv1 Ion 3 of the Business and Pr o. ode, and in full force ind effect. License Class License No Date (( �2— Contractor Sign re. VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TD THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the toflowing declarations: -1 1 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, 5ormance of the work for which this permit is issued. Policy ND and will maintain workers' compansation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent phnnn k i certify that, in the performance of the wcr which this permit is issued; I shall not employ any person in any manner so as to become subject 4o the workers' ompensatfon Taws of CBlifomia., and ogre Tat, li I should become su eat to this Wallkills' compensat' ens of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. ignature of APPlicanl,_ ..,L/ Date In ? ZZ ,ECLARATION REGAR N yt It; R ON SENDING AGENCY hereby affirm under Per aY a� that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). anders Name Lender's Address ing: y my signature beG v, I Certify to each of the follow I am the property owner or authorized to act on the property 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 cou ordhtance9-and-* �..�aws relating to building construction. � y/' p I authorize representatives of this clty or county t filar the identified property for inspection purposes. �'el ^ r,�/„ / a /1 r r/ n�� .,.fin. . Cl..�.�..a ......._ n -,_ ., .. _. _. DATE PERMIT CANCELLED PERMIT Ek7EN0ED PERMYICATEOE CER7LKICA7E OCCUPANCY ISSUED OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE. 40 AND A[1JviD RULE TO ASBESTOS NCITIFICATIGN 15 NOT APPLICABLE TO PROPOSED DEMOLITION