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Home My WebLink AboutH2023-0368 - PermitsCity of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 h Permit Counter Phone: (949) 718-1888 U�. r newportbeachca.gov/civic c'�<reoa��P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 06/0612023 Inspection Area : 2 H2O23-0368 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 : 123 VIA ORVIETO Legal Desc : N TR 907 BLK LOT 526 TR 907 LOT 526(AND NELY1/2 LOT 527 Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: Johanna Staple Address : 2547 XANTHIA CT DENVER, CO 80238 Phone: (303) 525-5843 Applicant : DEPENDABLE GRAHAM AC Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone : (714) 546-1653 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: Front: 0, Front: 4, Side: 4, Side: 4 R-1 - Single -Unit Residential SPECIAL CONDITIONS: Contractor : DEPENDABLE GRAHAM AC Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone : (714) 546-1653 Con State Lic : 472690 Lic Expire : 04/30/2024 Bus Lic: BT01013104 Bus Lic Expire:12/31/2023 Workers' Compensation Insurance Carrier : SERVICE AMERICAN INDEMNITY CO Policy No: SAMTWC0072801 W. C. Expire: 7/1/2023 Fire Hazard Zone : NO Manufacturer : DAIKIN Model# : 5MXS48TVJU OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that ( 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. items) Section 7031-5, Business and Professions Code: Any city or county that requires a permit to constrict, alter, improve; demolish, or repair anystructure, prior fo its issuance, also requires the applicant for io permit file a igned he Is revisions of the Controctors' State License Law (Chapter 9 (conemencing th Section 7000) of n 3 of the Business and ofofeasionsCode)sor that he statement he isexemptat he or from liciefture and the bass for censed pursuant to the pthe alleged exemption. Anyviolation of Seotian'7031.5 by eM ppli0 nt fore permit subjects he applicant to a civil penalty of lot more hen five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U oil of or `) portions of the work; and the structure is not intended oroffered'for sale (Section 7044, tusiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovemnts are not intended or offered for sale. If, however, the building or improvement Is sold within one year of completi,6M the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu mess and Professions Code: the Contractors' State License Law does not rP�ly to anowner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pu uant to the Contractors' State License Law), J I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one yen prior to completion of the Improvements covered by this permit, I.cannot legally ell a structure that I have built as an o"er-builder if It has not been constructed In its entirety by licensed contractors. I under Stand that a copy of the applicable law, Section 7044 M the Business and 'rofessicns Code, Is available upon request when this. application is submitted or at the following Web sfte:http:/Iwww.leginfo. a.gov/calaw.himl- signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penalty of pequry that I am licensed under provisions of Chapter 9 (commencing with Sectio ) of D'Asion 3 of the Business and Pjpfesslo Code, end k erise in full force Ind effect. License Class License No Det Contractor Signalu .� 1m�-n ��,Is,EGt'\ YORKERS' COMPENSATION DECLARATION !ARMING: FAILURE TO SECURE WORMERS* COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CANNINAL PENALTIES AND CIVIL FIRES, UP TO ONE HUNDRED THOUSAND DOLLARS ISrSD,eOS), IN ADDITION TO 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 following declarations: I have and will maintain a. certificate of consent to self -insure for workers' compensation, issued by the Director of It ormance of the Work for which this permit is issued. Policy No. ave and will maintain workers' compense0on insurance, as required by Section 3700 of the Labor Code, for the park ran carrier and policy number are: 'ier Policy Number he of Agent certify that, in the perform ce of the work for which this permit Is issued, I shall not employ any person In any manner so If I should becomes to workers' Dom�p �lion p vsions of Section 370D of the Labor Code, I shalt forthwith c iature of Applicnt. nP hereby affirm under penalty of perjury that there is a construction lending agency for he performance of the work for which enders Name Lender's Address ly 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 this application and the Information.! he provided is correct. I agree to comply With all Applicable city and DOLjntrordinseces and state Caws relating to building construction I authorize representatives of this city or county fije"t the,#hove-oantinn prpperty for Inspection purposes. ACTION I DATE I BY Itl4iuf11 LEROFICATE OF )p7 1t` OCCUPANCYIS'SUED Ctl OF COMPLIANCE WITH CODE OF FEDEI PART61 OF TITLE 40 AND AQMD NUKE 1403 Ll I SUBMITTED ASBESTOS NOTIFICATION TO U A5R,5TOS'4Cn1Fh:ATIO1`! IS NOT APPLICABLE To PgO`OSf D DEMOU'70N SIGNATURE: Relations as provided for by Section 3700 of the Labor Code, for theworkfor which this permit Is issued. My workers' Date to become subject to the workers` oompensation laws of Calitomis. and agree Iply with those provisiena. � Date c�� --_� S permit is issued (Section 3097, Civtl ode). ONLY 'am f7—r— .