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HomeMy WebLinkAboutH2023-0574 - Permits4�EWvoRT City of Newport Beach D l Community Development Department - Building Division y = 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 U i newportbeachca.gov/civic cq<�FOPN,P Mechanical Permit ....... Plan Check o Work Class : Other Issued Date : 08131/2023 Inspection Area : 2 H2O23-0574 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 : 126 VIA ORVIETO Legal Desc : N TR 907 BLK LOT 84 Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: FREIDSON MAURY TR Address : 126 VIA ORVIETO NEWPORT BEACH, CA 92663 Phone : (714) 742-1839 Applicant: COMMAND AIR CORP Address : 18259 MOUNT BALDY CIRCLE FOUNTAIN VALLEY, CA 92708 Phone: (714)952-3900 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone NO Type of Construction Occupancy Groups: Building Setbacks : Front: 1.5, Front: 4, Front: 0, Side: 3 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : COMMAND AIR CORP Address : 18259 MOUNT BALDY CIRCLE FOUNTAIN VALLEY, CA 92708 Phone: (714)952-3900 Con State Lic : 942279 Lic Expire : 01/31/2024 Bus Lic: BT30077640 Bus Lic Expire:01131/2024 Workers' Compensation Insurance Carrier : NORGUARD INS CO Policy No : COWC473961 W. C. Expire: 5/4/2024 Manufacturer: MITSUBISHI Model#: MSZ-WR12NA ; aa9u OWNER -BUILDER DECLARATION t 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 applicable Item(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, prior to its Issuance, also requires the appi cant. for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter B (commencing. with Section 7000) of Division 3 of the Business and ''rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code i he. ContractorsState License Law does not apply to an owner of property who, through employees' or persona( effort, builds or improves the properly, provided that the nprovements 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 npowad for the purpose of sale). I, as owner of (he property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fy 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. Iy my signature haloes I acknowledge that, except for my personal residence in which I must hav¢ resided for at least on¢year prior to completion of the improvements eov©red by this permit, I cannot legal) oil IT Structure trial I have built as an owner -budder 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 'rofessions Code, Is available upon request when this application Is submitted or at the following Web site:hitp;%fwww.leginfo.ca.gov/calaw,html. �Ignaturo Of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty Of perjury )hut i am licensed under provisions of Chapter g (commencing with Section QO) ¢gi 'sion 3 of the Business and Pr as s Code, and can is in full {once. no effect. License Class License No Date _5 -2 3 Contractor Sionatu /� WORKERS' COMPENSATION DECLARATION r — NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRWINAL PENALTIES AND CIVIL PINES UP TO ONE HUND ED THOUSAND DOLLARS (S1DUvOO), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3796 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES, hereby affirm under penalty of perjury one of the following deciaratens: © 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 Ih performance of the work for which this permit is issued. Policy No. 91.4ave 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' compensaiiol insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 71 certify that, in the peormance of the work for which this fe It is issued I strait not employ any person in any manner so as to become subject to the workers` compensation laws of California, and agia hat, if I should becom Z_�TR workers' m nsabo rovlsfans of Section 3700 of the Labor Code, I Shall forthwith comply with those provisions. /� 3lgnalura of Applicant , Datxlvl K'3f'DECLARATION R6GA_ TIO LE N ING AGENCY hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097,de). _enders Name Lender's Address 3y my signature below, i cenity to each of the followflag: ��� ��� "—' t am the property owner or authorized to act on the property owner's behalf, I have read this appucation and the information I have provided is correct. I agree to comply with all applicable city and coal try ordinances and state laws relating to building construction. I authorize representatives of this city or countt en the above -!de 'led pe fpr Inspection purposes. d �j a Signature of Property Owner or AL the z_r,d Avant _ Print Propertyflwnsr's or Authorized A ent's Name Ivy / ,SG�CD G;VQ5pe_ ate 3113 ACTION DATE BY LARATf N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY HE LATION5 PART fit OF TIYLE 40 AND ADMIT PULP E 11408 P£RMrT lXPIRW oLJ I SUBMITTED ASPFSTOS NOT]FICATION TO PERMITCANCELLED [ LPA P£Rlv71T EXTEA"DED y �� _4--t-�pr�MQ -- P£MI RTFINAL 3 LJ AgR@}T415 NOTIHCAt ION 19 NOTAPPUCAk1LE TO CERTIHCATE OF / ✓ t � � PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: