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HomeMy WebLinkAboutH2023-0585 - Permitso�rEWIPORT City of Newport Beach d Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 u i Permit Counter Phone: (949) 718-1888 a. newportbeachca.gov/civic c,G/cO R��P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 09/07/2023 Inspection Area :6 H2O23-0585 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 : 1121 EBBTIDE RD Legal Desc : N TR 2202 BILK LOT 71 Description : MECH - INSTL NEW HEAT PUMP Owner: ROBERT HSU Address : 1121 EBBTIDE RD CORONA DEL MAR, CA 92625 Phone: (949)375-0668 Applicant: ROBERT HSU Address: 1121 EBBTIDE RD CORONA DEL MAR, CA 92625 Phone: (949)375-0668 Owner/Builder : ROBERT HSU Address : 1121 EBBTIDE RD CORONA DEL MAR, CA 92625 Phone: (949)375-0668 Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups : Building Setbacks : Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: RM SPECIAL CONDITIONS: Contractor Address Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire: Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Manufacturer: MITSUBISHI Model# : SVZ-KP36NA & SUZ-KA36NA2 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 ham(s) (Section 7031.5, Business andProfessions 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 the 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 Professions 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business 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 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 rIm roved for the purpose of sale). L..f 1, 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). 1 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 iegall, sell a structure that I have built as an owner-buildor 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 Professions Code, is available upon request when this appl" Ion Is s rife or at the following Web site:http:/!waw,leginfo.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent __� Date 7/7 1.70.23 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. license Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 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' ranee carrier and policy number are: Policy Number Data is of Agent Phone ik certify that. in the performance of the work for which this. permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignalure of Applicant __�,___� _ Date�� IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of ps6ury 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 Lenders 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 I have provided is correct. I agree to comply with.. all applicable city and county ordinances and slate laws relating to building. construction. I authorize representatives of this city or county to egtw4tip above-ide^npPied property for inspection purposes. 7 , i onature of ProDBRv Owner of Authorized Poer.t 1% �ax_ -t-1"_ Print Prooarty Owner's Or AulNairn/fnri7ad Anent'S Nai rn 0� e &— •�4-5i DATE ' BY ! DECLAWITION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUTATIONS PART 610E TITLE 40 AND AQMD RULF 1403 PERMI F£XP7RED LI I 5bdM1TTFD ASBFSTOS NOTIFICATION TO PERMIT CANICELtED E[PA PERMIT£XT£ND6D (AQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSOED ' DI ( ❑ ASBEST0s N011FICATION IS NOT APPLICABLE TO °. PROPOSED DEMOLITION ! SIGNATURE: Date