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Home My WebLink AboutH2023-0092 - PermitsO��EWPOQT City of Newport Beach I- d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgGiFppN�P newportheachca.gov/inspections III I I I II I III II II II II I I II Mechanical Permit : H2023-UU92 Plan Work Class k Other 2120-2021 Issued Date : 02108/2023 Inspection Area : 2 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: 1821 TAHUNA TER Legal Desc : N TR 2813 BLK LOT 107 Description: MECH 2 NEW HEAT PUMPS *TAMPER PROOF CAP REQ* Owner: WILLIAM RIGHEIMER Address : 1821 TAHUNA TER CORONA DEL MAR, CA 92625 Phone: Applicant: FOLGER HEATING & AIR INC Address : 8842 LUSS DR HUNTINGTON BEACH, CA 92646 Phone: (714)334-4433 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential cz PROCESSED BY: 1, SPECIAL CONDITIONS: Fire Hazard Zone : NO r41 Contractor : FOLGER HEATING & AIR INC Address : 8842 LUSS DR HUNTINGTON BEACH, CA 92646 Phone : (714) 334-4433 Con State Lic: 763312 Lic Expire : 04/30/2024 Bus Lic: BT30047641 Bus Lic Expire:06/30/2023 Workers' Compensation Insurance Carrier: CLEAR SPRING Policy No: CWC00194500 W. C. Expire: 10/1/2023 Manufacturer: AC PRO Model# : AULD360 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reascn(s) indicated below by the checkmark(s) I have placed next to the applicable itemts) >ection 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 Id permit to file a signed statement that ho or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing With Section 7000) of Division 3 of the Business and rofesslons 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 of more than five hundred dollars ($500).. 7 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 or offered for sale (Section 7044, usiness 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 irprovements 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 nproved for the purpose of sale). 11. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not poly 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 I am exempt from licensure under the Contractors' State License Law for the following reasom. ly 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, 1 Cannot legallt ell a structure that I have built as on owner -builder if it has not been constructed to its entirety by licensed contractors. I understand that a copy of the applicable Saw, Section 7044 of the Business and rofessions Code, is available upon request when this applications submittedor at the following Web site:http:/Iw .leginfo.ca..gov/calaw.html. signature of Property Owner or Authorized Agent Date tCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 of the Business and Pr f is ode, and my ns in full force nd effect. License Class License No Date ^ Contractor Signature VORKERS' COMPENSATION DECLARATION x 'ARNING: 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 IE00,000i, IN ADDITION TO THE DST OF CCMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, ANO ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 grformance 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 is of Agent _ Date 11 certify that. in Isla partor ce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject fo the workers' compensation laws of California, and agre ,sr, If I s• lould bee.omE : uJ6ja to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalu a of Applicant // DatX1 'c'CLiI"TfON RE43490ING CONSTRUCTION LENDING AGENCY h^,reb,, affirm uri penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enuer's Name Lenders Address y 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 thi< application and the iaformalion I have provided is correct, € ag-ee to comply with all applicable city and,cou ordinances and state laws relating to building construction. I authorize leoresel,tatives of this city I: coup=r the abovg-identified property for inspection purposes. of PmDefty Owner or Au ACTION PERMIT FXPiRfO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OFTITLF 40 AND AOMD RULE I SDRMITTED ASRESTOS NOTIFICATION TO ' SIGNATURE: EON 15 NOr APPLICABLE TO PROPOSED DEMOLITION Owner's FOR OFFICE USE ONLY Z