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HomeMy WebLinkAboutH2023-0223 - Permitsaa�WPo�' City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u sae. Inspection Requests Phone: (949) 644-3255 °gtiFoa"�p newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 04/0312023 Inspection Area : 1 H2O23-0223 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 : 3706 PARK LN Description : MECH (2) NEW HEAT PUMPS, - Owner: NEIL WOODALL Address : 3706 PARK LN NEWPORT BEACH, CA 92663 Phone: Applicant: BEST QUALITY HEATING & AIR INC Address : 130 A E COLLINS AVE ORANGE, CA 92867 Phone: (714)759-0167 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY : SPECIAL CONDITIONS: Legal Desc : P BK 51 PG 3 PAR 1 *TAMPER PROOF CAP REQ* Contractor : BEST QUALITY HEATING & AIR INC Address : 130 A E COLLINS AVE ORANGE, CA 92867 Phone : (714) 759-0167 Con State Lic : 949468 Lic Expire : 06/30/2024 Bus Lic: BT30060260 Bus Lic Expire:08/30/2023 Workers' Compensation Insurance Carrier : STATE FARM FIRE & CASUALTY CO Policy No: 92J5K8342 W. C. Expire: 10/15/2023 Fire Hazard Zone : NO Manufacturer Model# : C'_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasoT(s) indicated below by the checkmark(s) I have placed next to the applicable. Items) (Section T031.5, 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 the permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3.o£ 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their FOR compensation, will do [_) all of or (_) portions of the work., and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code The Contractors' State License Law does not apply t0 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 ErIm 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 noL apply to an owner of property whe 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 Neensure 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.Gannet legal sell a structure Ina[ 1 have built as an owner -builder If It has not been constructed In itsentirety 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 application Is submitted or at the following Web site:httpa,'www'.leginfo.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent _ 1 1)24 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Cha t r 9 (comrr�i cing with Section 0) o Division 3 of the Business and PV4�s'_ns e, and my license is in full force and effect. License Class License No U C Date Contractor Signatu WORKERS' COMPENSATION DECLARATION ING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINjh_ PENAUnES AND CIVIL FINES UP TO ONE HUNORE THOU$AN0 DOLLARS ($100.000), IN ADDITION OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE., INTEREST, ANO ATTORNEY'S FEES. f hereby affirm under penalty of perjury one of the following declaratiaas: I have and will maintain a. certificate of consentto self -insure for Workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Te of Agent certify the(, in the pert e of it I should bee e s act to t lature of Applican Policy Number Expiration Date Phone # this permit is Issued. I shall not employ any person in any manner so as to become subject to the workers' alion provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. areby affirm under p nalt pe thaC re is a construction lending agency for the performance of the. work for which this permit is issued (Section 3097. )ders Name _ Lender's. Address my signature below, III o each of the followi4p] I am the property owner or authorized to sot on ner`s b BIC I have read this application and the informationis torte 1. I agree to comply with all applicable city and Dshe laws relating to bwlding.. construction.�iI authorize representatives of this city c coujlt.ve-i titled property for inspection purposes. f V laws of California, and %L-;-2GZ3 ACTION DATE BY / vI . . R ION Cl7MPLIANCEN{ITH CODE OF FEDERAL FOR OFFICE USE ONLY �%tl\ RE TI PART ES OFTITLE40ANDAQMD RULE /N!� n PERMITEXPNED { LPSUBMITTED ASRF_STOS NOTIFICATION TO CEPA T PERMITCANCELL£D PERMIT EXTENDED ( 61-� iACMD P£RMLT'F1NAL _ �D _ p59ESY0S NOTIFICATION 15 NOT A7pLICAHLE 7U CERTIFICATE OF !7' PROPOSED DEMOLITION OCCUPANCY ISSUED 11@ SIGPE: