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HomeMy WebLinkAboutH2023-0293 - Permits��gWPO�T City of Newport Beach 11 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqG/pppN�P newportbeachca.gov/inspections III I I I II II II II I II II II Mechanical Permit : H2O23-0293 Plan Work Class k Other 956-2021 Issued Date : 05/03/2023 Inspection Area : 3 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 : 387 VISTA BAYA Legal Dose: N TR 2609 ELK LOT 15 Description: MECH NEW HEAT PUMP & AIR HANDLER *TAMPER PROOF CAP REQ* Owner: DANIELRISCALLA Address : 387 VISTA BAYA NEWPORT BEACH, CA 92660 Phone : Applicant: AIR MAX H V A C INC Address : 3000 FLOYD ST BURBANK, CA 91504 Phone: (818)438-2209 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone : X Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Contractor : AIR MAX H V A C INC Address : 3000 FLOYD ST BURBANK, CA 91504 Phone: (818)438-2209 Con State Lie : 865274 Lie Expire : 03/31/2024 .® Bus Lie: BT30065145 Bus Lie Expire:11/30/2023 Z M Workers' Compensation Insurance Z Carrier : SECURITY+NATIONAL+INSURANCE+COMPANY Policy No: SWC1,#21 07q M W. C. Expire: 12/6/202,3 —4 Manufacturer: MITSUBISHI � Model#: mxz-3c24na2- m . � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the feason(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 applicant for the permit to filo a signed statement that he 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 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 penaity of not more than five hundred dollars ($500). ❑ 1, as owner of the property,or my employees with wages as their sole compensation, will do (_) 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 properly, 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 improved for the purpose of sale). El 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 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). El I ant exempt from licensure under the Corilractors' State 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 improvementscoveredby this permit, I cannot legally sell a structure that I hove built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that 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 W'eb site:http7fw .leginfo.ca..govlcalaw.html. Signature of Property Owner or Authorized Agent D'ts LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ision 3of the Business and Pr essi ode. and my license is in full farce and effect. License Class L€tense. No Date Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN ER1PLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG O THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR rN SECTION 3706 OF THE LABOR CODE., INTEREST, Me ATTORNEYS FEES. I 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 thI performance Of the workfor which this permit is. issued. Policy No.. and will maintain workers' compensation insurance, as required by Section A700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number of Agent Date certify that, in the perfor a4torkfforof which this permit is issued. 1. shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref L If I should becorne sub' Dcompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.nature of Applicant Date `Si.L 6itATION "t=.iA INGON LENDING AGENCY Ueby affirm underpel,aify ere is a construction lending agency for the performance of the work for which this permit Is issued (Seption 308 Cvil Code). leers Name Lender's Address 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 nave read this application and the information I have provided is correct. I agree to CmmPly with all applicable city and c my rdinanres slate laws rotating to building construction. /e// 1 ..othorize representatives of this city or coun nter the e ntiried property far Inspection purposes �� /�� A A� 3,0.,1a. e of Property Owner or At ACTION DATE. PERM1FEXP4?tD PERMIT CANCELLED PERv1ITEXTENOEO PERMIT FINAL �LI CERTIFICATE OF " OCCUPANCVISSUEO Print OF COMPLIANCE WITH CODE OF FEDEI PART fit OF TITLE 40 AND AOMD RULE 1403 5UBMITTFD ASBFSTOS NOTIFICATION TO LJ ASBESTOS NOT] FICATION 15 NOT APPLICABLE TO PROPOSED OEMOUTION SIGNATURE: Owner's Or Authorized AD I FOR OFFICE USE ONLY 2