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HomeMy WebLinkAboutH2022-0647 - PermitsQ ��WPOaT City of Newport Beach p S Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq<rF00.N�� newportbeachca.gov/inspections Mechanical Permit : H2022-0647 Plan Check No : 1431-2022 Work Class : Other Issued Date : 11/15/2022 Inspection Area : 4 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 : 1936 PORT WEYBRIDGE PL Legal Desc : N TR 6623 BLK LOT 98 Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: ALLEN MCMURTRAY Address : 1936 PORT WEYBRIDGE PL NEWPORT BEACH, CA 92660 Phone: Applicant: DPL AIR CONDITIONING INC Address: 4540 VIA BELLA VISTA YORBA LINDA, CA 92886 Phone: (714)609-9795 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 18, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Harbor View Hills Fire Hazard Zone : NO PROCESSED BY: 71w� - SPECIAL CONDITIONS: i� j 9 0 Contractor : DPL AIR CONDITIONING INC Address : . "40 VIA BELLA VISTA YORBA LINDA, CA 92886 Phone: (714)609-9795 Con State Lie : 801191 Lie Expire: 01/31/2024 Bus Lie: BT30056884 Bus Lie Expire:10/31/2023 Workers' Compensation Insurance Carrier : NORGUARD 4@ Policy No DPWC283804 W. C. Expire: 7/20/2023 Manufacturer: FUJITSU Model#: AMUG36LMAS OWNER -BUILDER DECLARATION I hereby affirm under penally 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 items) (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 file 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 penalty Of not more than five hundred dollars. ($500). ❑ I, as owner of the property,. Or my employees with wages as their sole compensation, will do (_) ail of or L) 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 yearof completion, the Owner -Builder will have the burden of proving that it was not built or Iimm roved for the purpose of sale). l..l I, 'a 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 no[ 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). ❑ am exempt frcm I+censure under the Contractors' State License Law for the following reason: By my signature bDiow acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, Icannot legal) sell a structure that I have built as. an owner -builder if it has not been constructed In its entirety by licensed Contractors. I understand that a copy of the applicable law, Se ton 7044 of the Business and Professions Coda, is available upon requestwhen this application Is submitted crat the following Web site:tittp:flwww.leginfo.ca..govlcalaw.html. Signature of Property Owner or Authorized Agent .Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of `v' ' of the Business and P f dons Code an license is in full force and effect. License Class License No Date I ( Contractor Signatu e WORKERS' COMPENSATION DECLARATION WARNING: 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 (3700,000), IN ADDmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penally of perjury one of the following declarations: © I have and will maintain a certificate of consent to salf-Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN pe ormance of the work for which this permit is Issued. Policy No, ave and will maintain workers' compensation insurance, asrequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is !saved. My workers' compensatio ' isuranoe carrier and policy number are; Carrier Policy Number Expiration Date Name of Agent Phone 0 �I certify that, in the rf mane of e w or which this permit is issued'.. I. shall not employ any person in any manner so as to become subject to the works ' compens von la s of California, and ogre that, If I should beco. a bjecf to the Dr r compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. / �/7 Signature of Applicant_ _ _,,.,, Dot ! �5 v DECLARATION REGA DING N RUCTI LENDING AGENCY I hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued'. (Section 309 Civi Code). Lenders Name _Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the prop owner's e If. I have read this application and the Information I hav roved d Is c L p I authorizerepresentativeslitofthiscit City county ool mer the b vn-I s ndfied property to bonding. construction. relatingte laws S for inspection purposes. ,.,-_ 1._- __ � Y r,. __1 ,/ / Print Prooertv Owner's or Authorized Agent's Name VI Da �I S ACTION I REG DATE BY DEC TION OF COMPLIANCE WITFICODE OF FEDERAL FOR OFFICE USE ONLY I UI.A ONS PART BI OFTITLE 40 AND, RULE PkfLVNT EXPIRED El I 1403 SUBMITTED ASBESTOS NOTIFICATION TO rpcoll E.RNrIT EXTENDED e "'L' ,_ R�1TFLNAL I ASBESTOSNOTIFICATION 15NOT APPLICABLE 10RTIFICATE pf 1 �iFfiOPOSED AEMOLiTlON CCUPANCY f55UED SIGNATURE: