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HomeMy WebLinkAboutH2023-0646 - Permits(tu;4,�Z. POCity of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 nPermit Counter Phone: (949) 718-1888 snewportbeachca.gov/civic RN III i l l l l l III I Mechanical Permit : H2O23-0646 Plan Check No : 1798-2019 Work Class : Other Issued Date : 101061�023 Inspection Area : �' 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 : 1022 WEST WIND WAY Legal Desc : N TR 4224 BLK LOT 184 Description: MECH INSTALL 2 HEAT PUMPS AT SIDES "*TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED"" (X2019-2523) Owner: RONNI LEVINSON Contractor : THOMSON AIR CONDITIONING Address: 1902 SUVA CIR COSTA MESA, CA 92626 Address : 21205 JUAN AVE UNIT A HAWAIIAN GARDENS, CA 90716 Phone : Phone : (562) 201-3014 Con State Lie: 959811 Applicant: SAUL MARTINEZ Address: 2075 N SHAFFER ST ORANGE, CA 92865 Phone: (714)998-7879 Owner/Builder : Address Phone : 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: SPECIAL CONDITIONS: Lie Expire : 04Y3O/2025 Bus Lie : BT30081704 Bus Lie Expire:05/31/2024 Workers' Compensation Insurance Carrier : A'I U INSURANCE COMPANY Policy No: WC038366940 W. C. Expire: 7/1/20234 Manufacturer: DAIKIN Model# : RXS048TAVJU TIMERS PROHIBITED ON HEAT PUMPS. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1: am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) Ihave placed next to the applicable item(s) (Section 7031 S, 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 licensors 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 (5500). ❑ 1, as owner of the property, or my employees with wages astheir sole compensation, will do U all of or U portions of the work, and ilia structure is not intended 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 employeesor 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 improved for the purpose of sale). '❑ 1, as owner of the property. am exclusively contracting with licensed Contractors to construct Ilia 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). ❑ I am exempt from licensore under the Contractors' State License Lew 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 legally 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, Section 7044 Dither Business and :Professions Code, is available upon request when this application is submitted or at the following Web site:http:/iwviv.leginfo.ca.govlcalaw.htm). - ISignature, of Property Owneror Authorized Agent.__._.___......_ ...... Date.. .LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 7000) cf Dvilsion 3 of the Business and Profe/ssiand my license is in full force and effect. License Class License No Dale, Contractor Signature `' L '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 OOLLARS i3100,000n, IN AUDITION TO THE `COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1106 OF THE LABOR CODE., INTEREST. AND ATTORNEY'S FEES. �I hereby affirm under penalry of perjury one of the following declarations: I❑ I have and will maintain R certi@cato 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 thr 'Iperformance of live work for which this permit is issued. Policy No. qI 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' compensatiol insurance canter and policy number are. Carrier Policy Number Expiration Date Name of Agent .___Phone # ❑I 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 agre that, if I should become subject to the ers compensa n provisions of Section 3700 of the Labor Code, I shall furlh miith comply with those provisions. /� J Signature or Applicant . „ _, _„ _ _ Data DECLARATION REGARDING 1ST UCTION LENDING AGENCY��� I hereby affirm under penally 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). Lender's 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 property owner's behalf. I have read this application and the information I have provided is correct. agree to comply with all applicable city and county ordinances and state laws relating to building. construction. / I authorize representatives of this city or county to enter the above-' 067 property for inspection purposes. C .�I j Signature of PropertyOwner or Authonzed Agent Print Propertythorized A cn Owner's or Aut's Name /`-s I Date UUU L ACTION DATE RV OCCLARATIO ECOMPLIANCEVd1TtI CODE OF FEDERAL FOR OFFICE USE ONLY RFGtII.ATIONS PART 61 OF TITI.f 40 AND AQMD RUIE ED P'. i,M1T EX rFNOFO I — -- ...... AQMD PCAMwTFINni .I..1� 3 P 1 01 ❑aSREE OS NOTIFICATION 4S NOT APPLICABLE 70 C FTr�CrItC OF � vTO705FD DEMOLITION 01CUP01CYI.-SU 0 SIGNATURE: