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Home My WebLink AboutH2023-0374 - Permits��EWPpRT City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 >+R x Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Cq[/FORN�P Mechanical Permit Plan Check No: Work Class : Other Issued Date : 06/07/2023 Inspection Area : 6 H2O23-0374 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 Al. L AREAS Job Address : 619 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BLK 636 LOT 19 Description: MECH NEW A/C CONDENSOR -TAMPER RESISTANT CAP REQUIRED -TIMERS PROHIBITED ON HEAT PUMPS Owner: Chuck EBNER Address : 619 JASMINE AVE CORONA DEL MAR, CA 92625 Phone: (949)310-0556 Applicant: D L S HEATING & A/C Address: 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646 Phone: (714)231-8002 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : D L S HEATING & A/C Address : 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 926a6 Phone: (714)231-8002 Con State Lic : 584220 Lic Expire : 01/31/2024 Bus Lic: BT98040420 Bus Lic Expire:12/31/2023 Workers' Compensation Insurance Carrier : STATE FARM FIRE AND CASUALTY COMPANY Policy No: 92GOK7865 W. C. Expire: 1/6/2024 NO CONSTRUCTION NOISE ON THE WEEKEND Manufacturer: AC PRO Model# : AULD60W2/A-D(U) IMERS PR®HIBITE N MEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 he permit to file a signed statement thathe or she is licensed pursuantto the provisions of the Contrectors' State License Law (Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Imfessions 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 at more -than five hundred dollars ($500). 3 I, 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 not intended cr offered for sale (Section 1044, 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 nprovements 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 reproved 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 not rp ly to an owner cf o,operty 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 'Yin li'censure under the Contractors' State License Law for the following reason, iy ,ny signature hrinw f 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 legall, ,ell a structure ,he, I h;_va 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 of the Business and 'rrfessions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ce.govlcalaw.html. 0gnawre of Property Owner or Authorized Agent Date .ICENSED CON'i-RACTOR'S DECLARATION he.0yaffirm undei penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section �ttf the Business and Prof sions iUe a my license S 4 u11 force :r4 effect. Lidenss Class License. No Date 3 Contractor Signature YCCKERS'LOMPENSATION DECLARATION vJ—PIPS: FAILURE'.O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRSIINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SUG.000), IN ADDITION TO THE :vsrr CF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 37U8 OF THE LABOR CODE, WTEREST, AND ATTORNEY'S FEES, hereby affirm inuer aenalty of perjury one of the following declarations: r have ar,d 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 rge{am�ange;�'r11`19.work for which this permit is issued. Policy No. mBintain 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' and policy number are: Policy Number Expiration Data of Agent certify that. In the performance of the for whicfe-t�s pem 44siseue hat) not employ any person in any manner so as t0 become subject to the workers' Compensation laws of California, and agre L, if I should become suafea to the r rs' cei ; nsation previsions of S 3700 of the Labor Code I shalt forthwith comply with those provisions. l S nature of Applicant�fi Defect / CLARATION REGARDING CONSTRUCTION LENDING AGENCY �— rreby affirm under penalty of perjury that theta is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). ider's 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 prope I have read this application and the Info rmalion }have p�is I a correct I agree to comply with all applicable city and county on in sand a laws relating mlding construction. ))) I authorize representatives of this city or county tggenter a abo tdentifled prop for inspection purposes. r �e __.. __ _. „-___.... ................_. A....... // D.: . D....,o.r., n,,., '� . A„II . i rI A..e..r� un,na / f Yj V1 ACTION EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUE! DATE ( BY / I DPtCARATION OF'COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE NOTIFICATION TO E3 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: