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HomeMy WebLinkAboutH2024-0063 - PermitsQ ��WPbRT City of Newport Beach O .i. Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic c9(rcORN�P Mechanical Permit Plan Check No : Work Class : Alteration Issued Date : Inspection Area : 6 H2O24-0063 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: 8 PAVONA Legal Desc : N TR 15337 BLK LOT 13 Description: MECH R/R HEAT PUMP AND AHU IN ATTIC* TAMPER RESISTANT CAP REQUIRED *TIMERS PROHIBITED ON HEAT PUMPS Owner: GILDENHUYS ERIC W H TR Address : 8 PAVONA NEWPORT COAST, CA 92657 Phone: (949)466-5463 Applicant: RABECCA JOHNSTON Address : 4370 PALM, D250 SAN DIEGO, CA 92154 Phone: (714)804-8886 Owner/Builder; Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: 4�1 SPECIAL CONDITIONS: Fire Hazard Zone Contractor : ALISO AIR INC Address : 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone : (949) 589-2021 Con State Lic : 526420 Lic Expire: 03/31/2024 Bus Lic: BT30019236 Bus Lic Expire:02/28/2024 Workers' Compensation Insurance Carrier : LIBERTY MUTUAL INSURANCE COMPANY Policy No : WC2Z61036218093 W. C. Expire: 7/1/2024 " YES Manufacturer: CARRIER Model#: 38 MURA TIMERS PROHIBITED �( )IV HEAT PUMPS OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below, by the checkmarkjs) I have placed next to the applicable Items) >Rction 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 Ie permit to file a signed statement thathe or she Is licensod pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofesslons Code) or that he or she is exempt from lbensure and the basis for the alleged exemption. Anyvlolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 11. as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ushi 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 theproperty, provided that the nprovaments 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 ntproved forthe purpose of sale). „r I, as owner of [be property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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 Lave).. 3 1 am exempt from licensors under the Contractors' State License Law for the following reason. y 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 all a structure that I have built ns an owner -builder if it has not been constructed In itsentirely by licensed contractors. I understand that a copy of the applicable law, $action 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http./lwww.leginfo.ce.gov)calaw.html. signature of Property Owner or Authorized Agent v .Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License. No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SEC' IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS dAD0,000), IN ADDRION TO THE CST OF COMPENSAT: DJ, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'$ FEES, ne,eby 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 th .rfcrmence of the work for which this permit is issued. Policy No. 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' .ancu carrier and policy number are: Policy Number of Agent Date cull, 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 , if) should b^:corn.e Lubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provislons. lature of AppliCini _-_------ uare! ;.,:RATION RE(I11ARFANG CONSTRUCTION LENDING AGENCY )reby 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). ider's Name _ Lender's Address my signature below, cardlfy to each of tha 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,. I 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 -identified property for inspection purposes. „on,..o ,.f o.,,. h, n... no. nr 6,U6nrivod nnrsni Print Prooertv Owner's or Authorized AGent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ] FOR OFFICE USE ONLY t REGULATIONS PART 61 OFTITLE 40 AND AOMD RLRF 1403 pEki"T lxPIRPD I I AI LI I Si1BMITFFD ASBESTOS NOTIFICATION TO PERA11T EXTENDED OCCUPANCY �S(iED` Wv 5Py GNATUR DEMOLITION lON 15 NOT APPLICABLE 70