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HomeMy WebLinkAboutH2022-0610 - Permits��,E`wPORr City of Newport Beach d Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9</FOPN`p newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 11/01/2022 Inspection Area : 6 H2O22-0610 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 : 88 WHITE CAP LN Description: MECH - R/R A/C CONDENSER & FAU. LIKE Owner: NEWPORT RIDGE APTS LLC Address : 1 WHITE CAP LN NEWPORT BEACH, CA 92658 Phone: Applicant: AMTECH HEATING & AIR INC Address : 17751 SKY PARK CIR, STE F IRVINE, CA 92614' ' Phone: (800)882-3019 Owner/Builder : Address Phone Code Edition : 2019 Fire Hazard Zone : , NO Type of Construction Occupancy Groups: Building Setbacks Flood Zone: Use Zone: PROCESSED BY: X PC - Newport Ridge SPECIAL CONDITIONS: LOT 3, FOR. OF LOT. 17751 SIR] 3 & AIR INC CIR, STE F IRVINE, CA 92614 INS CO OWNER -BUILDER DECLARATION I hereby afNrm :under penally of pequry that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have:: placed nextAo the applicable Item(s) (Section 703t .5, Business and Professions Cade: Any city or county that requires a -permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicantfor the permit to,fiiea-:signed statement that ha.or she is licensed pursuant tothe provisionsof the:Gontraclors' State license Low (Chapter s (commenting 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 velation of Section 7031.5 by"any applicant fora permit.. subjects the applicant to a civil penalty of. not more than five hundred dollars ($500). 0 1, as owner ofthe property, or my employees with wagosas theirsols compensation, will do U ail of or U portions of thework, and theetructure Is not intended oroffere t for sale (Section 7044, Business and Professions Code: The Contractors' State -License Law does not. apply to an owner Of property who, throughemployees' or personal offort, 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 oneyear of completion, the Owner-Buflder will have the burden of proving that it was not built or Eroved 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:Consactars' State License Low does not: apply to an owner of property who builds or improves thereon, and who contracts far the projects With a licensed Contractor pursuantto the Contractors° Stake License Law)., © f am exempt from licensure under the Contractors' State License Lawfor 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 legal) sell a: structure that I have built as an owner-buildor if it has not been: constructed in its entirety by licensed contractors. 1 understand that copy of the applicable: law, Section 7044 of the Business and Professions Code,. is aval able upon request when this application is submitted or at the following Web site:htip:IAN".Ieginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent: Date. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty o€perjury that:I am I censed 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 and effect. License Class License No Date Contractor Signature. 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 15100;000j, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR .CODE; INTEREST, ANDATTORNEYS FEES. I hereby affirm under penalty of perjury aria of the following declarations: © I have and will maintain a dartl6cate 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, forth performance of the work for which this permit is issued. Policy; No: 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for they performance: of the work for which this permit is issued. My workers' compansaBo Insurance carrier and policy number, are: Carrier Policy Number Expiration Date Name of Agent Phone If Of Certify that, inthe 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, tf I should become subject tb the workers' compensation provisions of Section 3700 of the Labor Cade, I: shelf forthwith comply with those provisions.. Signature of Applicant Date_ DECLARATION REGARDING-CONSTRUC IE N 1.65ING AGENCY l hereby affirm under penalty of perjury thatthere is e construction fending agency for the performance of the work for which this permit issued (Section 3097, Civil Code). Lender's Name.. _ Lenders. Address. By my signature: below, I cartify to each of the following: I am the property owner or authorized: to act an the property Owners 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 taws relating to building construction, t authorize representatives Of thfs city or County to enter the above -identified property for inspection purposes. Si nature of Propormtwyor or Authodzad-A ant: .Print Property,Owner's: or Authorized A"ent's Name. Date :ACTION PATE: BY. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 of TITLE 40 AND AQMD RULE 1,103 .PERMIT EXPIRED € SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EIEPA.. P£RMPTEXTENDED 0iMD PERMITFINAL -u J ASBFSTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFIGATEDF :PROPOSED DEMOLMON. OCCUPANCY ISSUED I SIGNATURE: