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Home My WebLink AboutH2022-0630 - Permits (3)�EwaoRT City of Newport Beach III I I I II I II I II II II II II II p� @ Community Development Department- Building Division Mechanical Permit: HZO22-0630 > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Z, Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Cg1fFp0.��P newportbeachca.gov/inspections Issued Date : 11/07/2022 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 : 79 CORSICA DR Legal: Desc : N TRH 12306 BLK LOT 7 UN 111 TR 12306 LOT 7 UNITIll OF PROJECT LOCATED ON AP Description: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* Owner: KAPLAN KEITH S TR Contractor REPAIR INC Address : 2721 NICHOLS CANYON RD LOS ANGELES, CA 90046 _PLATINUM Address : 11647 SWINTON AVE GRANADA HILLS, CA 91344 Phone : Phone : (818),435 4442 Con State Lie : 991373 Applicant: PLATINUM REPAIR INC Lie Expire :- 03/31/2024 Address : 11647 SWINTON AVE GRANADA HILLS, CA 91344 Bus Lie: BT30069872 Phone: (818)435-4442 -Bus Lie Expire:11/30/2022 Workers' Compensation Insurance Owner/Builder : Carrier : STATE COMPENSATION INSURANCE FUND Address: Policy No: 9092354 Phone: W. C. Expire: 3/14/2023 p� Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: GOODMAN Type of Construction : Model# : GSXH30241� Occupancy Groups: Building Setbacks Flood Zone : X Use zone : PC - North Ford TIMER REQUIRED ON EOUA&T TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. PROCESSED BY: SPECIAL CONDITIONS: NEIGHBOR LETTER ATTACHED m m 0 0 - O O i 6 JJ 000 • wHO ~O E' G B Y'i O DOO O O O J O ovements are not intended or I oved for the purpose of sale)_ 1; as owner of the property, am the Contractors' State License Law (_l portions of the y who, through am lelow by: the checkmark(s) I have: placed next to the applicableitem(s) or repair any structure, prior to its Issuance,, also requires -the applicant for hapler:9 (commencing witt) Section 7000) of Division 3 of the Business and 31.5 by any applicant fora permit subjects the applicant to acMI penalty at rk, and the structure Is not intended orotfered'for sale (Section 7044,. lees' or personal effort, builds or improves theproperty, provided that the the Owner -Builder will have the burden of provinrl that it was not built or contracting with licensed Contractors to construct the project (Section'7044, Business and Professions Code,, The:. Contractors` State License Law does not. troves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contractora'State License Law), cannot under penalty of perjury that tram licensed under provisions of Chapter 9 (commencing with sector 0 )of Kisi 3 of the Business and Pr swt Y/�fd cause Class License No: Date 1 Contractor Signatu 4/':y U COMPENSATION DECLARATION tE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED: THOUSAND DOLLARS IS100.0001: IN. ADDITION: TO THE NSATION, DAMAGES AS PROVIDED FORINSECTM a706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one: of the following: declarations: 31 have and will maintain a certificate of consent to se9f-insure for workers' Compensation, issued by the Director of Industrial Relations as provided far by section 3700 of the Labor Code; for ormance of the work for which this permit is issued. Policy ND. ova and will maintain workers` compensation Insurance, as required by Section 3700 of the Labor Cods, for the performance of the work for which this permit is issued. My workers' compensa tsuranecarrier and policy number are: Policy Number Expiration Date If I'shDi tder's Name ° my signature below, [Certify to each of the following: I am the propertyowner orauthodEed 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 rdy ordinances and state I authorize representatives of thiscityorCoun o enter ta�Gefid o4 •• •• urea nntrrr rs • AA • e• • a t 1��f ZZ ASBESTOS NO SED DEMC PROPO • • • • 11 N 141AE" •.. • a s ® a• a s eeo ee •• e e oee ae TO many manner so as to become subject to the work 'compensation laws of California, and agrw I -shalt forthwith comply Win: those provisions. -- Dat workfor which this permit is.. issued (Section 309 Civil Code):: r