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Home My WebLink AboutH2022-0520 - Permitspje�IroRT. City of Newport Beach o 6 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 o.. Inspection Requests Phone: (949) 644-3255 cquFoaN`P newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 09/27/2022 Inspection Area : 3 H2O22-0520 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 : 2420 UNIVERSITY DR Legal Desc : N TR 4444 BLK LOT 9 TR 4444 LOT 9 TOGETHER WITH AN UND 1133 INT IN Description: MECH: INSTALL HEAT PUMP **TIMERS PROHIBITED & TAMPER RESISTANT CAPS REQUIRED** Owner: THOMASFUENTES Address : 2420 UNIVERSITY DR NEWPORT BEACH, CA 92660 Phone : Applicant: BASIC AIR INC Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714)469-4542 Owner/Builder : Address Phone: Code Edition: 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: P SPECIAL CONDITIONS: Contractor : BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714)469-4542 Con State Lie : 909834 Lie Expire : 01 /31 /2024 Bus Lie: BT30045172 Bus Lie Expire:10/31/2022 Workers' Compensation Insurance Carrier : PREFERRED PROFESSIONAL INS CO Policy No : ON1196401 W. C. Expire: 10/22/2022 Manufacturer: AC PRO Model#: AULD36W2(A-D(U) 111VIEPS PROHIBITED ON HEAT PUMPS I hereby affirm under penalty of perjury that I am exempt from the ContractorsState 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 ie permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from Lcensure 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, lusiness 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 properly, 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 bullt or n rovedfor the purpose of safe) 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 ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). I am exempt from licensure under the Contractors' Stale License Law for the following reason ., ly 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 legall, all a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:hdp:llw .leginfo.ca.govfcalaw.html. 0gnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 704 of Divi ion 3 of the Business and Professions my license is in full force rid effect. License Class License No Date 1 Contractor Signature i PORKERS' COMPENSATION DECLARATION !ARMING: 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 1E100,000), IN ADDITION TOTHE OST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 37" OF THE LABOR CODE. INTEREST. AND ATTORNEY's FEES. hereby 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 Ih erformance 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' rance carrier and policy number are: Policy Number Expiration Date of Agent 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 CAlifomia, and , if I should become subject to thtlworkera' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 enders Name Lenders Address y my signaWm hnlnw, I certify to each of the following: I am the pmlf erty 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 a/nf�I r yhe above -identified property for inspection purposes. I I,v ature of Property Owner or Authorized Aoalll ' /.(/�. Print Property Owner\'s or Authorized Adam's Name V) 4n DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERM;T EXTEVDEC r„UAQM D F 87 d I T FINN CfeTlFlCATE 9F HOiZZ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION OCCUPANCY lS JED SIGNATURE Civil Code). Vv t4 0) 64^' Date 9