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Home My WebLink AboutH2023-0276 - PermitsaEWeoR City of Newport Beach III I I I I I I II II off. @ Community Development Department - Building Division Mechanical Permit: HZO23-OL/ V 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No 0 ? Permit Counter Phone: (949) 644-3288 Work Class : Other a. Inspection Requests Phone: (949) 644-3255 C"9<IFp Rnewportbeachca.gov/inspections Issued Date:e4/27/2023 e!�>,i!3 !r!� �T0 Inspection Area is � 1�°-`�Y � i•i 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 : 410 29TH ST Legal Desc : Description: DELTA REVISION & ADD'L SCOPE TO ADD 5TH ROOF MOUNTED HEAT PUMP TO H2O21-0396 (REV2023-0789) Owner: CANNERY SAIL HOUSE Address : 428 OLD NEWPORT BLVD NEWPORT BEACH, CA 92663 Phone: Applicant: QUALITY AIR INDUSTRIES INC Address: 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: 1115 SPECIAL CONDITIONS: HIGH DENSITY ZONE REV2023-0789 Fire Hazard Zone : NO Contractor : QUALITY AIR INDUSTRIES INC Address: 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Con State Lic : 1052628 Lic Expire : 04/30/2023 Bus Lic: BT30075259 Bus Lic Expire:05/31/2023 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9017366 W. C. Expire: 7/4/2023 Manufacturer: AMERICAN STANDARD Model#: 4A616036A1000A NO CONSTRUCTIG�'-N"019E ON THE Vt EEKENO �IMERS PRo,HIBITEO N HEAT-FUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 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 is parmit to file 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 Ilcensure 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). 7 I, 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, lusimess 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 mprovements 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 �nlproved for the purpose or safe). .t 6 as owner of the property, am exclusively contracting with licensed Contractors to construct the project (SecUDn 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' Stale License Law). J 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 entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Data .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) o iv' ion 3 of the Business and Professions s s in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Ia UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES uP TO ONE HUNDRED THOUSAND DOLLARS (F100,000), IN ADDITION TO THE DST OF COMPENSATrON, DAMAGES AS PROVIDED FOR IN SECTION 370 OF THE LABOR CODE, INTEREST, AND ATTORNIFf 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 th erformance of the work for which this permit is issued. Policy No. I 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' compensatio insurance carrier and policy number are: Lanier _.. Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the performance of the work for which thi ermit is issued, I shall not employ any person in any manner so as to become subject 10 the workers' compensation laws of California, and agra that, ;f t should become subject to�CT16iWVNDI n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATIO14 REGARDI CONNG AGENCY I hereby affirm under penalty of perjury that t. re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code). Lenders Name Landers Address IBy my signamrs Lelow, I certify to each of tire following: . I am the pruped/ owner or authorized to act on the property owner's behalf. , have Red this application and the information I have provided is correct. I agree lc con•p'y with all applicable city and county ordinances and state laws relating to building construction. _ authouz� opfPsentafves of this city or county to enter the ntlfied pod inspection purposes. Si nalum of PronPn Owner or Authorized A ent .� Print Pro eft Owner's or Authorized Agent's Name DateO- AC, ION DATE I BY DECLARATION OF COMPLIAOLt WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXNRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL 1 151 (ql Lj3 J 1< UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF JJ N{ I PROPOSED DEMOLITION OCCUPANCY ISSUEP SIGNATURE: