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Home My WebLink AboutH2022-0541 - PermitsQa�WvoRT City of Newport Beach A Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U.a.Inspection Requests Phone: (949) 644-3255 cg4FORN�P newportbeachca.gov/inspections Mechanical Permit : H2O22-0541 Plan Check No : 2489-2021 Work Class : Other Issued Date : 10/04/2022 Inspection Area : 2 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 : 630 VIA LIDO NORD Legal Desc : N TR 907 BILK LOT 61 Description: MECH (2) NEW HEAT PUMPS *TAMPER PROOF CAP REQ* f €' ("N'(� rn Owner: DANIEL KRUSE Contractor : KINETIC AIR INC " j_'j Address: 630 VIA LIDO NORD NEWPORT BEACH, CA 92663 Address : 23707 JAMESON ST MURRIETA, CA 92562 Phone : Phone : (951) 553-0615 Con State Lic : 1034636. Applicant: KINETIC AIR INC Address: 23707 JAMESON ST MURRIETA, CA 92562 Phone : (951) 553-0615 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Front: 4, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Lic Expire : 03/31/2023 Bus Lic: BT30075039 Bus Lic Expire:04/30/2023 Workers' Compensation Insurance Carrier: SIRIUS+AMERICA+INSURANCE+COMPANY Policy No: 75881 W. C. Expire: 6/7/2023 Fire Hazard Zone : NO Manufacturer Model# : IIME'Rb PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from. the Contractors' State License Law for the reasons) 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 the po"it to file a signed statement that he or she is licensed pursuantto the provisions of to Contractors' State License Law (Chapter 9 (commencing with $action 7000) of Division 3 at the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended proffered for sale (Section 7044, Business and Professions Code The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, 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 one year of completion, the Owner -Builder will have the burden of proving that li was not built or improved 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 Contractors' State License Law does not apply 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 Law), ❑ I am exempt from licensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which I must have Tosided for at least one year prior to completion of the improvements covered by this permit, I cannot iegEill, sell a structure [hat 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 the applicable law, Section 7044 ofthe Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/twww.leginto.ca..gov/calow,html. Signature of Property Owner or Authorized Agent _ -n Date LICENSED CONTRACTOR'S DECLARATION t hereby affirm under penalty of penury that I am licensed under previsions of Chapter 9 (commencing with Section 7 0 oft n 3 of the Business and Profes a my P'ense is in full force and effect. License Class License No Date CDnVactor Signature NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE. IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIRES. UP TO ONE HUNDRED THO SAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOS 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 th,. Zi,fiformance of the work for which this permit is. issued. Policy No.. L I Mtvr-gnd 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' compereatia nsurance carrier and policy number are: 'artier Policy Number Expiration Data Jame. of Agent Phone If -1I certify the(, in t pe ormance 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 works ' compensation la s of California. and agre hat, if I should bee '.9PSnUry or rs co pensatlon provisions of Section 3700 of the Labor Code, . I shall forthwith comply with those prOVI31005. � Signature of Appiie t_ _ _ D 2'Z aECLARATION INTION LE F AGENCY hereby affirm u renaityhat there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cn ). -enders Name _ _ lenders Address 3y my signature below. I certify to each of tha tollawing: ��Tw I am the property owner or authorized to act an 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 Ohtani county and state laws relating to building construction. I authorize representatives of this city o my toe r the a- ified property for inspection purposes. Si nature of Property Owner or Authorized R Print Property Qvmer's or Authorized Agent's Name iJ t ACTION DATE i DECLARATION OF NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE 1403 P4NMII'rxp7RED I5UBMITTEp ASHF5T0,4 NOTIFICATION TO PPAAAIT CANCEGifO a 6 A rr xrvrn rvrvrrL LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CENrIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED ��_ SIGNATURE