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Home My WebLink AboutH2023-0590 - PermitsQ"y,*P RT City of Newport Beach @ Community Development Department - Building Division A 100 Civic Center Drive, Newport Beach, CA 92660 G T Permit Counter Phone: (949) 718-1888 o- newportbeachca.gov/civic oq«Foa" �r III I I I I I III II II I I II II Mechanical Permit : H2O23-0590 Plan Check No: CONSTRUCTION (� �d Da: Work Class : Other NO CONSTRUCTION WOFitp tont Area'12/2023 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAL!{B&SAT URNM'7Y aTER 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 : 309 ONYX AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 18 LOT 32 BALBOA ISLA Description: MECH -INSTALL NEW HEAT PUMP. TAMPER -RESISTANT CAP REQ'D Owner: DARREN ZINZER Contractor ; COMMAND AIR CORP Address : 337 1/2 E BAYFRONT Address : 18259 MOUNT BALDY CIRCLE FOUNTAIN VALLEY, CA 92708 Phone : (916) 832-0155 Phone : (714) 952-3900 Con State Lie : 942279 Applicant: COMMAND AIR CORP Lie Expire : 01/31/2024 Address : 18259 MOUNT BALDY CIRCLE FOUNTAIN VALLEY, CA 92708 Bus Lie: BT30077640 Phone: (714) 952-3900 Bus Lie Expire: 01 /31/2024 Workers' Compensation Insurance Owner/Builder : Carrier : NORGUARD INS CO Address : Policy No : COWC473961 Phone: W. C. Expire: 5/4/2024 Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone Building Setbacks : Front: 8, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: ---��/ SPECIAL CONDITIONS: Manufacturer : MITSUBISHI Model# : SUZ-KA36NA2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) Section 7031.5, Business Raid Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'refessions Code) or that he or sheis exempt from ficensure andthe 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 at more than five hundred dollars ($500),. 3 1, as owner of the property, at my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness and Professions Code The Cant rectors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or Improves the property, provided that the nprovaments are hot 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 built or nproved for the purpose of sale). J 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 bulfds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), am exempt from ficensure under the Contractors' State License Law for the fonowin.1 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 cribs Improvements covered by this permit, I cannot legalil ell a structure that I have built as an owner builder it it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessfons Code, is available upon request Wharf this application Is subruLted or at the following Web site:http.//ww�N.I%info.ca.gov/calaw,html. ifinature of Property Owner or Automatic[ Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) Ypior}y3Qf iha Business and Professl ns e. nd my is a is forth nd effect. License Class License No Date Gs Contractor Signature VORKERSI COMPENSATION DECLARATION 'ARNING: 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 I16100000L IN ADDITION TO THE Car OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, ANDATTORNEY'SfEES. 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 er mane of the work for which this permit is issued, Policy No, �I h ve 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' compensation lsura ca carrier and policy number are: :a er I'll1.Policy Number Expiration Date fame of Agent _ Phone H It certify knot., in the padormanc he work for which this perms is issued, I shall not employ any potion in any manner so as to become subject to the workers' compensation laws of California, and agree net, if I should become subject. a workers' Dompen tion p I$to s cl Sadtlon 3700 of the Labor Code, I shall. forthwith comply with those provisions. �ignalure of Applican _ ___,_ D� IECL.ARATION REG D NSTR TIG LENDING AGENCY hereby affirm under pen ty of perfury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), ender`% Name ___toLender's Address _ Iy my signatore. baw, t codify to each of the following: 1 am the property 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 oidinanDas and state ws fatlng to building construction. I authorize representatives of this city or county to Hot IT abov -ide i led pigny, for inspection purposes, / ,, V ronature of Prooerty, Owner or Authorized Aue it / //�// Print Proeerty Owner's or Authorized Ar ent's Name V' /"iUP r-<,f&4C.AJ rL Oata 9~/l —23 ACTION DATE'. I BY llrl CLARATION OF COMPLIANCE. WITH CODE OF FEDERAL FOR OFFICE USE ONLY i RECaIJI.ATIONS PART fit OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TOPERMIT CRNC€tiff) �I JLl MEPA PERMIT EXTENDED - �gQM.p PERMIT FINAL 1 p� 2' „'YL Cl �J ASBESTOS NOTIFCATION 15 NOT APPLICABLE TO CERTIFICATE OF t ! pRoPOSED DEMOLITION OCCUPANCY ISSUED St 6N AT11RF<