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Home My WebLink AboutH2023-0558 - Permits��gWPpaT City of Newport Beach p c4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u ? Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic c4<�F00.N`P Mechanical Permit Plan Check o Work Class : Other Issued Date : 0812812023 Inspection Area :2 H2O23-0558 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 : 200 VIA LORCA Legal Desc : N TR 907 BLK'LOT 628 TR 907 LOT 628(AND ALL -EX NE Description: MECH -NEW A/C CONDENSER & NEW HEAT PUMP (TIMER PROHIBITED). TAMPER -RESISTANT CAPS REQ'D Owner: SIMS DANIEL L TR Address : 200 VIA LORCA NEWPORT BEACH, CA 92663 Phone: Applicant: BREEZY AIR SERVICES Address : 16835 ALGONQUIN ST 9432 HUNTINGTON BEACH, CA 92649 Phone: (714)487-8372 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 10, Front: 4, Front: 1.5, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: o �° SPECIAL CONDITIONS: Contractor : BREEZY AIR SERVICES Address : 16835 ALGONQUIN ST #432 HUNTINGTON BEACH, CA 92649 Phone: (714)487-8372 Con State Lie : 1077447 Lie Expire : 06/30/2025 Bus Lie: BT30076246 Bus Lie Expire:08/31/2024 Workers' Compensation Insurance Carrier : NORGUARD INS CO Policy No: BRWC444990 W. C. Expire: 5/27/2024 Manufacturer: AC PRO Model#: ' AULD36W2/A OWNER -BUILDER DECLARATION I hereby affirm under penalty of Penury that I am exempt heroine Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items) (Section 7091.5. Business and Professions Code: Any city or county that requires permit to construct, alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3. of the Business and Professions Cade) or that he or sheis exempt from licensors 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 not more than five hundred dollars ($500). [11. as owner of the property, or my employees with wages as their sole compensation; will do U all of or (.,.,) portions ofthe work, and the structure Is not: intended or offered for sale (Section 704A, Business 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 thatthe Improvements are not Intended or offered for sale. If, however, the building or improvement is sold whhin one year of completion, the Owner -Builder will have the burden of proving that it was not built or Eroved for the purpose of sale) L 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 a 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' State License Law). I am exempt from ficensura 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 resided for at least one year prior to completion of the improvements covered by this permit,.I cannot legall, sell IT 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 the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http;(IAm .loginfo.ca.govfcalaw.btmi, Signature of Property Owner or Authorized Agent _ Date LICENSER CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70. O).of Division 3 of the Business and Profes iCode and rRy-ti4ebse is in full force and effect. License Class License No Date I 911%a3Contractor Signetur dt'ORKERS' COMPENSATION DECLARATION MARRING: FAILURE TO SECURE WORBERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED oUSAND DOLLARS IS1o0,4OD), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OP 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 �rmance of the work for which this permit is. issued. Policy No. 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' carrier and policy number are: 7s of Agent certify that, in the In . it 1 should become Policy Number Date I 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 California, and the workers' compensation provisions of Section 3700 of the Labor Code, I Shall forthwith comply with those provisions. nature of Applicant n_____m_,.. - J /I CLARATtON REOARt)INO OONSTRUCT LENOI Ae_ 1 treby affirm under penalty of perjury that there is a construction tending agency far the performance of the work for which this permitis issued (Section 3097, Civil Code). odors Name Lender's Address my signature below, I certify to each of the following: —� I am the property owner or authorized to out on the property owners behalf. I have read this application and the information t have provided is correcL. I agree to comply with all applicable city and county ordinances andstate laws relating to building construction. I authorize representatives of this City or county to enter the above -identified property for inspection purposes. ACTKIN ION OF COPLIANCE WITH CODE OF PtRMITEXpiRED "I DATE RYVv ft t LATiONS PART 61 OF TITLE. 40 AND At1MD RULE AL FOt. OFFICE USE ONLY V (J F 11403 l�U i suHMITrFEI ASBESTOS NOTIFICATION TO CERTIT FINAL X—f LFICATE OF I I� 4 47 E PROPOSED NATURE: EMOUTU ASBESTOS ICOAN i0N I$ NOT Apf LICABtE TO OCCUPANCY ISSUED 999 V E