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Home My WebLink AboutH2023-0280 - Permits�ewcoRT City of Newport Beach 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 CgG�pnpN�P newportbeachca.gov/inspections Mechanical Permit Pan Check No: Work Class : Other Issued Date: 04/2423 Inspection Area Z H2O23-0280 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 : 126 AGATE AVE Legal Desc : A TR BALBOA.ISLAND RESUB SEC 1 BLK 9 LOT 24 Description: MECH - SFR R/R ROOF -MOUNTED HEAT PUMP UNIT *PROVIDE TAMPER -PROOF CAPS AS REQ'D(TIMER PROHIBITED Owner: BURK BILL Address : 1102 COUNTRY HILLS DR SANTA ANA, CA 92705 Phone Applicant: SOCAL AIRFLOW PROS Address: 29816 AVENIDA DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone: (949)303-5525 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks: Flood Zone Use Zone : PROCESSED BY: AO 1 MU-W2- Mixed -Use Water Fire Hazard Zone : NO SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE TIMERS PROHIBITED ON HEAT PUMPS Contractor: SOCAL AIRFLOW PROS Address : 29816 AVENIDA DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone: (949)303-5525 Can State Lic : 1010956 " Lic Expire : 01/31/2025 Bus Lic: BT30055229 Bus Lic Expire:05/31/2023 Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INS CO Policy No: WC21221200002 ' W. C. Expire: 12/1/2023 ' Manufacturer: AMERICAN STANDAF3D, ' Model# : 4WCC4036A1000A " NO CONSTRUCTION NOSE a in`f °7 �a'a �yr'u�.a ► ON THE WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State 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 the permit to file a signed statement that he or she is licensed pursuant to the provisionsof the Contractors' State License Law (Chapter 9 (Commencing. with Section 7000) of Division 3. of the Business and Professions Code) or that he or she is exempt from liCenSare and the basis for the alleged exemption. Any violation of Section 70$1.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).. ❑ 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, 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 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 It was not built or Ira roved 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 wfio builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). ❑ 1 am exempt from licensers 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 feast one year prior to completion of the improvements covered by this permit, I cannot legalli sell a structure that I have built as an owner-bullder if 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 Professions Code, is available upon request when this application Is submitted or at the following Wed site:http:/fwww.leginfo.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Df ' 10 of the Business and ProtSssl,ee ode, and my license f �n.tall-force and effect. License Class License. No Date Contractor Signature NORKERS' COMPENSATION DECLARATION. NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE NUND HOUSAND DOLLARS ($10 ,0001. IN ADDRION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES, hereby affirm, under penalty of perjury one of the following declarations: -1 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 sa,furwance or Ina vork for which this permit is issued. Policy No. brove and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiot nsurence carrier and policy number are: Policy Number Expiration Date Nam, of Agent . _ _ Phone N -,i Lenity that, in €h? performance of th ork 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 Calffomia. and agree ha;, I I should become subject to t rkers' compensat '. runsof Section 3700 of the Labor Code, I shall forthwith comply win those provisions. /' J �ig:rslura of AppLeant„� _ _ Date,-,�, LIECLAHATION r.EGAROING qpNeMUCTION LENDING AGENCY ha eby affirm under Pena perjury that there Is a construction lending agency for the performance of the. work for which this permit Is issued (Section 3097, Civil Code). _en..f�r's Name Lender's Address 3y my signature below. I certify to each of the follcwing: I am the property owner or authorized to act on the property owner's behalf, I have read this application and the information I have pro ' ad is correct.. I agree to comply with all applicable city and county finances and slate laws rate' o-b�iding. construction. I authorize representatives of this city or county to the above-ident - roparty for Inspection purposes. r(, 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name Dale ACTION DATE AY ) DTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED St18MITTED AS131I NOTIFICATION TO PERMIT CANCELLED EPA PERMIT FINAL C>�_ f 7 �.1 (ZSt lE5T05 NOTIFICATION 15 NOT CERTIFICATE Of p1p PROPOSEDD LITION OCCUPANCY ISSUED t 51GNA