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Home My WebLink AboutH2023-0527 - Permits�EwPORr City of Newport Beach Community Development Department - Building Division ,100 Civic Center Drive, New) ort Beach, CA 92660 Permit Counter Phone: 949 718-1888 u newportbeachca.gov/civic c941FOR��P Mechanical Permit : H2O23-0527 Plan Work Classk N1151-2022 e ✓ Issued Date : 0812112023 Inspection Area :1 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 : 108 27TH ST Legal Desc : A TR NEWPORT BEACH CITY BLK 26 LOT 8 Description: MECH -INSTALL A/C CONDENSER @ ROOF DECK. TAMPER -RESISTANT CAP REQ'D Owner : CHRIS PETROSSIAN Contractor ; PRECISE AIR SYSTEMS INC Address : 108 27th ST NEWPORT BEACH, CA 92663 Address : PO BOX 39609 LA, CA 90039 Phone: (213)283-3703 Phone: (818)240-1737 Con State Lic : 428900 Applicant: PRECISE AIR SYSTEMS INC Lic Expire : 10/31/2024 Address : PO BOX 39609 LA, CA 90039 Bus Lic: BT30059837 Phone: (818) 240-1737 Bus Lic Expire:07/31/2024 Workers' Compensation Insurance Owner/Builder : Carrier : Address : Policy No: WPL505409303 Phone: W. C. Expire: 10/31/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: MITSUBISHI Type of Construction : Model# : MXZ-SM60NAM-U1 Occupancy Groups: Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: APc� p SPECIAL CONDITIONS: 6 MINI -SPLITS ARE PART OF X2022-1257 �� C®�V `OTi��f `?ION W rY Vy®RK ®N SAi;RDgys OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 blithe Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a 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 Q 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 properly, 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 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). M I am exempt from icensure under file 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 legally sell a structure that 1 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:ilwwwJeginfo,ca.gov/coiaw.htmi, 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 7000 df Division 3 of the Business and Prof�rssions Cgpa, and my license is in full force and effect. License Class License No Date 1 13 Contractor Signature WORKERS' COMPENSATION DECLARATION (A r WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE., INTEREST, AND ATTORNEY'S PEES. I hereby affirm under penalty of perjury one of the following dectarations: 5I have and will maintain a certificate of consent. to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for iht pa manse of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expjrato cf Agent Phone # Date certify that. in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref L it I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant IDEA/_ 21 3 CLARATIGN REGAFt01fYG NS N LENDIIJG AGENCY ......._ _ ....._,_m__._.�__._... _(�Y— :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued. ($actioon 3097, Civil Code). ides s Name Lender's Address my signature 6alow, certiiy to each of the following_ I am the property owner or authorized to act on the properly 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the ab-Qve-identified property for inspection purposes. Signature of Properly Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGUI.ATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTFD ASBESTOS NOTIFICATION TO PF.RMiTCANCELLED Epq PERMIT FXTENQEQ __ .___—__ __._❑AQMD _� PERWTFINAL ASBESTOS 14011FICATION 15 NOT APPLICABLE 10 CERTIFICATE pF r PROPOSED DEMOLITION OCCUPANCYISSUED G L '.. SIGNATURE;