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Home My WebLink AboutH2023-0762 - PermitsCity of Newport Beach ��EWPORT A Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 2 Permit Counter Phone: (949) 718-1888 .r. newportbeachca.gov/civic °4iFoaN�r Mechanical Permit : H2O23-0762 Plan Check No : Work Class : Other Issued Date : 12/05/2023 Inspection Area : 4 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 : 458 VISTA ROMA Legal Desc : N TR 6996 BLK LOT 5 Description: MECH INSTIL GROUND MOUNTED A/C UNIT AND REPLACE FURNACE, DUCT REPLACEMENTS Owner: TIMOTHY KELLEY Address : PO BOX 2945 NEWPORT BEACH, CA 92659 Phone: Applicant: OASIS AIR CONDITIONING Address: 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 420-1321 Owner/Builder : Address Phone : Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : 2022 R-1 - Single -Unit Residential PROCESSED B SPECIAL COND NS: Fire Hazard Zone Contractor : OASIS AIR CONDITIONING Address : 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRt NG, CA Phone : (949) 420-1321 Con State Lie : 767272 Lie Expire : 08/31/2025 Bus Lie : BT97027460 Bus Lie Expire:11/30/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSD504539303 W. C. Expire: 12/31/2023 NO Manufacturer: BRYANT Model# : 38MURAQ36AA3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from. the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I haveplaced next to the applicable item(s) Dection 7031.5, Business and Professions Code: Any city or county that requires a pemiit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for to permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 700D) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500).. 1 I, 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 or offered for sale (Section 7044, justness 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 nprovements 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 nyproved for the purpose of sale). „1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors" Stale License Law does not p ty 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. �y my signature below I acknowledge that, except for my personal residence in which I must have resided for at [east one year prior to completion of the improvements covered by this permit, I cannot Iega11) ell a 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 rofessions Code, Is available upon request when this application Is submitted or at the fallowing Web site:http:/lwww.leginfo.ca.gov/calaw.html. �ignalura of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm �r.dai penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of rsion 3 of the Business nd R,,qr i - de,. and mvJicense is in full force no effect. License Class License. No Dat� ��--� Z3 Contractp ignature RI+ERS' COKPI:NSATION DECLARATION IARNING: 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 I$100,000), IN ADDITION TO THE UST OF COMPENSAI TON, DAMAGES AS PROVIDED FOR IN SECTION 370 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES. hereby affirm ur,de, penalty of perjury one of the following declarations: J : have and will maintain a certificate of consentto self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th orformance of hie 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 of Agent Date 7,ri`y 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 afire It I should be'te ubjeuf to the workers' compensation revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.// velure Dr�pgprican(l\�_ Date 7� 12_`-2-3 ereby affirm under penalty of perjury thatihereis a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Iders Name _ Lender's Address my signature below, I Certify to each of [tie 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 ordinances and state laws relating to building construction. I authorize representatives of this.Fity_or cc y ar e above-ide o for inspection purposes. rty nature of PropeOwnar or Autl d Agent Print Property Owner's or Authorized ACTION DATE RV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY 3 Rf.GULATIONS PART 510E TITLE, 40 AND AOP4D RULE. IAUB PERMIT kXPIRED I LJI5UBtAITTEDASBE5T05NOTIFICATIONTO PERMIT CANCELLED CIPA PERMITEXTENDED ❑AQPAD PERMITFINAL CERTIFiCATEOF OCCUPANCY ISSUED -/�L� ❑ ASBESTOS NOTIFICATION 15 NOr APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: