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Home My WebLink AboutH2024-0156 - Permitso��EWPORT Chy of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u T newportbeachca.gov/civic CgGIFp F��P Mechanical Permit Plan Check No: Work Class : Other Issued Date : 0311912024 Inspection Area : 5 H2O24-0156 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 : 213 JASMINE AVE Legal Desc : P BK34 PG 9 PAR 2 PM 34-9 PAR 2 & FOR PAR 1 Description: MECH REPLACE ROOF MOUNTED A/C UNIT *TIMER, TAMPER RESISTANT CAP AND NOISE AGRMNT REQ*, REPLACE FURNACE Owner: STEINBERG GARY TR Address : 530 FULLERTON AVE NEWPORT BEACH, CA 92663 Phone : (714) 710-3947 Applicant: NEXGEN AIC INC Address: 5472 EAST LA PALMA AVENUE ANAHEIM, CA 92807 Phone : (657) 208-1987 Owner/Builder : Address Phone : Contractor : NEXGEN A/C INC Address : 5472 EAST LA PALMA AVENUE ANAHEIM, CA 92807 Phone : (657) 208-1987 Con State Lic : 1011173 ; A, r /� Lic Expire : 07/31/2025 ° Bus Lic: BT30055503 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INSURANCE COMPANY Policy No: WC21148830402 W. C. Expire: 10/1/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AMANA Type of Construction : Model# : ASXHS06010A Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s)indicated below by the checkmark(s) I have placed next to the applicable Items) Section 703L5. 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 in 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 'rofessions 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 fora permit subjects the applicant to a civil penalty of o€ more than five hundred dollars ($500).. 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, alsiness and Professions Code: The Contractors' State License Law does not apply Io an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovemants 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 nprovedfor the purpose of Sale)- 1 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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). 3 I am exempt from itcensure under the Contractors' State License Law for the following 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 of the improvements covered by this permit, I cannot legally ell a structure that I have built as an awner-bullder 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 following Web site:http:ii"wt .leginfo.ca.govlcalaw.html, signature of Property Owner or Authorized Agent _ Date ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury/ �that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 ) of vi io 3 of the Business and Professiolt6 Code, and my license is in full force no effect. License Class C_G I' / License No p r� l i f 7 Ki Da%� Contractor Signal0e VORKERS' COMPENSATION DECLARATION' V 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU OR O THOUSANO DOLLARS (Ef 00,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undal yenaity 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 the rmaoca Of the work for which this permit is issued. Policy No. av� 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 ui carrier and policy number are: / rier �1,;C t' :r', %d1„Lt 'dLJ4/ Policy.Number 2��`7 �a `t"C/� Expiration Date1 , 62e'l12,L Izme Df Agent _ Phone # -il Canny lhel., in the nPrrovmance 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 agree 14 ;: :.houl ec le 80�1'',`e,�ct to the workers' co/m,([�,eJnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nn;ure of A r,Int-k-.-_.Z ..�... - ._ Date het PDy afirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). end�fs Name _ Lender's Address ,y my signature be_low, cerlify to each of tha felowingr I am the property owner or authorized to act on the property owner's behalf. I have read this applicationiand the tneftatiorS:Thave provided is correct:. - € agree to comply with all applicable city and county ordinances and state Paws relating to building construction. authorize representatives of Sps si(�;gl-cpupiy td ntertne'atrove-ident ed...property for inspection purposes. ) ACTION I GATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOROFFICEUSE ONLYY / REGULATIONS PART 61 OF TITLE 40 AND AQMD RILE / 403 PERMI F EXPIRED I I l L I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EMENDED LiAQMO PERMIT FINAL D ASBESTOS NOTIFICATION IS NOT APPLICABLE 10 CERTIFICATE OF ✓`I�iggg ✓`1� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: rn aO QF xW(X U Q z x Ua O W0cmq W m� om 00 m a z�0-C F- as O w>Z� VU LL QI A �Z�5 °D rn Q� W w=m� w 0 0 �v 0 LL A a 3 Cl W O >� Wfn 0LLI W U o > O v 6 2 0 0 � m� m o c v m m m s m o Yo �mv o mEii «R N oy c� a)72 a)oo E O16 O ID �o co � Oa)tn Y o> m o a) w o X y n vm mcma) aa)3mi� ca M t K sa) e ° -o >, ui a c cc O Oo O s-0 a) E -oc ma Via' Lr- L .O@CIO O LO O a) tla) X° cM=C- O co L I N a°VU o M f0 ) Evci mm Ccp£o ao -°o0IM oh o° O o cc rn U m a c O °�E; Y �a) o m° 3 (D M Me CO a oa c o � o IN oYm cN o mmy� Rom. �m �EEa`)) 0.� � c °� oom° sY16 Q� m m w c >° s as •• O c nm 9 5 w ate) a Ea)°c ° ° Zom°) `oa w -o m m_ `° a) R �o In m o m°Qf° am> aa m d m�'�c am a)m o 0w �z cr Eco Q03 a) co m g Esc c a) 5 m� >,+' 'OO O O a) m w E m 0 0: U c a) ECL Q `6 c m U `)U o c� a) Q� E•° m y t � o� E a) - Q M mca a) O) a).m>o mo-° o o� oG mm S °tec ma) CD ° m y a) a) s n in E 0)E U) ®O°'p CO haN cc O O0 aa ct� U O cp E R � ZU a) Om� m ��o U E m m m N ~ Q N U ,L n m X O a) a) = m ., O® 0)Q O a a. a. � F .E U a) 0 co (Ifo_ to = a. o cn z E:o