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Home My WebLink AboutH2024-0341 - PermitsPoRT City of Newport Beach 0 p Community Development Department- Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u a S newportbeachca.gov/civic �94Fp�N��'�`i Mechanical Permit Plan Check No: Work Class : Other Permit Status: issued Issued Date : 06/1112024 Inspection Area : 1 H2O24-0341 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 : 312 CORONADO ST Legal Desc : A TR NEWPORT BAY TR SUB OF BLK C BILK LOT 33 Description: MECH - INSTL (N) HEATPUMP. TAMPER RESISTANT CAP REQUIRED Owner: CRISLER KELLY GLENN TR K Contractor : AIR CONCEPTS Address: 312 CORONADO ST NEWPORT BEACH, CA 92661 Address : 801 S. LAKEVIEW AVE #E PLACENTIA, CA 92870 Phone: (949)903-8734 Phone: (714)779-1000 Con State Lie : 534722 Applicant: ODETTE LEONELLI Address: 2219A HUNTINGTON LANE Redondo Beach, CA 90278 Phone: (310)807-4800 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 5 Flood Zone: AO 1; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Lie Expire : 08/31/2024 Bus Lie: BT30075249 Bus Lie Expire:05/31/2025 Workers' Compensation Insurance Carrier : INDEMNITY INSURANCE COMPANY OF NORTH AMERICA Policy No: C55805544 W. C. Expire: 10/1/2024 Manufacturer: MITSUBISHI Model# : NTXMMX36A142AA 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 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 he 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 '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 for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($5GD). I, 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, lusiness 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 mprovements 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 mproved for the purpose of sale). 3 1, 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 Ipply 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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! ;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 Irofessions Code., is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmi. 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 Section 700 I sopa of the Business and Prafessio e • nd ense is in full force Ind effect. License Class License No i Ogle Contractor Signature VORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSA71ON COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I he a 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 �erfor ance of the work for which this permit is issued. Policy No. had 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' compensatior ance carrier and policy number are: Policy Number Expiration Date of Agent 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 agre if I should become subject t e workers' compen ovlsron of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. lature of Applicant. L�� Date •I eoaTInrd OC/S nIA kl {- . cre nu r CMMMr ArCury hereby affirm 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). Lenders Name Lender's Address By my signature below, I certify to each of the following: 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 provided is correct, agree to comply with all applicable city and county ordinances and state laws r to building ding construction. I authorize representatives of this city or county v -' property for inspection purposes. �J_ Signature of PropertyOwner or Authorized A e Print Property Owner's or Authorized Agent's Name clil L- �'([. L-� ,Zafe (9 ACTION DATE ._ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 DFTITLE 40 AND AQMD RULE PERMIT £XPIREn PERMITCANC LLSD PERMIT EXTEPOE7 PERMIT FINAL CERTIFICATE OF �q! OCCUPANCY ISSUE') I SUBMITTED ASBESTOS NOTIFICATION TO „�r.. ❑ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO �V PROPOSED DEMOLITION SIGNATURE: W