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HomeMy WebLinkAboutH2024-0113 - PermitsO��gWPO?T City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 � Permit Counter Phone: (949) 718-1888 U newportbeachca.gov/civic c �r 9Gl ro 0.N Mechanical Permit : H2O24-0113 CheckPlan PC2022-3246 Work Class: Other Issued Date : 02/28/2024 Inspection Area: 5 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 : 509 CARNATION AVE Legal Desc : A TR CORONA DEL MAR BLK 530 LOT 9 Description: MECH - INSTL (N) HEATPUMP (2). TAMPER RESISTANT CAP REQUIRED (XR2022-3357) Owner: BIRE II LLC Address : 7202 W COLLEGE DR STE B PALOS HEIGHTS, IL 60463 Phone: (949)239-2022 Applicant: QUALITY AIR INDUSTRIES INC Address: 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Owner/Builder : Address: Phone : Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: RIM SPECIAL CONDITIONS: M Contractor : QUALITY AIR INDUSTRIES INC Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Con State Lie : 1052628 Lie Expire : 04/30/2025 Bus Lie: BT30075259 Bus Lie Expire:05/31/2024 Workers' Compensation Insurance Carrier : STATE FUND Policy No : 9017366 W. C. Expire: 7/4/2024 Manufacturer : GE Model#: AUH4860ZGDA1/AUH2436ZGDA1 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 rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lava (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the work, and the structure Is notintended or offered for safe (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 improved fortha purpose of sale)- ❑ I, 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 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). 13 1 am exempt from licensure 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 least one year prior to completion of the improvaments. covered by this permit, I cannot Iogall: sell a structure that I have built as an owner-buiidor 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 requestwhen this application Is submitted or at the following Web site:httpafwww.leginfo.ca.govfcalaw.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 3 of the Business and Professions Code. -fR�le roe and effect. License Class License No Date Contractor Signature iNORKERS' COMPENSATION DECLARATION 1. NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 1 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 orformance of the work for which this permit is. issued. Policy No, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the Workers' compensation laws of California, and , If I should become subject to the wo ers Cgrilpensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. Mature of Applicant _- .Bete_`-1 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). Finders Name Lender's Address _ ly 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.. I agree to comply with.. all applicable city and county ordinances and state laws relating to building. construolien. I authorize representatives of this city or county to enter t�tpnllfled property for inspection purposes. f r ACTION DATE BY KCLARATIOP/OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXP➢RfULI I SUBMITTF,D ASBESTO4 NOTIFICATION TO _ E IEPA� --- --.._i AOML-t D JR {❑ AS8E570S NOTIFICATION 15 NOT APPLICABLE TO PERMIT CANCEILE0 PERMIT EXTENDED PERMITFINAL -L ,z CERTIFICATE OF Q,�ti �) E PROPOSED DEMOLITION OCCUPANCY ISSUED ;SIGNATURE: