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HomeMy WebLinkAboutH2024-0534 - PermitsE �R City of Newport Beach III II I III I II II IIIIII II II Mechanical Permit: H2O24-0534 O o Community Development Department - Building Division Plan Check No : PC2022-3158 (J" y 100 Civic Center Drive, Newport Beach, CA 92660 Work Class : Other 0\ i Permit Counter Phone: (949) 718-1888 � Permit Status: Issued A newportbeachca.gov/civic Issued Date : 08122/2024 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 : 821 BELLIS ST Legal Desc : N TR 4893 BILK LOT 37 Description: MECH - INSTL HEAT PUMPS (2). TAMPER RESISTANT CAP REQUIRED Owner: THOMAS & RENNETTE CRONE Address : 821 BELLIS ST NEWPORT BEACH, CA 92660 Phone: (949)698-2185 Applicant : AIR MAX INC Address : 2907 E OCEAN BLVD. LONG BEACH, CA 90803 Phone: (949)468-9999 Owner/Builder : Address: Phone : Contractor : AIR MAX INC Address : 2907 E OCEAN BLVD. LONG BEACH, CA 90803 Phone: (949)468-9999 Con State Lic : 1015725 Lic Expire : 07/31/2026 Bus Lic : BT30065145 Bus Lic Expire:11/30/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9170882 W. C. Expire: 12/8/2024 Fire Hazard Zone : NO Manufacturer: CARRIER Code Edition : 2022 Model# : 38MURA Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: 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 item(s) (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' State License Law (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 7031.5 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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 704a, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly 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 improved for the purpose of sale). year of completion, the Owner -Builder will have the burden of proving that it was not built or ❑ I. 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 Ia-�rply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). LJ I am exempt from licensure under the Contractors' Stale 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 legall, sell 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 Professions Code. is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.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 (com�'mencing with Section 7000) of Division 3 of the Business and Professions ode, an icense is in full force and effect. License Class License No �(!��� Date ag�GV Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CROWNAL PENALTIES AND CIVIL FNES UP TO ONE HUNDRED THOUSAND DOLLARS {$100.000), N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H 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 In( )erformance 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 Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: of Agent Policy Number Expiration 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 if I should become subject to the workers' wmpysation pr�onsyf Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant /lam Date-1;19,i C, I 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). Lender's Name Lenders 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. I agree to comply with all applicable city and county ordinances and stat laws relating to building construction. I authorize representatives of this city or county to a er t bove-id tified roperty for inspection purposes. 3i nature of Prope Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name �1r 0. . Date X 2 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FDR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I I I 1403 PERMIT EXPIRED _� 1 SUBMITTED ASBESTOS NOTIFICATION TO PE TCACA.NCEL'ED '�— EPA PERMIT EXTENC_D ERM7T FINAL CERTIFICATE OF24 �-f�' Ilk ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CPROPOSED DEMOLITION OCCUPANCY ISSUED ucuwr sec.