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Home My WebLink AboutH2023-0642 - Permits�'�vuroRT City of Newport Beach p @ Community Development Department- Building Division Y p 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic o4<xFoa" �¢ Mechanical Permit Plan Check No: Work Class : Other Issued Date : 10/0412023 Inspection Area : 6 H2O23-0642 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 : 4012 INLET ISLE DR Legal Desc : N TR 6425 ELK LOT 43 Description: MECH - INSTALL NEW FAU & A/C CONDENSER. TAMPER -RESISTANT CAP REQ'D Owner: DAVID EDWARDS Address : 21 VISTA LUCI NEWPORT COAST, CA 92657 Phone : (925) 234-8282 Applicant: BREATHE EASY HVAC Address : 277 CALIFORNIA ST MISSION VIEJO, CA 92692 Phone: (714) 713-0566 Owner/Builder : Address Phone: Code Edition: 2022 Type of Construction Occupancy Groups : Fire Hazard Zone : NO 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: Contractor : BREATHE EASY HVAC Address : 277 CALIFORNIA ST MISSION VIEJO, CA 92692 Phone : (714) 713-0566 Con State Lie : 1047628 Lie Expire : 12/31/2024 Bus Lie: BT30082743 Bus Lie Expire: 10131/2024 Workers' Compensation Insurance Carrier : STATE FUND Policy No: 9330439 W. C. Expire: 3/23/2024 Manufacturer : AC PRO Model# : AULD60W2/A OWNER -BUILDER DECLARATION I hereby affirm under penalty of pegury that I am exempt from the Contractors' $late License Lawlor thereason{s) indicated below by the checkmark(s) I have placed next to the applicable item{s) 'action 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 ie permit to file a signed statement that he or she is licensed pursuant to the previsions 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 le a civil penalty of at more than five hundred dollars (S500). 1, 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 7044, usiness and Professions CmI The Contractom' State License Law does not apply to an owner of property who, through amployees' or personal effort, builds a; improve-, 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 n7proved for the purpose of sate). .i 1, as owner or the property, am exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Cade. The Contractors' State License Law does not ply 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 Larry. I am exempt from licensure under the Contractors' State License Law for the folloyvtng reason .......... _ _ _ ------ .._.._. y my signature bolow 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 bythis permlt I cannot legally ell a structure that 1 have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. I understand that copy of the appiioabfe law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:hbp./Iw .leginfo.cagovlcaiaw.html. {mature of Property Owner or Authorized Agent Date .-- ICENSED CONTRACTOR'S DECLARATION hereby afFlmn under penalty of perury, that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of of `on 3 of the Business and P fri ions Code, and my Iicen is in full force no effect License Class License. NO Da t� 3 X Contractor Signs tur- JORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE I{UNORED HOUSAND DOLLARS ($100,000). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, ANDATTORNEY'SFEES. hereby affirm under penalty of perjury one of the following declarations: 31 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, Ma rmance of the work for which this permit is issued. Policy No. ee 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' compensatior I carrier and policy number are: '.amer _.. Policy Number Expiration Date fame of Agent Phone IF 11 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 rat, if I should become subject to the workers` compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ignature of Applicant_, _.:_ —----v....._.-...- - -`xa rECLARATION REGAIN RUCTION LENDING AGENCY 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, ivii Code). enders Name _ Lender's Address ,y my signature bafCW, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. € have read this application and the information I have provided is correct. i agree to comply with all applicable city and county oidinanor s and state laws relating t0 building construction. �J I authorize representatives of this city or countyvto enter the aboy.asoection purposes. A one.. Name DATE BY ,�� DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGMATIONS PART 61 OF TITLE 46 AND AC MD RULE SUBMITTED ASBESTOS PERM11-Ek7ENDED PERMIT FINAL 10/{z/23 DL Poo UAS8ESTOS NOTIHCAT€ON 15 NOT APPLICABLE TO CERTIFICATE Or �.1 PROPOSED DEMOLITION OCCUPANCY ISSUED .>!I 1 I SIGNATURE: