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Home My WebLink AboutH2024-0229 - Permitse ��WPoR' City of Newport Beach Community Development Department - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 tu i Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Qq �P CIFO AN Mechanical Permit : H2024-0229 Plan Check No: Work Class : Other Issued Date : 04/22/2024 Inspection Area : 1 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 : 127 26TH ST Legal Desc : A TR NEWPORT BEACH CITY BLK 26 LOT 22 7 ' \ Description: MECH -INSTALL MINI -SPLIT HEAT -PUMP CONDENSER. TAMPER -RESISTANT CAP REQ'D. / Owner: LAWRENCE PITKIN Contractor : THOMSON AIR CONDITIONING Address: 127 26TH ST NEWPORT BEACH, CA 92663 Address : 21205 JUAN AVE UNIT A HAWAIIAN GARDENS, CA 90716 Phone : (858) 245-7454 Phone : (562) 201-3014 Con State Lic : 959811 Applicant: THOMSON AIR CONDITIONING Lic Expire : 04/30/2025 Address : 21205 JUAN AVE UNIT A HAWAIIAN GARDENS, CA 90716 Bus Lic: BT30081704 Phone: (562) 201-3014 Bus Lic Expire:05/3112024 Workers' Compensation Insurance Owner/Builder : Carrier : A I U INSURANCE COMPANY Address : Policy No: WC034279549 Phone: W. C. Expire: 7/1/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: BOSCH Type of Construction : Model# : BMS500-AAM036-1CSXRC Occupancy Groups: Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-1 - Single -Unit Residential 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 applicableitem(s) Section 7031.5, Business and Professions Code: Any city or county that requires apermit to construct, after, improve; demolish, or repair any structure, prior to its Issuance, also requires the applicant for 1e 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 Irofesslons Code) or that he or she is exempt from licensors 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 of more than five hundred dollars ($500).. 11, 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, ius[ness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or persona[ effort, holds or improves 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 uproved for the purpose of sale). 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). am exempt from licensors under the Contractors' State License Law for the following reason. ry 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 legafl) oil a structure that I have built as an owner -builder If it has not been constructed in its entirety by licensedcontractors-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:// w .leginfo.ca.gov/calaw.html. Iignature 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force Ind effect. License Class License. No Date Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (b100.000). IN ADUITION TO THE AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: I 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 IN erformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Dale to of Agent Phone If 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Iignature of Applicant Date—� rECLARATION REGARDING CONSTRUCTION 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, Civil Code). enders 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 construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. Owner's or Authorized Anent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ! REGULATIONS PART61 OF TITLE 40 AND AQMD RULE 1404 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EIPA PERMITEXTENDED _ ____........_._ QMD PERMITFINAL (O/IS�t/ D( .fON ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION CXCUPANCYISSUED CM5 SIGNATURE: