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Home My WebLink AboutH2023-0397 - PermitsaEw.voRr City of Newport Beach pF @ Community Development Department - Building Division r _ n 100 Civic Center Drive, Newport Beach, CA 92660 u T Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C$/FOQN�P Mechanical Permit Plan Check No: Work Class : Other Issued Date : 06/16/2023 Inspection Area: 6 H2O23-0397 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 : 2931 FIFTH AVE Legal Desc : P BK 324 PG 43 PAR 1 UN 1 PM 324-43, PAR 1 OF PROJECT 938-01 LOCATED ON Description: MECH - R/R HEAT PUMP ON ROOF DECK. TAMPER -RESISTANT CAP REQ'D Owner: ABOLHODA AMIR TR A Address: 16 ANDIAMO NEWPORT COAST, CA 92657 Phone: Applicant: AIR MAX INC Address: 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (626) 468-9999 Owner/Builder : Address Phone : Contractor : AIR MAX INC Address : 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone : (626) 468-9999 Con State Lic : 1015725 Lic Expire : 07/31/2024 Bus Lic : BT30065145 Bus Lic Expire: 11130/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 91708B2 W. C. Expire: 12/8/2023 Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups : No CONS Building Setbacks : -p- f� Front: 20, Side: 3, Side: 3, Rear.' TRUCT ON I Flood Zone : X !! '' VV NQ'SC Use Zone: R-2 - Two -Unit Residential L PROCESSED BY, ON -flqoE "EE' E VD SPECIAL CONDITIONS: Manufacturer : GREE Model#: FLEXX36HP231V1A0 I hereby affirm under penalty of perjurythat I am exempt from the Contractors' Slate License Law for thereason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) Section T031.5, 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 torilea signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 lot more then five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or L) portions of the work; and the structure Is not intended or offered for sale (Section 7044, tusiness and Professions Cade: The Contractors' State License Low does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Tlprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Buiiderwill have the burden of proving that If was not built or -m raved for the purpose of sale). .J I, as owner of the property, am exclusively contracting with licensed Contractor; to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not I ly 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). I am exempt from licensors under the Contractors' State License Law for the following reason: ly 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 legallt oil a structure that I have built as an owner -builder If It has not been constructed In its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Businessand 'rofessions Code, is: available upon request when this application Is submitted orat_the following Web site:htip:!/www.leginfo.ca.gov/calaw.html, lignaturo of Property Owner or Authorized Agent Data ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury. that I am licensed under provisions of Chat ter 9 (commencing with Section 7000) of Division 3 of the Business and Profs tons Code, and my Itcense • in /ull orce Ind effect. License Class License No / 6 /�r;� DeteA��L.—% Z Contractor Signature YORKERS'COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. hereby affirm under penalty of perjury one of the following declarations: J 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 th, ,V�,.,�1ormance of the work for which this permit issued. Policy No. LJI� 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' compensator I rance carrier and policy number are: :artier Policy Number Expiration Dale lame of Agent Phone # :1I certify that, in theperformanceof 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 agree Tat, I/ I should become subjectV the wor"rs'pompeositio0rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of areby 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). rder's Name Lender's Address 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 II� I agree to comply with all applicable city and county ordinances and state la.Ws relating to building construction. I authorize representatives of this city or county to wterAhe ah7�nv3 den . d prop for inspection purposes. nature of Prooertv Owner or Authorized Agen� /�-!' , Print Property Owner's or Authorized Agent's Nama; ACTION DATE BY- DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY P ' REGULATIONS PART bt OF TITLE 40 AND AOMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION PERMITEXTENDED I InI LIAOMD PERMITFINAL QG/Zq/23 DL +6, U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE Of Kk PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: