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HomeMy WebLinkAboutH2023-0309 - Permits047�, City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic II IIII IIII II Mechanical Permit Plan Check No : Work Class : Other Issued Date : 05/09/2023 Inspection Area : 6 H2O23-0309 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 : 1440 KEY VIEW Legal Desc : N TR 6152 BILK LOT 57 Description: MECH NEW A/C UNIT & DUCT WORK *TAMPER PROOF CAP* Owner: on rac or UUN I EMHORARY AIK GUN I RUL INU A 11 Address : 2327 TUSTIN AVE NEWPORT BEACH, CA 92660 Address : 1599 SUPERIOR AVE B1 COSTA MESA, CA 9262% Phone : Phone : (949) 877-0411 Con State Lie : 575613 _ Applicant: CONTEMPORARY AIR CONTROL INC Address : 1599 SUPERIOR AVE B1 COSTA MESA, CA 92627 Phone: (949)877-0411 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : YES Building Setbacks : Front: 20, 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: Lie Expire : 10/31/2024 Bus Lie: BT30036259 Bus Lie Expire:07/31/2023 Workers' Compensation Insurance Carrier : SIRIUS AMERICA INS CO Policy No : WC75866 W. C. Expire: 6/1/2023 Manufacturer : AC PRO Model# : AULD60W2 OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmade(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 Me a signed statement thathe or she Is licensed pursuant to the provisions of the Contractors' Slate 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 theproperty, 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, Business and Professions Code: The Contractors' State License Law does not apply town owner of property who, through employees' or personal effort, builds or improves theproperty, 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 for the purpose of sale). ❑ I, as owner of the property, 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). ❑ 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 c ered by this permit, I cannot legally sell 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 applieable law S Ct on 7044 of the Business and :Professions Code, Is available upon request when this application Is submitted or at the following Web site.http://www.leginfo.co.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 % I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Niision 3 of the Business and Pr si t C�ttd}'„ and my license is in foil force and effect. LIC4nSe Cisss License No Date Ci Contractor Signatu YlORI(i RS' COMPRNSATION DECLARATION WARNING: rAILURE r0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 18100.0001, IN ADDITION TO THE COST Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANOATTORNEY'S FEES. I oerehv affirm under penalty of perjury one of the following declarations: © I hale and ro,ill 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 the p^rform3nce of the work for which this permit is issued. Policy No. and win ma-Ptain workers',eompensation insurance, as required by Section 3100 of the Labor Code, for the performance of the work for which this permit is issued. My workers` carrier and policy numbe aia: is of.,agent _ - __ ceriI that, IT. the por , ,I I should bacomY s Policy Number Expiration Date 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. II/ Signature of Applcaf.__.�f9j-,(--,..,.�,,� OR �`�,I DECLARATION REG t�C( Q'FtSTRUCTION LENDING AGENCY I hereby affirm under penalty f perjury that there is a construction I - ing agency for the performance of the work for which this permit is issued (Section 3097, CA Code), Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the prop y owner's. behalf. I have read dll$ application and the information I have pr vided'` correct. I agree to comply with all applicable city and County ordi ance a d state laws relating to building construction. I authorize representatives of this city or co ty o ante the o-identif"ed property for inspection purposes. �. Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized A ent's Nam ACTION DATE BY TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMrr EXPIRED I SUBMITTED AS8EST05 NOTIFICATION TO PERMiTCANCELLED _.... EPA.. _... PERMITEMENDED Aa //� QMD PERMITFINAL W/Z3/z3 DLoo ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF J 1T P¢ PROPOSED DEMOLITION O(CUPANCYISSUED