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Home My WebLink AboutH2024-0388 - Permits_ City of Newport Beach III I I I II Mechanical Permit: fi2024-0388 I I II II IIII I II I II -� Community Development Department- Building Division Plan Check No 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 Work Class :Other =- newportbeachca.gov/civic Permit Status: Issued ® Issued Date : 06128/2024 Inspection Area : 2 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 : 222 AMETHYST AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 20 LOT 12 Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: SINNER JOHN R LIVING TR Address : 528 VAQUERO RD ARCADIA, CA 91007 Phone: (626)445-3558 Applicant: AC CREW HEATING AND AIR INC Address: 2813 CORAL STREET CORONA, CA 92882 Phone: (951)427-9540 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Contractor : AC CREW HEATING AND AIR INC Address : 2813 CORAL STREET CORONA, CA 92882 Phone: (951)427-9540 Con State Lie : 971817 Lie Expire : 01/31/2026 Bus Lie: BT30082295 Bus Lie Expire:08/31/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE COMPANY INC Policy No: TWC4221129 W. C. Expire: 3/1/2025 Fire Hazard Zone : NO Manufacturer: INNOVAIR Model# : vOm24h7r3p7 Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: AO 1; X Use Zone : R-BI - Two -Unit Residential, Balboa Island 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 reasonts) indicated below by the checkmark(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 :he 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 '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 for a permit subjects the applicant to a civil penalty of tot more than five hundred dollars ($500), ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements 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 mproved 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' Stale License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to Completion of the improvements covered 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 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 sfte:httpl/www.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 (commencing with Sectio 7 00) o Divisi n 3 of the Business and Pro io de. and��,ce#ein fu iorce and effect. License Class License No __4/ Daf Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AMID SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 performance 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: m of Agent certify that, in the performance of Policy Number Date permit is ed, I sh fnot employ any person in any manner so as to become subject to the workers' compensation laws of California, and t, if 1 should become ub'ect to th or rs' co e anon rovisi of Secti 3700 of the Labor Code, I shall forthwith comply with those provisions. l /� nature of Applican--.—.._--__._..__e,I_...._ Date _(`.'cBi//—/n�-]/// �-- — 1 P CLAIRATION REG DI G C ENDING AGENCY treby 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, C II Code). Ides s Name Lenders Address -- my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I haveygyovided is act. agree to comply with all applicable city and county oJ''I ces d tale a relaG building construction. 777 %r/l jpp//q I authorize representatives of this city or coufyyr to ,�It a v Idant' prope or inspection purposes. ,ram _SJC'L_LeY1Y „�r,,.o , f o.,.,.o.r„ n.,,,>r .,r A, �rnn.;�oH Anent ��Y( // /////�� / Print ProoeM Owner's or Authorized Agent's Na /C I1 /' to ACTION. DATE BY --QECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO _ PERMITCANCELLED T''rE�CA LJAQMJ �-J ASBES'rO51rOTIFICATION IS NOT APPLICABLE TO PERMIT EXTENDED PERMIT FINAL t�,9 CERTIFICATE OF j2—I�-2M 1 ,D ti{'\ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: _.