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Home My WebLink AboutH2025-0067 - Permits (3)WPogT City of Newport Beach Community Development Department- Building Division r "y' 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 718-1888 r� newportbeachca.gov/civic 11111.. Mechanical Permit Plan Check No : Work Class : Other Permit Status: Issued Issued Date : 01/27/2025 Inspection Area : 5 H2O25-0067 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 : 400 HELIOTROPE AVE Legal Desc : A TR CORONA DEL MAR BILK 335 LOT 2 UN 1 LOT 2 BILK 3 Description: MECH INSTALL (3) HEAT PUMP CONDENSERS *TIMERS PROHIBITED ON HEAT PUMPS* Owner: REMO POLSELLI Address : 400 HELIOTROPE AVE NEWPORT BEACH, CA 92625 Phone : (310) 617-8258 Applicant: QUALITY AIR INDUSTRIES INC Address: 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone : (714) 718-2946 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks: Front: 15, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: ot— SPECIAL CONDITIONS: Contractor : QUALITY AIR INDUSTRIES INC Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Con State Lic : 1052628 Lic Expire: 04/30/2025 Bus Lic: BT30075259 Bus Lic Expire:05/31/2025 Workers' Compensation Insurance Carrier : PIE INSURANCE COMP Policy No: WCP1601270 W. C. Expire: 11/1/2025 Manufacturer: MITSUBISHI Model# : KA36NA2/SM36NAM2/SM60NAM2 NO GONSTRUCTT ON WORK ON SA f URDAYS IL\a AND,v; t' a_L OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State LicT ae 1_00Iorthc reacon(,.) indI Lctcd 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 toc3nstrJ:t, 3Iter, improve demrlish, or repair any structure, prior to its issuance, also requires the applicant for Te permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contmclnrs. State-Lir-ense 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 exewpGon. Any violation of SecJLc 703L5 by any applicant for a permit subjects the applicant to a civil penalty of got more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L ) all of or O portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an ovine- of property who, through smp!oy^.es' or personal effort, builds 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 i Omulelion, .he Owner -Builder will have the burden of proving that it was not buift or nproved 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). 1 am exempt from Iicensure 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 legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web sfte:http://v wv.leginfo.ca.gov/calaw.html. >ignalure 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 0) of Division 3 of the Business and Prof�sy * n� an my.license is in full force Ind effect. License Class License No Date Z 1 'LS Contractor Signature �x VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I16100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 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, qld tnance 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' carder and policy number are: Policy Number of Agent Date 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 subiecl to the workers' commnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Dal IECLARATION 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). ender's Name Lenders Address ly 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 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 countyjo entgythe Above -identified property for inspection purposes. ` -,f ;A Isignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED QMD PERMIT FINAL a m ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �O -1 .Yz�-'K-' PROPOSED DEMOLI7tON OCCUPANCY ISSUED SIGNATURE: