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Home My WebLink AboutH2022-0655 - Permits�EwaoRr City of Newport Beach Community Development Department- Building Division > yy' 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 ? Inspection Requests Phone: (949) 644-3255 Cq<rpp RN�P newportbeachca.gov/inspections IIIII II Mechanical Permit Plan Check No: Work Class : Other Issued Date : 1112112022 Inspection Area : 6 H2O22-0655 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 Description : Owner: Address Phone: 9 PINNACLE POINT Legal Desc : N TR 14038 BLK LOT 51 TRACT NO 14038 LOT 51 FOR OF LOT MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* BREMNER TIMOTHY N TR 9 PINNACLE PT NEWPORT COAST. CA 92657 Applicant: NEXGEN A/C INC Address: 700 N VALLEY ST STE K ANAHEIM, CA 92801 Phone : (657) 208-1987 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone: PC - Newport Coast PROCESSED BY: d0l� Fire Hazard Zone Contractor : NEXGEN A/C INC �k Address : 700 N VALLEY ST STE K ANAHEIM, CA 92801 Phone : (657) 208-1987 ra 1 Con State Lic : 1011173 Lic Expire : 02/29/2024 Bus Lic: BT30055503 Bus Lic Expire:06/30/2023 Workers' Compensation Insurance �i7 Carrier : OLD REPUBLIC GENERAL INSURANCE CORPORATId Policy No: AlCWA0011502 W. C. Expire: 3/1/2023 YES Manufacturer : AMANA Model# :ASYC k 6— V 66 IF 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 applicable ltem(s) (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 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 Professions 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, 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 orofferad for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves theproperty, provided that the improvements are not intended or offered for safe. 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 Low does not 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), L,1 I net 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 I 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 itsenliraty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application Is submitted or at the following Web site:http:Uwww.loginfo.ca.govlcalaw.html.. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION 1 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 Pro. ss ode, andhin I is in full force and effect. License Class License No Date Z Contractor Signal 'r WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE tS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNOR HOUSAND DOLLARS ($100,000), IN ADDITION TO THE C067 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 the ptj[forrnance of the work for which this permit is issued. Policy No. �I have and will maintain workers' compensation insurance, asrequiredby Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior surance/� Ma anrlr 11cy number ar :anler. Ma Ftz.abl�e iMI W Policy Number 410104C06Z Expiration Date lame of Agent Phone N 11 certify that. in the perform a of the work for which Is permit is issued: I shall not employ any person in any manner so as to become subject to the war rs' compensation laws of California, and agree rat, it I should become a j. the workers' comp on provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. '7 -7 signature of Applican D t ,�LZ Z iECLARATION REGA NG CONSTRUCTION LENDING AGENCY hereby affirm under Is alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). ender's Name v - 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 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 d' cas and state laws _g to building construction. I authorize representatives of this city orcounty t above-d ritifled r inspection purposes. Ii nature of Property Owner or Authorized A ant Print Property Owner's or Authorized A ent's Nam in �U t 4CTION DATE RV Vj�FCbWTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE. 40 AND AOMD RULE PERMIT EXPIRED ---- 1 _t 1 SDBMlTT o 1`PESTOS NOTIFICATION TO PERMIT CANCELLED - EPA - -- _. __ _ PERMITEXTENOED -r-t- — l r ragN;p PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE Or .iy-z3 D PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATl1R5:.