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Home My WebLink AboutH2022-0580 - Permits�aEWPoRr City of Newport Beacom A � @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9��FORN�P newportbeachca.gov/inspections II IIIII I II II Mechanical Permit Plan Check No : Work Class : Other Issued Date: Inspection Area : 2 H2O22-0580 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 : 1021 BAYSIDE COVE E Legal Desc : N TR 8073 BLK LOT 2 UN 101 TR 8073 LOT 2 UNIT 101, P, 2B, G OF PROJECT Description: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ* Owner: Mark Kimbal Ramsey Address : 1021 Bayside Cove Newport Beach, CA 92660 Phone: (714)984-3358 Applicant: GUARANTEED AIR Address: 1250 N LAKEVIEW AVE STE C ANAHEIM, CA 92807 Phone: (714)777-6600 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks: Flood Zone : AE, 8 FT; X Use Zone: RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS Contractor : GUARANTEED AIR Address : 1250 N LAKEVIEW AVE STE C ANAHEIM, CA 92807 Phone : (714) 777-6600 Con State Lic : 997377 Lic Expire: 10/31/2022 Bus Lic: BT30053897 Bus Lic Expire:02/28/2023 Workers' Compensation Insurance Carrier : MID-CENTURY+INSURANCE+COMPANY Policy No: A09484276 W. C. Expire: 3/5/2023 NO Manufacturer: Ac FZO Model#:,4u0D36UJ Z rr t 4 0 I DECLARATION I hereby affimt 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 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 io 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 Yofesslons 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 at more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 to an owner of property who, through employees' 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 completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 3 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 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), J I am exempt from licensure under the Contractors' State License Law for the following reason:._____"___ y 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 Iegall) all a structure that I have built as an owner -builder if it has not been constructed in itsentirety 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 site:httpV/www.leginfo.ca,govlcalaw,htmi, ignature 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 Sectio 7 10 0 i ' i ry�,pf the Business and Pr aio de, and y license is in full force ntl effect. License Class License No Da Contractor Signet VORKERS' COMPENSATION DECLARATION 'ARMING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, oAMAGEs As PROVIDED FORM SECTION wits OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a cerlificate 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 Trance 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: Policy Number Date me of Agent Phone 0 _ I certify that, in the parlor ante he for which - is permit Is issued.. I shall not employ any person in any manner so as to become subject to the workers' compens ion laws f Callfomia, and agre L if I should Istu fact to a w ca ' compen abon p visions of Section 3700 Df the Labor Code, I shall forthwith comply With those provisions. nature of Applicant CLARATION Z A. DING C UCTION LENDING AGENCY rreby 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 ben . I have read this application and the information I have pr I d is carte f agree to comply with all applicable city and c t or If an s and st a laws relating to building construction. 1\X ' ,t q 1 authorize representatives of this city or county t me the e-ident 'ad property for inspection purposes, / \ nature of Prooenv Owner or Authorized Anent P ��m _ Print Pronerty Owner's or Authorized Anent's Name b rKD Date ACTION DATE BY Y OECLAItXTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r ' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE t 1403 PfRMrr kxpfnfD 17115UBMITTEO ASBFSTn.S NOTIFICATION TO PERMITCANCELUED _ I..... EPA _. PERMIT EXTENDED UAQMD I PERMIT FINAL ASBESTOS NOT IFICATION 15 NOT APPLICABLE To CERTIFICATE OF / )� PROPOSED DEMOLITION OCCUPANCY 155UEO / (� SIGNATURE: