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Home My WebLink AboutH2022-0627 - PermitsEWIPORr City of Newport Beach III I I I II I II I I I II I I II II Mechanical Permit : HZO22-0627 O @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2022-2089 U Z Permit Counter Phone: (949) 644-3288 Work Class: Other e.Inspection Requests Phone: (949) 644-3255 CgQIFOftN�r newportbeachca.gov/inspections .:.-_ ^ �^ Issued Date: 1103/2022 _ Inspection Area : 6 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: 5 CREST CIR Legal Dead: N TR 8406 BLK LOT UN HOLD Description: MECH: INSTALL ROOF MOUNTED A/C UNIT AND R/R FURNACE." TAMPER RESISTANT CAPS REQUIRED** (XR2022-2244) Owner: SWEIDANGABRIELLA Address : 5 CREST CIR NEWPORT BEACH, CA Phone: (949)375-7276 Applicant: PETRA AIR SYSTEM Address: 2830 W BALL RD #P52 ANAHEIM, CA 92804 Phone: (714)310-1103 Owner/Builder : Address: - - - Phone: Code Edition: 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : PETRA AIR SYSTEM Address : 2830 W BALL RD #P52 ANAHEIM, CA 92804 Phone : (714) 310-1103 Con State Lie : 973814 Lie Expire : 06/30/2024 Bus Lie : BT30079793 Bus Lie Expire:09/30/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Manufacturer: AMERICAN STANDARD Model# : 4A7A40BN oovY ° Yon OWNER -BUILDER DECLARATION I hereby Billion under penally 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 item(s) iection 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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato 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 Ilcensure 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 of 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 oroffered for sole (Section 7044, usiness 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 nprovemen€s 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 n roved for the purpose of sale). 1, 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). I am exempt from licensure under the Contractors' Stale License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which t must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, 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 70" of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:htip,,Ii w.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professign ar ny license is "n full force nd effect. License Class License No Date f f�3j,� Contractor Signatures iiLL i PORKERS' COMPENSATION DECLARATION 'ARNIM FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRWINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (F100,000), IN ADDITION TO THE DST DF COMPERSATiOH, DAMAGES AS PROVIDED FOR IN SECTION 77" OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. 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 in erformance of the work for which this permit is issued. Policy No.. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the poroormance of the work for which this permit is issued. My workers' rence carrier and policy number are: Policy Number Expiration Date of Agent Phone N _ ;er ify 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 10 the workers' compensation laws of California, and agre If I should become sub 0 tie wo s' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. , alure of Applican 1 _ Date�t7 � /e?, 2, !n J 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) enders Name Lenders Address y 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 ordinances and state laws relating to building construction. I authe•i_F rsU�ssentatives of this city or county to e e e ve-i anti roperty for inspection purposes. `` p (//i Al'"ionnfijm of Prnnnrtv Owner or ADlhod�ed Anen n�� Print Pronertv Owner's or Authorized Anent's Name l \v�C`t!'1L N ACTION ( DATE I BY' I DECLARATION TIONS POF ART M CPUACE WITH TNTLE 40AND DE OFAQMD RULE AL I FOR OFFICE USE ONLY PERMITPXPIf.Ed I I I L I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EX ,WPEO CtMD PERMIT FINAL El ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF -`i- 23 "'�� PROPOSED DEMOLITION ocrUPANCI'I'SUEC SIGNATURE: