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Home My WebLink AboutH2023-0347 - Permits`£vuPo�T City of Newport Beach 6 Community Development Department - Building Division r .@. 100 Civic Center Drive, Newport Beach, CA 92660 u T Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C'4C/ FOPN`P Mechanical Permit : H2O23-0347 Plan Check No : 1760-2021 Work Class : Other Issued Date : 05/2512023 Inspection Area : 8 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: 423 SAN BERNARDINO AVE Legal Desc :,A TR FIRST ADD TO NEWPORT HEIGHTS BLK 13 LOT 18 Description: MECH - INSTALL 1 HEAT PUMP, 1 A/C CONDENSER. TAMPER -RESISTANT CAPS REQ'D Owner: PATRICK WERNER Address : 1226 W BAY AVE NEWPORT BEACH, CA 92661 Phone: Applicant: AIRSMITHS INC Address: 1474-A POMONA ROAD CORONA, CA 92882 Phone : (951) 735-5225' Owner/Builder : Address : ON l ` PA Phone: �I //ddD Code Edition : 2022 F1' A4one.: NO Type of Construction Occupancy Groups : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : AIRSMITHS INC Address : 1474-A POMONA ROAD CORONA, CA 92882 Phone : (951) 735-5225 Con State Lic : 783449 Lic Expire : 08/31/2024 Bus Lic: BT95002015 Bus Lic Expire:10/31/2023 Workers' Compensation Insurance Carrier : INSURANCE CO OF THE WEST Policy No : WSA506136801 W. C. Expire: 7/1/2023 Manufacturer: SAMSUNG/CARRIER Model# : AC018BNHDCH/AA & 34SCA5 OWNER -BUILDER. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark{s) I have placed next to the applicable items) iectlon 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 a permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofesslons Code) or that he or she is exempt from licensore andthe basis for the alleged exemption. Any violation of Section 7031..6 by any applicant fora permit subjects the applicant to a civil penalty of of more then five hundred dollars ($500).. I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure Is not intended or offered for sale (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 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). I I. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not poly 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 I am exempt from licensors under file Contractors' Slate License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered bythis permit, I.cannot legall) ell a structure that 1 have built as an owner-huilder 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 'rolessions Code, is available upon request when this application Is submitted or at the following Web sjte:http:l(rnv,w.leginfo.ca..govlcalEtw.htmi. signature of Property Owner or Authorized Agent Date ICEN'SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions oft" Qncing with Section 7000) of Division 3 of the Business and Prof Code, and is in full force nd effect. License Class License,N Date :Contractor Signatu PORKERS' COMPENSATION DECLARATION. 'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED OUSAND DOLLARS (E100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 manoe of the work. for which this permit is issued. Policy No. va and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensa Ir nce carrier and policy number are: Policy Number Date lame of Agent Phone tF 31 certify that, in the performance of the work for which thispermit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat, if I should become sub' t�ihe woworke7ansa'' provrsions pfSection 3700 of the Labor Code, I shall forthwith comply with those provisions.lignaluea of ApplicanA',i'a1N IECLARATION REG G CONSTR CNG`i�iaNCYhereby affirm under penalty of perjury t construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). .enders Name Lenders Address ly my signature below. I Certify to each or 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 Huth all applicable pity and county ordinances and state laws relatm to building construction. I authorize representatives of this city orcounty^ to efif9r—thA abov r i led props for inspection purposes. /� �,r Fr�� '.. iionature of Prooertv Owner or Authorized Agent 'fir �.� Print Property Owner's or Authorized Agent's Name V T..AL4,X �{' • r-r� Data Z� ( � ACTION DATE BY ;NQECLARATIONp)j M&rANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPiAED ( U I SUBMITTFO ASBESTOS NOTIFICATION TO PERMIT EXTENDED I LJAOMD PEAMITFINAL Z��`L3 iii ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF € PROPOSED DEMOLITION OCCUPANCYISSUEO j SIGNATURE: