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HomeMy WebLinkAboutH2022-0643 - Permits��eWnO?T City of Newport Beach p Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 o— Inspection Requests Phone: (949) 644-3255 o'1c�FopN`P newportbeachca.gov/inspections IIII II Mechanical Permit : H2O22-0643 Plan Check No : 2840-2021 Work Class : Other Issued Date : 1111412022 Inspection Area : 4 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: 900 CHESTNUT PL Legal Desc : N TR 4892 BLK LOT 22 Description: MECH (2) NEW A/C UNITS *TAMPER PROOF CAP REQ* Owner: JOHNNY SUN Address : P.O. BOX 3146 REDMOND, WA 98073 Phone: Applicant: BASIC AIRINC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone : (714) 469-4542 Owner/Builder : Address Phone: Contractor: BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone : (714) 469-4542 Con State Lic : 909834 Lic Expire : 01131/2024 Bus Lic: BT30045172 Bus Lic Expire:10/31/2022 �..... Workers' Compensation Insurance Carrier: PALOMAR SPECIALTY INS CO Policy No: PSIC1196402 — W. C. Expire; 10/22/2023 " Code Edition ; 2019 Fire Hazard Zone : NO Manufacturer: AC PRO 0 Type of Construction : Model# : AULD60W2 t Occupancy Groups : Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6 Flood Zone : X 0C Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) m PROCESSED BY: SPECIAL CONDITIONS: UVYNCK-IDUILUMM LCVLMrxl rrvn I hereby affirm under penalty of penury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) cfion 7031.5, Business and Professions Code: Any city or county that requires a permit to construot, alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to. file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (QQQQQQhapter 9 (commencing with Section 7000) of Division 3.of the Business and fessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7�31.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars (5500). II I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the v 3uslness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp mprovemenls are not intended or offered for sale. If, however, the building or improvement is sold within one year of compleBc mproved for the purpose of sale). :J h as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pur 1 am exempt from licensue under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year self a structure that I have built as an owner -builder if it has not been constructed in its. entirety by licensed contractors. I under. Professions Code, is available upon request when this application Is submitted or at the following Web sitemlfp:llwww.leg nfo.c Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec 70©) f D"s' and effect. License Class License. No l• 1ORKERS' COMPENSATION DECLARATION I 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRI NAL ENALTIE' DST OF COMPENSATION, DAMAOESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEYS 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 IF a�rfo�rmance 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 pert( lsurance carrier and policy number are: :artier, Policy Number lame of Agent 31 certify that, in the a ormance of the Work for which this permit is issued, I shall not employ any person in any manner so Tat, 1(I should become ubjeq_1q he y/Drkers' compensation provisions of Section 3700 of the Labor Code,. I shall forthwith C iature of ADuli hereby affirm under. laity of perjurythat there is c Ion lending agency for the performance of the work for which enders Name Lender's 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 informa'on I have provided is correct. I agree to comply with all applicable city an D my ordinances and state laws relating to building construction. I authorize representatives of this city or coon o enter a ve-id ' ed property for inspection purposes, lionature of ProDertV Owner or Authorized Agent Print Property Owner's or Aut ACTION DATE BY j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE J 4 REGULATIONS PART El OFTITLE 40 AND ACiMD RULE 1403 PERMrf EXPiR0 1 5s IPP1177FD ASRF-T')F NTI9CATION TO PERMIT CANCELLED EnA PERMIT EXTENDED ��1OMD _ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERMITFINAL CERTfFlCATE DE 1 I PROPDSEDDEMOLITION OCCUPANCY ISSUED t SRCAJATUPE: k, and the structure Is notintended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law), to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and _ Date Business and Pr ssiogWCo N my license is in full force CIVIL FINES UP TO ONE HUNDhD THOUSAND DOLLARS ($100,000), IN AD DrION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date _Phone 0 to become subject to the worke ' ompensatlon laws of California, and agree ply with those provisions. 1 / Date-r,i��✓ permit is issued (Section 3097 MR Code). NPtri