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Home My WebLink AboutH2023-0386 - Permits9�£WPoRr City of Newport Beach Community Development Department- Building Division O ^. n 100 Civic Center Drive, Newport Beach, CA 92660 U y. Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic 9G/c00.N Mechanical Permit : H2023-0386 Plan Check No : 0092-2022 Work Class : Other Issued Date: 06/13/2023 Inspection Area: 1 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 : 215 61 ST ST Legal Desc : N TR 772 BLK 1 LOT 2 TR 772 LOT 2 BLK 1 AND SWLY 4 FT LOT 3 BLK 1 Description: MECH - INSTL NEW HEAT PUMP @ THE ROOF TAMPER RESISTANT CAP REQ Owner: VIRGINIA KOONTZ Address: 215 61ST ST NEWPORT BEACH, CA 92663 Phone: (949)233-6072 Applicant: SCOTT AIR INC Address : 19015 SUNDOWN LN YORBA LINDA, CA 92886 Phone: (714)404-5807 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: aQ� SPECIAL CONDITIONS: Contractor : SCOTT AIR INC Address : 19015 SUNDOWN LN YORBA LINDA, CA 92886 Phone: (714)404-5807 Con State Lic : 928382 Lic Expire : 11/30/2023 Bus Lic: BT30080441 Bus Lic Expire:01/31/2024 Workers' Compensation Insurance Carrier : SIRIUS AMERICA INS CO Policy No : SWC1431022 W. C. Expire : 3/1/2024 Fire Hazard Zone : NO Manufacturer : d4re_Qe. Model# : riaJ(X3t,.#P23cA' I& llj- NO CONSTRUCTION NOISE ON THE WEEKEND, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State, License Lawfor the resson(s). indicaler) below by the checkmarla s) I have placed next to the applicableitem(s) Section 7031:6: Business and Professions Code: Any city or county that requires a permit to Construct, alter,. improver demolish, or repair any structure, prior to he Issuance, also requires the applicant for is permit to file 9 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 Irofossions Code) or that he or she Is exempt from iicensure and the basis for the alleged exemption. Anyvfolation of Section 7031.6 by any applicant fare permit subjects the applicant to a civil penalty of iofMOTOthen five hundred dollars ($600). 3 1; as owner of the property, or my employees with wages as their sale compensation, will do U all of or (_.) portions of the v wK and the structure Is not intended or offered for sale (Section 7044, lusineas and Professions Code, The Contractors' State License Law doesnot apply to an owner of property who, through emilp oyees'or personal effort, builds or improves the property, provided that the riprovements are not intended or offered for sale. If, however, the building or improvement is sold Within one year of completic n, 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, Bus ness and Professions Code: The Contractors' State License Law does not Ipply to an owner of property who builds or improves thereon.. and who contracts for the projects with a: licensed Contractor PUT Heat to the Contractors' State License Law), I am exempt from licensure under the Contractors' State License Law for the following ressom )y my signature below f acknowledge that, except for my personal residence in which I must have resided for at feast one year 3dor to completion of the improvements covered by this permit, I cannot legalit all a structure that I have built as an owner-bulider If it has not been constructed in its entirely by ticenW contractors. I under land 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 sitS:hbp*www.Iagmfo.ci govicalaw.htmi. itgnaturo of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am peened under provisions of Chapter 9 (commencing with Section 7000) of D ision 3 of the us! as and. Ptofessi ns o e, a my license Is in full force DId effect. License Class License. No 3 3 Con Signature VORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WDAHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR NAL PENALTIES We CNB. FINES UP TO ONE HUNDRED THOUSAND DOLLARS {StIM,Q03), IN ADDITION TO THE :fl3T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3733 OF THE LABOR CODE: Off EREST, AND ATTORNEYS FEES, hereby affirm under penalty at perjury one of the following declarations_ have and will maintain a certificate of consent to self -Insure for workers' compensation, Issued by the Director of Incliustrial Relations as provided for by Section 3700 of the Labor Code, for rmance of the work for which this permit is issued. Policy No. hp.V and will maintain workers' compensation insurance, as required by $action 3700 of the Labor Code, for the perfor n anceof the: work for which this permit is issued. My workers' compensator I'9Fice, caller and policy number are: IS( Policy Number Expiration Date ie of Agent Phone 1f certify. that, In 'he perf vmance of the work for which this permit Is issued, I shall not employ any person in any manner so a s to become subject to the workers' compensation laws of California, and agre, ti I shnu pale �u Id Y,hanvwwicers' compensation pmvlaiwls of 8adion 3700 of the Lat3or Coda, t shall Icrthwith ply wtth those pmNslona. / iBiure of App :LARATION EGARDIN CONSTRUCTION LENDINti ABENCY / eb, ^Iffirm under penalty of perjury that there is a aonslrucllon landing agencyfor the partormanra pf ihswork for whieh thi permit is issued (Section 3E97, CNp.Code],. +orsName Lendats.Atldtess ny skIi,sture Wow, I certify to each of the following: -- I Rm the property ov.ner or authorized to act on the property owner's behalf. I have read tKe a f y'icatlon and the Information I have provided is correct. I agree to compl; With all applicable city and county ordinances and state laws relating to building construction. I auth)rize repr seMptives of this city g[`county in lerr the aboveddentified property for inspection purposes. ( a ,en..e nr O,nnn+t . ,�u,n®r. nr A, ai.nri�e.I ETnnr" C , I Brent n,nhe ,whit ilnnnt'e OF GATE �'� BY DECLARATION COMPLIANCE61 OF Trr E40 AN AQMn RUL€ t4D3 AL FOR OFFICE USE ONLY ART t SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL I�_t�_�� U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: