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Home My WebLink AboutH2023-0188 - PermitsCity of Newport Beach & 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 cgCiF00.N�P newportbeachca.gov/inspections III II III III II III II II I II Mechanical Permit : H2023-0188 an Check No : Wlork Class : Other Issued Date : 03/20/2023 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 : 22 CLERMONT Legal Desc : N TR 14902 BILK LOT 74 Description: MECH A/C CHANGE OUT; TAMPER PROOF CAP REQ'D Owner: BROWN RANDALL S Address: 22 CLERMONT NEWPORT COAST, CA 92657 Phone Applicant: SOCAL AIRFLOW PROS Address: 29816 AVENIDA DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone: (949)303-5525 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY : SPECIAL CONDITIONS Contractor : SOCAL AIRFLOW PROS Address : 29816 AVENIDA DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone : (949) 303-5525 " Con State Lic : 1010956 , Lic Expire : 01/31/2025 " Bus Lic : BT30055229 ' Bus Lic Expire:05/31/2023 " Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INS CO Policy No: WC21221200002 W. C. Expire; 12/1/2023 NO Manufacturer: GOODMAN Model# : GSXN4048 " si.li3JECT TO FIELD TNSPF•CTO P.'9 1agVJLW AND APPROVAL kJ s i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 Coda. 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 he permit to rile a signed statement that he or she is licensed pursuant to the provisionsof the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and )rofessfons Code) or that he or she is exempt from licensors 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 iot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3ustness 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 properly, provided that the mprovements 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 mtproved for the purpose of silo). J 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 ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a Icensed Contractor pursuant to the Contractors' State License Law). I am exempt from ticensure 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 forat least one year prior to completion of the improvementscovered by this permit, I cannot legally all 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 7044 of the Business and Irofessions Code, is available upon request whan this application is submitted or at the following Web site:http://wwvr.leginfo.ca.govYcalaw,html.. Signature of Property Owner or Authorized Agent Date -LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 0 ' - the Business and Profession e, and i se is in full force Ind effect License Class License. No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECUiE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AMP SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T. ANO DOLLARS LS100,0001, IN ADDRION TO THE :OST OF COMPENSAt uN, JAMA0E8 AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hcr:It;� i,ffirm m,der p„inalty of perjury one of the following declarations: I have and will maintain a certificate of consentto self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, u�rf r mice of the work. for which this permit is. issued. Policy No., and wit', me ntLin 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 ,)'Agent Date - l cat } that, in the performance of the w Air which this permit is issued'. I shall not employ any person in any manner so as to become subject to the workers' compensatiop laws z f California., and agre rot If I s :ould btcor t subject to the cers' compensation pcovi. s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� Z ;Cnature of AppFcanl _ Date _ (/ _ IEL;Li RATION 1+FUAR ING ONS N LENDING AGENCY hereby affirm under penalty of o L there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code), enders Name _ _ Lender's Address ly 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 an a I authorize representatives of this city or county tgpnter th ove-dendflec ACTION 1403 PERMIT EXPIRED PERMIT CANCELLED is relating to building construction, property for Inspection purposes. IM PLIANCE WITH CODE OF FEDERAL 61 OF TITLE. 40 AND AOMD RULE NOTIFICATION TO PERMITFINAL D�(L_I ASBESTOS NOI"IFICATION 15 NOT APPLICABLE TO CERTIFICATE OF �S PROPOSED DEMOLITION OCCUPANCY ISSUED cIrMAT1 @P. FOR OFFICE USE ONLY