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Home My WebLink AboutH2023-0571 - Permits�EwPoq� City of Newport Beach o� y Community Development Department- Building Division j;j° ; 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 �r newportbeachca.gov/civic 1<44Fonc+`r.. p � 11111111111111111111111HIIIIIIIIIIIIINIIIIIIII11111 Mechanical Permit : H2O23-0571 Plan Check No : PC2023-2132 Work Class: Other Issued Date : 10/03/2023 Inspection Area : 7 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 : 888 SAN CLEMENTE DR Legal Desc : A TR IRVINE SUB BILK 55 IRVINE SUB., FOR OF BLOCK 5 Description: COMM REPLACE HVAC UNIT Owner: THE IRVINE COMPANY Contractor: CONTROLAIR Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Address : 5200 E LA PALMA AVE ANAHEIM, CA 92807 Phone: (949) 720-2372 Phone: (714) 785-9678 Con State Lie : 1053402 Applicant: CONTROL AIR Address: 5200 E LA PALMA AVE ANAHEIM, CA 92807 Phone: (714) 785-9678 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks : Flood Zone: X Use Zone : PC - North Newport Center PROCESSED BY: B� SPECIAL CONDITIONS: Lie Expire : 05/31/2025 Bus Lie : BT30067538 Bus Lie Expire:05/31/2024 Workers' Compensation Insurance Carrier : ZURICH AMERICAN INSURANCE COMPANY Policy No: WC348689818 W. C. Expire: 4/1/2024 Fire Hazard Zone : NO Manufacturer Model# : OWNER -BUILDER DECLARATION I hereby affimt under penalty of perjury that f am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) 3ectiun 7031.5, Business and Professions Code: Any cityor county that requires a permit to construct, altar, 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' State 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 itcensure 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 of more than five hundred dollars ($500). 1 1, as owner or the property, or my employees with wages as their soie 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 Coder 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-Buliderwill have the burden of proving that It was not built or nproved 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 ty to an owner of properly 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' State License Law for the following reason ...................... y my signature below I acknowledge that, except for my personal residence in. which I must have rosided for at least one year prior to completion of the improvements covered by this permit, I cannot legally oil 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site: http:iiw .leginfo.ca.gov/calaw.html, ignature of Property Owner or Authorized AgenE _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec -lion 7000) of Dlvisibn 3 of the Business and Professions Code, a my license is Rr raft fordo nd effect. License Class License No Date /<i7-2� Contractor Signature T�%/%,� PORKERS' COMPENSATION DECLARATION / I !ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,ee0),IN ADDITION TO THE CHIT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3716 DF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm lAnder penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent toself-Insure for workers` compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tht erff9miance of the work forwhich this permit is issued, Policy No. hove and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thispermit is issued. ,My workers ranee center and policy number are. Po{icy Number Date no of Agent _Phone .4 certify that, in the performanoe of the work for which this permitis issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and , if I should become subject to the worker;%Dompensation provisions of Section 3100 of the Labor Code, I shall forthwith comply wtlh those provisions. of Applicant Date— /O'?J''23 , CLARATION REGARDI CONSTRUCTION LENDING AGENCY :retry affirm under Done Ry 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). Ider's Name Lenders Address my signature below, I certify to each of the following: i am the property owner ar authorized to act on the property owner's behalf. I have read this application and the information I have providedis correct. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or Countyr/a./�y.terr the ¢-lion@tied property for inspection purposes- nature (..,lid _ nature of Pr0DenV Owner or Authorized Aoenf % t,�G "� Print Property Owner's or Authorized Aoent's Name 12UE&e1 L By DECLARATION OF COMPLIANCE WITH CODA OF FEDERAL FOR OFFICE USE ONLY li RHGUI.ATIONS PART 61 OF TITLE 40 AND AQMti RULE A$HFST05 NOTIFICATION TO PERMIT EX'ENO.n t QMD PERMn FRAt 110 ' 4 � I ASRESTOS NOTIRCAPION 15 NOT APPLICABLE To CEATrF'OE /lJ'V^ I PROPOSED DEUiW ITiON IGAT