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Home My WebLink AboutH2023-0659 - Permits�EWPORT City of Newport Beach Community Development Department - Builc�ng Divikion 100 Civic Center Drive, Newport Beach, Cr d�660 u ? Permit Counter Phone: (940) 718-1888 .r• newportbeachce.gov/civic Mechanical Permit Plan Check No : Work Class : Other Issued Date: 10/1112023 Inspection Area : 1 H2O23-0659 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 : 435 COLTON ST Legal Desc : N TR 772 BLK 25 LOT 11 TR 772 LOT 11 BLK 25 ALL (E Description : MECH NEW HEAT PUMP TAMPER -RESISTANT CAP REQUIRED Owner: BRYAN RIBLETT Address : 435 COLTON ST NEWPORT BEACH, CA 92663 Phone: Applicant: AIR MAX INC Address: 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (949)468-9999 Owner/Builder : Addraoss Phor,e : Code -Edition: 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 10 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : AIR MAX INC Address : 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (949)468-9999 Con State Lie : 1015725 Lie Expire : 07/31/2024 Bus Lie: BT30065145 Bus Lie Expire:11/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9170882 W. C. Expire: 12/8/2023 NO Manufacturer: CARRIER Model# : 38MURA OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasosa(s) inJw,ded below by the checkmark(s) I have placed next to the applicable items) ,ction 7031.5. Business and Professions Code: Any city or county that requires a permll to construct, alter, ial d,-r is,t, ter repair zany structure, prior to its Issuance, also requires the applicant for permit to file a signed statement that he or she is Iiccnsod pursuant to the provisions of the Contractors' Stare I. itan^,^ Lav (Chapter 9'Commencing with Section 7000) of Division 3 of the Business and Ifessons Code) or that he or she is exempt from licensura andthe 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 more than five hundred dollars (S500). I, as owner of the property,or my employees with wages as their sole compensation, will do I_) all of or U pc.tion. of the wo,k, aie the s:ru.,ture is notintended or offered for sale (Section 7044, ;mess and Professions Code: The Contractors' State License Law does not apply to an owner of property wnq through Lmployees or porEonCl effort, builds nr improves theproperty, provided that the movements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the J_ wner•bokder rill have the burden of proving that it was not built of xoved for the purpose of sale). L 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 )Ey 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 am exempt from licensura under the Contractors' State License Law for Ilia following reason my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legall) I 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 hessions Code, is available upon request when this application Is submitted or at the following Wee sits:http:/lwww.leginfo.ca.gov/ca lawhtml. ,nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION )reby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 7000) of Division 3 of the Business and Professjyns od ,and Iken Is in II force f effect. License Class License. No /Z/K�7%C� Date_ k -//_Z3 Contractor Signature 54/ COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' DOMFENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS1001600), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANC ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 Ih vrfegnance of the Work for which this permit is. issued. Policy No., and will maintain workerscompensation 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 of Agent Date certify that, in the performance of the work for which this permit 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 it I should become ssubjecc thee vorke�rrs/�F tnpans, lion or sons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IaturaafAppIicant_ _(._.._"o_V0`.._,C_._„/�;` ., A..Ar..,.,.r.-.. A..r,r.l.. .....,arr,,,'ll.'. ,.. e.L... areby affirm under penalty of perjury that there is a construction lending all enby for the performance of the work for which this permit Is issued IS 3097 tders Name Lenders Address my signature bBtowt certlfy 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 and state laws relating to building construction. I authorize representatives of this city or county) tAenler yie above;4e�» ifled pp_9ofedy for Inspection purposes. of Property Owner or ACTION DATE BY DECLARATION OFCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R FGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMrT EXPIRED t U I StIBMITTFD ASRFSTOS NOTIFICATION TO PERMITCANCELLED DEPA CIAQMD ❑ ASBESTOS NOI IFICATION 15 NOT APPLICABLE TO PROPOSED' DEMOLITION SIGNATURE; PERMIT EXTENDED PERMITFI,^fAL9 CERTIFICATE OF OCCUPANCY ISSUED h Civil Code).