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Home My WebLink AboutH2022-0497 - PermitsCity of Newport Beach O E Community Development Department- Building Division n, 100 Civic Center Drive, Newport Beach, CA 92660 U j.. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Mechanical Permit : H2O22-0497 Plan Check No : 2080-2020 Work Class : Other Issued Date : 09/19/2022 Inspection Area :2 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 : 330 ONYX AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 13 LOT 15 Description: MECH (2) NEW A/C UNITS *TAMPER PROOF CAP REQ* Owner: WATERCREST DEVELOPMENT GROUP LLC Contractor : KEYSTONE D C S INC Address : 2901 MACARTHUR BLVD W, STE207 santa ana, CA 92704 Address : 9140 TRASK AVE GARDEN GROVE, CA 92844 Phone: Phone: (714)791-3771 Can State Lic : 1013293 Applicant: KEYSTONE D C S INC Address: 9140 TRASK AVE GARDEN GROVE, CA 92844 Phone: (714)791-3771 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: Lic Expire : 04/30/2024 Bus Lic: BT30076080 Bus Lic Expire:07/31/2022 Workers' Compensation Insurance Carrier: STATE+COMPENSATION+INSURANCE+FUND Policy No: 9157538 W. C. Expire: 4/21/2023 Manufacturer Model# : i� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmarkfs) I have placed next to the applicable ilem(s) (Section 7031.5, Business and Professions Code: 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 the permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Yicensure and the basis for the alleged exemption. Any violation of Section 70S1.5 by any applicant for a. permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the improvements 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 improved 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 apply 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 licensure under the Contractors' Stale License Law for the following reason: By 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 legally sell a structure that I have built as an owner -builder if it has not boon constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/1wMnv.leginfo.ca..gov/calaw.htmi. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wiE}t Sectio OQ) of Divi ion Sot the Business and P scions ides 'cyst rt-ful o ce and effect. License Class License. No Dat . i I°I `a?, Contractor Signet WORKERS' COMPENSATION DECLARATION I \ �_ NARKING: FAILURE TO SECURE WORH5RS' OOMPENSAT ION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f8100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEYS 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 the pgrformance of the work for which this permit is issued. Policy No. and will maintain nvorkers' 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 me. of Agent Phone 9 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 agrer L if I should become sUl?1-0VTq the workers•' compensate v o s ciLSaojjna 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ _ -�� kD-1�/ /'t/ �Z CLARATION REGAR G CO� ON LEE�tDFt4 Ai�o E C "�P`�� rreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30ode). ide's Name Lender's Address 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 and state laws relating to building construction. I authorize representatives of this city or county t��J,fer the above-Iden' dd dry for Inspection purposes. •� nature of Property Owner or Authorized Anent / \ ---r''�-� --r6rn Prnnarry ovmer'e nr Anlheri7ed Anant'c NV f / Yii I fa.<�r� n�IK q�1q�77 ACTION I DATE I BY y, TDCOMPLIANCE WITH CODE OP AO AND AQMD FEDERAL I FOR OFFICE USE ONLY REGULATIONSPART PERMIT EXPIRED tJ I SUBMITTFO ASBESTOS NOTI FICAYION TO PERMIT CANCELLED UPI, PERMITEXTENOEO —----- - — iTMp PERMIT FINAL ASBE�J ST%NJI111CATION 15 NOT APPLICABLE TO CERTIFICATEOF ,.l 1I PROPOSED DEMOLITION OCCUPANCY 155UEO ��Zl�f V i 51rwa2uRF:,