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Home My WebLink AboutH2024-0134 - Permits��EWPORT City of Newport Beach Community Development Department - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Cq�l FORN`P III I I III I II II III III II II Mechanic -al Remit: oHZ024-0134 Plari,CheLk N.3: PC2023-0551 Work Class : Addition/Alteration Issued Date : 03/12/2024 4ns Fe.z=ion Area: 3 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: 388 MEADOW LN Legal Desc : N TR 1832 BILK LOT 6 Description: MECH - R/R A/C CONDENSER. TAMPER -RESISTANT CAP REQUIRED. Owner: JONATHAN KAYNE Address : 159 WORKING RNCH IRVINE, CA 92602 Phone: Applicant: AIR FLOW BROS LLC Address: 11681 ANABEL AVE GARDEN GROVE, CA 92843 Phone: (714)247-9928 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone : X Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) PROCESSED BY: V ✓�_ SPECIAL CONDITIONS: Contractor : AIR FLOW BROS LLC Address : 11681 ANABEL AVE GARDEN GROVE, CA 92843 Phone: (714)247-9928 Con State Lic : 1089235 Lic Expire : 03/31/2024 Bus Lic: BT30083828 Bus Lic Expire:03/31/2025 Workers' Compensation Insurance Carrier: EMPLOYERS COMPENSATION INS CO Policy No: EIG5284882 W. C. Expire: 6/10/2024 Manufacturer : INNOVAIR Model#: SEV60H2R19 OWNER -BUILDER DECLARATION I hereby affirm under penallyof perjury teat I am cxempt frEm the Contractors' State License Law for the reason(s) Indicated below by the checkmark(s) 1 have placed next io the applicable Item(s) ct on 7031.5, Business and Professions',ode : An7 r'ty nr cou-Ity, that •equires a permit to construct, alter, improve; demolish, or repair anystrueture, prior to its issuance, also requires the applicant for permit to file a signed statement that'ilc cr she. is Ilneraud pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my empioyecs with wLges as their save compensation, will do U all of or L) potions of the work„ and the structure is not intended or offered for sale (Section 7044, 3iness and Professions Code: The Cnnhac ors' tat^ Lreenre Lr w dres rot ipply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the Movements are not intended or offerro for sale. If, however the biJiding pr improvement is sold within one year of completion. the Owner -Builder will have the burden of proving that it was not built or 'roved 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 Ily 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). J 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 resided for at least one year prior to completion of the improvements covert ell a structure that I have built as an owner builder If it has not beenconstructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 'rofessions Code., isavailable upon request when this application is submitted or at the following Web site:ittlp:llw .leginfo.ce.govicalaw.html. signature of Property Owner or Authorized Agent Date. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 70F)/ 2t Divis' n 3 Of the Business and Professions C no effect. License Class License. No Date _ .Contractor Signature VORKERS' COMPENSATION DECLARATION his permit, I.cannot of the Business and license is rARNING: FAILURE TO SECURE WORKERS' COMPENSATIDN COVERAGE IS UNLAWFUL, AND SHALL SUBJECT" EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND OOLLARS (S101 i, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 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 th� erformance of the work for which this permit is issued. Policy No. �f have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this perms Is issued. My workers' compensatoor Isuranc crier rid policy number are: - y-Ur0110CC' C0.^n (All '.artier f"i V I) O± � Cu yvl p m) f 1S1� policy Number d G 5Z $ �p B X Expiration Date t� �f V � Z - IameofAD�ant G Ory n�(n/,Au iGr F _ Phone 6� '?— LodJ 11 certify that, in the performance of the work for which this permit is Issued, I s all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should become subject to the mpensatlon provision ection 3700 of the Labor Code, 1 shall forthwith comply with those provisions. / I iignature of Applicant. //y Date, hereby 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 3097 enders Name Lender's Address _ iy 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 pity and county ordinance nd state laws relat�in °bulldil .construction. I authorize representatives of this city Or county to err ntified pcep>rrt action purposes. AL of Property Owner or AL ACTION PERrbllT' EXP1RpD PERMIT CANCELLED PERMIT EXTENDFD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED DATEBY I DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART St OF TITLE 40 AND AQM0 RULF UASBES705 NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: or Authorized Arent s Name (^ FOR OFFICE USE ONLY Civil Code).