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Home My WebLink AboutH2024-0122 - PermitsQ ��WPORT City of Newport Beach p d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 .s� newportbeachca.gov/civic Cq�IFORN\r Mechanical Permit : H2024-o122 Plan Check No : 2868.2019 Work. Class : Other Issued Date : 03/05/2024 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 : 1000 PARK AVE Legal Desc : _ • Description: MECH - INSTL A/C UNIT @ THE SIDE YARD, TIMER AND TAMPER RESISTANT CAP REO Owner: RICHARDSON JAMES H FAMILY TRUST Address : 7550 OR] EN AVE LA MESA, CA 91941 Phone: Applicant: SIRIUS MECHANICAL INC Address : PO BOX 5316 RIVERSIDE, CA 92517 Phone: (888)508-3381 Owner/Builder : Address Phone: Code Edition: 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED 6`(: SPECIAL CONDITIONS: Contractor : SIRIUS MECHANICAL INC Address : PO BOX 5316 RIVERSIDE, CA 92517 Phone: (888) 508-3381 Con State Lie : 851512 Lie Expire : 11/30/2025 Bus Lie: BT30083779 Bus Lie Expire:03/31/2025 Workers' Compensation Insurance Carrier : OAK RIVER Policy No: SIWC457634 W. C. Expire: 5/1/2024 Manufacturer: AC PRO Model# : AOVA-24CN1-M152G TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. OWNER -BUILDER DECLARA IIUN 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 checkmark(s) I have placed next to the applicable items) 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 he permit to filea 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 Iicensure and the basis for the alleged exemption. Any violation of Section 70:1.5 Cr any applicant (Ora permit subjects the applicant to a civil penalty of tot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work., and the structure is notintended or offered for sale (Section 7044, 3useess 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 property, 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 myproved for the pLVOSe of sale). .J h 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 ownera' property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 71 1 am exerirht'r a.n iioensure 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 for at least one year prior to completion of the improvements. Covered by this permit, I.cannot legally sell n rtructurt, 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 professions Code, is available upon request when this application is submitted or at the following Web site:http://w5vw.ieginfo.ca.gov/calaw.htrni, S!Aran.re of Property Owner or Authorized Agent Date LICENSED CON TRACTOR'S DECLARATION I n^reb, affirm uouer penalty of perjury that am licensed under provisions of Chapter 9 (commencing with 5e ron 000) of Division 3:ot the Businas and Prof ' ns od ,. and m license is in full force and effect. Llce.t.:e .:lass License. Nalgnatura v�u hURKERS' COMPENSATION DECLARATION WARNING: FAILURE TI, SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SNALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 13100,000), IN ADDrrION TO THE ICE- J? JOMPENSATION., r>MAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES. hereby affirm unrlAr penalty of perjury one of the following declarations: �., I navy and :A:1 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 n/� of the ,v3.k for which this permit is issued. Policy No. I veKaird will maintain 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' compensatio: ante carrier and policy number are: Carrier Policy Number Expiration Date tame of Agent "'"" �1 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 tat, U I should barn e s c4 to the evpr compe satiety provCsions of Sec#ion 3700 of the Labor Cade, I shall Forthwith comply wdthlhose provisions. / s lignalure of App' nt tECLARATiON RE NG O RU O DING AGENCY hereby affirm under penalty of perjury tharihere Is a construction lending agency for the performance of the work for which this permit is issued. (Section 97, fvil Code). enders Name Lenders Address ly my signature. below, I certify to each of the following_ I am the property owneror authorized -to -Oct an the prOPIDA"wner's behalf. have read this application and the information I have provided is correct. I agree to-tiomply with all applicable city and unty-ordinances and state haws re ating to building construction. _ I authorize representatives of this city c my to r (h ve=lfled p ¢rty for inspection purposes. 3ionature of PrODertv Owner or Authorized enl -� ,� 11 'C'='z Print Property Owners or Authorized Agem-s to ACTION DATE B j DECLARAT16N OF COMPLIANCE WITH CODE, OF FEDERAL FOR OFFICE USE ONLY ( REGULATIONS PART 61 OF TITLE 40AND AQMD RULE PPRNirT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CAA'CEUED CPA PERMIT EkTENDEO I ''. AQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 7 AseESTOs NOTIFICATION 15 NOT APPLICABLE TO Y PROPOSED DEMOLITION SIGNATURE;