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Home My WebLink AboutH2022-0484 - Permits�EWPo� City of Newport Beach III I I I II I II I II II III I II II p�' & Community Development Department - Building Division Mechanical Permit > - 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: U }e!um, i Permit Counter Phone: (949) 644-3288 Work Class : Alteration Inspection Requests Phone: (949) 644-3255 c9C/FOB=N�p newportbeachca.gov/inspections Issued Date : 09/14/2022 Inspection Area : 4 H2O22-0484 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 : 2005 BAJA Legal. Desc : N TR;6227 BLKLOT 51 TR 6227{LL.84-214032) PAR 51 Description: SFR MECH INSTALL (N) HEAT PUMP ON ROOF TOP R 9 Owner: STRACK RICHARD D TR THE MJE FAMILY TR Contractor : MATT GILES CONSTRUCTION Address : 2005 BAJA NEWPORT BEACH, CA 92660 Address :-. 16741 DAISY AVE FOUNTAIN VALLEY, CA 92708' • ° Phone: Phone: - (714),315-5928 ' Con State '':Lie: 942422 ,s .....• Applicant: EMERALD AIRE Lic Expire: 01131/2024 ' Address : 19881 BROOKHURST ST C140 HUNTINGTON BEACH, CA 92646 Bus Lic : '' BT30053179 a9®• Phone: (714) 914-9304 Bus Lic- Expire: 11130/2015 Workers'- Compensation Insurance Owner/Builder: Carrier: '. SIRIUS AMERICA INSURANCE COMPANY +°°a Address : -:-. Policy No WC9121900 Phone: W. C..Expire: 2/22/2023 Code Edition : 2019 Fire Hazard Zone : NO Manufacturer : Goodman Type of Construction : Model# : GPH14 48M41A Occupancy Groups: Building Setbacks Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 9a8°e® • • ° R Caraq a�aa.a • • o + under penalty of perfurythat 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 itemmsj u siness and Professions Code: Any city or county that requires a permit to corlstruct, after, Improve, demolish, or repair any structure,. prior to its Issuance; also requires the applicant for signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9. (commencing: with Section 7000) of Division 3 of the Business an )or that he or She is exempt from licensure and the pasta for the alleged exemption. Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a civil penalty o 1; as owner of theproperty,: or my employees with wages as their sole compensation, will do:(_) all of or (_) portions of the work, and the structure Is not intended or offeredfor sale (Section 7044, mess and Professions Code: The Contractors' State License Law dries not apply to: an owner of propertywho, through employees' or personal effort;builds or improves thoproperty, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within oneyear of completion, the Owner -Builder: will have the burden of proving that it not built or roved for thepurpose of safe).. 1, as owner of the property, am exclusively contracting with licensed' Contractors to construct the project (Section 7044, Business and. Profassions Code., The Contractors' State License Lew does not lyto 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 IlCensure under the Contractors' $late License Law for it ny signatures below I ackncwladge that, except for my personal residence in a structure that I have built as an owner -builder if it has not been constructs lessions Code, is-avallable:upon request when this application Is submiltted ung",enalty of peljurythat-I am licensed under provisions of Chapter 9 (commencing with Section '7OT f es on 3 u e Business and Profess cn�ed�, a`n m i •erise is in full force cense.^Ssas License No:. Date kf% Contractor Signature�(' COMPENSATION DECLARATION - D:T(FSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(SL0a.000), IN ADDITION TO TI e6 affirm urio4 penalty of perjury one of the following: declarations: , pavh and Will giLr gain 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, forth Irijepce of he work for which this permit is issued. Policy No. have and w,'iilftairitein 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' compensatioi '3ricE carrier Kra pGUoy number are: er " Policy Number Expiration Date oofAgent ^e Phone#f :ertify that. in the perfor nc \ 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 ogre if I should become sub et 10I workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. store of Applicant Date herebyaffirm under penalty of perjuryy-thAthera is a construction lending Agency to ender's Name y 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 taws n I authorize representatives of this city or county to fuller the�pbbove-ldentipleAprro ACTION I DATE 1403 PERMIT TO for which this permit is issued (Section 3097, Civil Code), OFFICE USE ONLY /, ai