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Home My WebLink AboutH2023-0083 - PermitsF��WPoRr City of Newport Beach p Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 U Y 2 Permit Counter Phone: (949) 644-3288 ex Inspection Requests Phone: (949) 644-3255 Cq<�F00.N�P newportbeachca.gov/inspections Mechanical Permit : HZOL3-oo83 Plan Check No: Work Class: Other Issued Date: 0210312023 Inspection Area: 4 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: 224 HARTFORD DR Legal Desc : Description: MECH CHANGE OUT A/C & FURNACE -TAMPER PROOF CAP REQ'D/TIMER REQUIRED Owner: LISA LAU Address: 224 HARTFORD DR NEWPORT BEACH, CA Phone: (602)769-0609 Applicant: POLAR BEAR HTG & AIR Address: 24792 HIDDEN HILLS RD LAGUNA NIGUEL, CA 92677 Phone: (949)388-9484 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone: X Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO 0, ® 7: f-% �I `�� i Contractor : POLAR BEAR HTG & AIR Address: 24792 HIDDEN HILLS RD LAGUNA NIGUEL, CA 92677 Phone: (949)388-9484 Con State Lic: 968411 ...... Lic Expire: 12/31/2023 °°°° Bus Lic: BT30080626 Bus Lic Expire:02/29/2024 Workers' Compensation Insurance Carrier: INSURANCE+COMPANY+OF+THE+WEST °°°° Policy No: WSD505228702 ° W. C. Expire: 12/10/2023 Manufacturer: A/C PRO ° Model#: 4AC171_30P ° TIMER PEQUIRED ON EQUIPMENT TO SHUT OFF SETINEEN 10 P.M. AND 7 A.M. OWNER -BUILDER DECLARATION I hereby affirm under penally 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 item(s) ction 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 permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions 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 for a permit subjects the applicant to a civil penalty of more than five hundred dollars (S500). J I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of tl Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through I nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp nproved for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor I I am exempt from licensure under the Contractors' State License Law for the following reason: sy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un 'rofessions Code, is available upon request when this application is submitted crat the following Web site:http:llwww.legin1 signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7p00) 01 nd effect. License Class License No Date COMPENSATION DECLARATION ING; FAILURE TO,$SCABE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALI OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OFTHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. by affirm under penalty of perjury one of the following declarations: have "and willfllalntq"in a certificate of consent to self -insure for workers' compensation, issued by the Director of rmance of the work for which this permit is issued. Policy No. Ne'and will nbaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe 3ncE carrier AdvnGCv number are: Policy Number work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date 3 of the Business and Professions Code, and my license is in full force z Contractor Signature _(O C-7 CIVIL FINES UP TO DOLLARS 4100,000), IN ADDITION To THE Relations as provided for by Section 370D of the Labor Code, for of the work for which this permit is issued. My workers' Date that, in theperformance of the work for which this permit is issued, I shall not employ any person in any manner 60 as to become subject to the workers' compensation laws of California, and agre auld become(subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant rcr_�� / ,D_/ rrnM on run rnMerournnM r eMnrur_ er_errry hereby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lenders Address By 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 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 to ent bove-identifie inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Autl torized Agent's Name , ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOROFFICE JSEONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EMENDED UAQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED /t �9 2 C.•/ C ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: