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Home My WebLink AboutH2022-0730 - Permitsa£WPoRr City of Newport Beach o a+ Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 u S Permit Counter Phone: (949) 644-3288 } Inspection Requests Phone: (949) 644-3255 C9t/FppN�P newportbeachca.gov/inspections III I I I II I II I II II IIII II II Mechanical Permit : H2O22-0730 Plan Check No: 1847-2021 Work Class : Other Issued Date : 1212112022 Inspection Area : t 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 : 416 62ND ST Legal Description: MECH CHANGE OUT HEAT PUMP ON ROOF *TAM[ Owner: ERIC SMITH Contracto Address : 416 62ND ST NEWPORT BEACH, CA 92663 Address "[ Phone: Phone:: Con State Applicant: 20TH CENTURY AIR INC is Expire Address: 4061 E LA PALMA AVE #A ANAHEIM, CA 92807 Bus Lic : Phone: (714) 514-9426 Bus Lic E. Workers', Owner/Builder : Carrier Address: Policy No Phone : W. C. Exp Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Front: 5, Side: 3, Side: Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 5 BLK 21 ALL (EX SLY 18 FT) THEREOF 20TH CENTURY AIR INC 4061 E LA:PALMA AVE #A ANAHEIM, CA 92807 INS `r�}�Ci� D' ;. t1,.OVA l,L y = 01�) AC PRO AUD60 04�9 ae• •Fc •,• ea+ a aac A O • a b oa a e - • ✓(_)� 6� ..mod 9 d � OWNER -BUILDER, DECLARATION I, as owner of the property, or my employees with wages ae their sole compensation, will do U all of or U portions of the, work, and the st mess and Professions Code: The Contractors' State Lioense Law does not apply to an owner of property who, through employees or perst •ovements are not intended or offered farsale. If, however, the building or improvement is sold within one year of completion, the Owner-8 ,ovedfor the purpose ofsale)... I; as owner of the property, am exclusively Contracting with licensed Contractors to constructme project (Section 7044, Business and Profs 'ylo an Owner of property who builds or Improves thereon, and who contracts for the projects. with a licensed Contractor pursuant to the Cc burden of proving that Contractors` State Lice not WORKERS' COMPENSATION DECLARATION WARNING: FARURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBaCT AN EMPLOYER TO CRIMINAL PENALTIES AND CM FINES UP TO ONEHUNDRED THQU DOLLARS HI100.000), IN. ADDITION .TO TH COST OF COMPENSATION, DAMAGES. AS PROVIDED.FORiN SECTION S706 Of THE LABOR CODES IM[EREST.AND ATTORNEY'S FEES, I hereby affirm under penaltyof perjury one of the following declarations: © f. have and will maintain A certificate ofconsent to self4nsure for workers:` oompensatton, issued by.: the Director. of Industrial Relations asprovided for Section 3700 of the --Labor Code. for t p ormanceof M work for which this permit is issued.-Polioy:No, I have and visit 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` compensatie Insu carrier and policy number are: Carrier Policy Number.. Expiration Date Name of Agent: a Phone # feer ify that, in the performance, of ork for which this permit Is issued, I shall not employ any person in any manner so as tobecomesubjact io the work : compensation laws of California, and agr that, If I should Irecom Sri teat to th ers' compensation provisions of Section 3700 of the Latest Code, I shall forthwith comply with those provisions, -- Signature ofApplicant Da DECLARATION REGA IN: UCTION LENDING AGENCY I hereby affirm finder pe ally of perjury that there is a construction lending agency: for the performance of the work for which this permit is issued (Beckon 30 ; Ci it Code). I am the I have rs LJAsaESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOS12D DEMOLITION.. •• 5 kTtME:. • ••• _•