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Home My WebLink AboutH2023-0301 - Permits�EwPoq� City of Newport Beach Community Development Department- Building Division rY- 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718A888 newportbeachca.gov/civic Cq�JFOQN`P II IIII III I II Mechanical Permit Plan Check No: Work Class : Other Issued Date : 05/0812023 Inspection Area : 8 H2O23-0301 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: 3229 BROAD ST Legal Desc : P BK 252 PG 36 PAR 1 UN 1 PM 252 PG 36, PAR 1 OF PROJECT 937 -35 LOCATED ON Description: MECH - SFR INSTALL (1) NEW A/C UNIT *PROVIDE TAMPER -PROOF CAPS AS REQUIRED Owner: WYATT RUSSELL Address : 3229 BROAD ST NEWPORT BEACH, CA 92663 Phone : (206) 799-8327 Applicant: ABSOLUTE COMFORT HEATING AC Address: 1048 Irvine Ave, #158 Newport Beach, CA 92660 Phone: (940)449-2361 Owner/Builder : Address Phone: Contractor : ABSOLUTE COMFORT HEATING AC Address : 1048 Irvine Ave, #158 Newport Beach, CA 92660 Phone: (940)449-2361 Con State Lie : 826675 Lie Expire : 10/31/2023 Bus Lie: BT30077360 Bus Lie Expire:12/31/2023 Workers' Compensation Insurance Carrier : CLEAR SPRING PROPERTY AND CASUALTY CO, Policy No: CWC01256300 W. C. Expire: 10/27/2023 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AC PRO --- Type of Construction : Model# : AULD36W2/A-D(U) Occupancy Groups: Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: �R--2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: I.N 9 n r-% q- _�, T 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Items) (Section 7031.5. Business arid Professions Code: Any city or county that requires a permit to construct, Slier, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Seelig, 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permitsubjectsthe applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, Be 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 not intended or offered for sale (Section 7044, Business and Prafesslons Cade' 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 improvements 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 improved for the purpose of sale). 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not apply 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason. By 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 legal) salt a structure that I have built as an owner -builder if it has not been constructed in its antirety 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 Bt the following Web site:hftp://www.leginfo.ca.govicalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 704!�o ivisi n ;let the Business and Professions Code, and my license is in full force and effect. License Class License. No Dete Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN AODMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY$ FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 perfo mance of the wrk for which this permit is issued. Policy No. 1 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 permit is Issued. My workers' compensatio d shran,.P carrier crud pDlicy number are: Carrier Policy Number Expiration Date Name of )gent Phone # 11 certify that, in true 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 thtt,'I I slcould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. p� Sff)rzl� ire of App6naid - Dater Z. - u. Z� DECI APATION REGARDING CONSTRUCTION LENDING AGENCY I herebv, 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, Civil Code). Lender's Name _ Lender's Address By my signature bW v, I Lenity to each of the following: I am I" propi owner or authorized to act on the property owner's behalf. I have read tk; appi.catien and the information I have provided is correct. I agree to comply with all applicable pity and county ordinances and state laws relating to building construction. I authorize representatives of this City or count to er the above -identified property for inspection purposes. �j'y/ ,/ Si nature of Proearly Owner or Authorized A enl _-Print Pro ert Owner's or Authorized A ent's Namd' `� L L �� Dale ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY RFGUtATIONS PART 61 OF TITLE. 40 AND AOMD RULE 1403 PERMIT EXPIRED i LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 1JEPA PERMIT EXTENDED 0AQMD PERMITFINAL ,/ ASBESTOS NOTIFICATION IS NOT APP TO CERTIFICATE OF ,1Lj.l3 ,/�� PROPOSED DEM N OCCUPANCY ISSUED /`✓F SIGNATURE: