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Home My WebLink AboutH2022-0615 - Permits'E,w o", City of Newport Beach o� -+ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cqt/FOp��P newpodheachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 11/01/2022 Inspection Area : 3 H2O22-0615 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: 2100 SANTIAGO DR Legal Desc : N TRA224 BILK LOT 6 Description: MECH - RJR FAU, COIL & CONDENSER. TAMPER -RESISTANT CAPREQ'D Owner: SIMONIAN ARMOND TR Address: 2100 SANTIAGO DR NEWPORT BEACH, CA 92660 Phone : Applicant: BASIC AIR INC Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone : (714) 469-4542 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups : Fire Hazard Zone : NO Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Contractor BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714) 469-4542 Con State Lic : 909834 Lic Expire :. 01/31/2024 Bus Lic.:. BT30045172 Bus Lic Expire:10/31/2023 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INS CO Policy No ; PSIC1196402 W. C. Expire: 10/22/2023 Manufacturer: AC PRO Model# : AULD60W2/A 3F C OWNER -BUILDER DECLARATION 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 theapplicable fern(s) (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 the permit to file a signed statement that heor shads licensed pursuant to the provisions of the Contractors' State Licanso Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 not morethanfive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the. structure Is not intended or offered for sale. (Section 7044, Business 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 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 purposeof sale). El 1, as owner of the property, am exclusively contracting with licensed Contractorstoconstruct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Low 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 ficensure under the. Contractors' State License Law forthe following reason. By my signature below I acknowledge that, exceptfor my personal residence in which I musk have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-buildor if it has notbeen constructed in its entirely by licensed contractors.. I understand that a copy of the applicable taw. Section 7044 of the Business and Professions Code, is availableupon request when this application Is submitted or at the following Web sits:http:ilwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date._i_ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter-9 (commencing with Section 709) pf Division 3.of the Business and Profess) s Co - a d license is In full force and effect. License Class License No Dat /�Y -e -, Contractor Signature WORKERS' COMPENSATION DECLARATION. NANNING: 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 (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE. INTEREST, AND ATTOR NEY'S FEES. I hereby amrm under penalty of panury one of the following declarations: I have and will maintain a cerllBcate of consent to selfdnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the labor Code, for thi pal armance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of thework for which this permit is issued. My workers' carrier and policy number are: Policy Number Agent Date certify that, in the performance of the work for which this permit is issued, I shall riot employ any person in any manner so as to becomes subject to the workers' compensation laws of California, and agree i, if I should become subject to --the Air cars' compensation provisions of Section 370G of the Labor Code. I shall forthwith comply With those provisions. nature of Applica - __ _ _ __. _ Date CU4RATION REGA G CONSTRUCTION LENDING AGENCY areby affirm under p nalty of be that there is a construction lending agency for the performance of the work for Which this permit is issued :(Section 3097 NIL Code), ider's Name Lender's Address._ my signature below, [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 laws relating to building construction. I authorize representatives of this city orcounty to enter itlelabove-identified property for inspection purposes. Signature of Property Owner or Authorized Agent .ACTION DATE BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENpED PERNIITEINAL CERTIFICATE DE OCCUPANCYISSUED I v� DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART Sl OF TITLE 40 AND AONtD RULE ❑ASSESfRS NOTIFICAitgN IS Np'r APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY me 01�4 III It