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Home My WebLink AboutH2023-0001 - PermitsO��EWP0,4T City of Newport Beach @ Community Development Department- Building Division Ey' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U T Inspection Requests Phone: (949) 644-3255 cgGifOpN�P newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 01/03/2023 Inspection Area : 3 H2O23-0001 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: 20291 SPRUCE AVE Legal Desc : N TR 1506 BLK LOT 19 Description: MECH - REPLACE DUCTWORK Owner: JON PETRY Address : 20291 SPRUCE AVE NEWPORT BEACH, CA 92660 Phone: Applicant: ABSOLUTE AIRFLOW INC Address: 14122 WILLOW,LN WESTMINSTER, CA 92683 Phone: (833)482-2626 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone Building Setbacks : Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: CA I SPECIAL CONDITIONS: Contractor : ABSOLUTE AIRFLOW INC Address : 14122 WILLOW LN WESTMINSTER, CA 92683 Phone : (833) 482-2626 Con State Lie : 1049023 Lie Expire : 01/31/2023 Bus Lie: BT30079754 Tie Bus Lie Expire:09/30/2023 : I f's r Workers' Compensation Insurance i Carrier: EMPLOYEE SERVICE GROUP Policy No: WC053417721 W. C. Expire: 7/1/2023 NO Manufacturer Model# : OWNER -BUILDER DECLARATION I hereby affinn 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 the applicable item(s) ecbon 7031 S, 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 in 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 'rofessions 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 at more than five hundred dollars ($500). 7 I, as 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, '.heiress and Professions Cade: The Contractors' State License Law does not apply to an owner Of property who, through employees' Or personal effort, builds or improves theproperty, provided that the nprovements are not intended or offered for safe. If, however, the building or Improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or nyproved for the purpose of sate). J i, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly 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). I am exempt from licensure under the Contractors' State License Law for the following reason:. ,y 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 IBgall) e0 a structure that I have built AS an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the, Business and rofessions Code, is available upon request when this application Is submitted or at the following Web site:hhp:llw .leginfo.ca..govlcalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 770) of Div' ion 3 of the Business and Profe,. a ions Codmy license is In full force nd effect. License Class License. No Date I( 31 D Contractor Signature lJ VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADIRTION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: J I have and will maintain a certificate of consent to .sett -insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for Ih rrrq�q�q�rrr(((fff»»»rmance of the work for which this permit is Issued. Policy No. 11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Coda, for the performance of the Work for which this permit is issued. My workers' compensatior Is ranee carrier and policy number are: �) 23 rner AI l L) trvsvR.> Q7 g7vt_ Policy Number Ldcor73fF y IZ f Expiration Date lame of Agent Ar 10CR - 4G u: LJ'8 Phone ff fi 33 - 481 - ZIt, %f� -1I certify that, in the 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 Callfomia, and agree iat If I should becomXN to the Workers' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignalure of Applicant pat f j 3J 23 IECLARATION REGCGNS RUCFI N LENDING AGENCY hereby 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, Of Code). enders Name Lender's Address ly 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 1 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 enter the abo -identified property for Inspection purposes. li nature of Pro a Owner or Authorized A e Print Property Owner's or Authorized Agent' Na qj o+iO2Lw A('� 11tt�2 Date 1CTION DATE BY l DECLARATION OF OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE. PERMIf EXPIRED U I SURMITTED ASBESTOS NPTIFILAf,ON TO PERMIT CANCELLED OEPA PERMItEXtENDED _ gQMD PERMITFINAL q ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 6 G� SE.D DEMOLITION OCCUPANCY ISSUED I SIGNATIIRF: