HomeMy WebLinkAboutH2023-0402 - PermitsaEW R>
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
Mechanical Permit
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Plan Check o
Work Class : Other
Issued Date : 06/19/2023
Inspection Area :2
H2O23-0402
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: 31 SAND DOLLAR CT Legal Desc
: N TR 8835 BLK LOT 5 UN 1 TR 8835 LOT 5 UNIT 1 P-1, G-1, CP-1 OF PROJECT
Description: MECH R/R FURNACE IN CLOSET: NEW A/C CONDENSER -TAMPER PROOF CAP REQUIRED
Owner: ERIK RAMIREZ
Contractor : ABSOLUTE AIRFLOW INC
Address : 31 SAND DOLLAR CT NEWPORT BEACH, CA 92663
Address : 14122 WILLOW LN WESTMINSTER, CA 92683
Phone: (714)683-9277
Phone: (833)482-2626
Con State Lic : 1049023
Applicant: ABSOLUTE AIRFLOW INC
Lic Expire : 01/31/2025 • , , ,
Address : 14122 WILLOW LN WESTMINSTER, CA 92683
Bus Lic : BT30079754
Phone: (833) 482-2626
Bus Lic Expire:09/30/2023 • , ;
Workers' Compensation Insurance
Owner/Builder :
Carrier : EMPLOYEE SERVICE GROUP
Address :
Policy No: WC053417721 • -
Phone:
W. C. Expire: 7/1/2023
Code Edition: 2022 Fire Hazard
Zone : NO Manufacturer : A/C PRO
Type of Construction :
Model# : AULD36W2/A-D(U) ,
Occupancy Groups:
Building Setbacks:
Flood Zone : X
Use Zone : PC - Newport Terrace - UP 1621
P.:'rtii)Veil..
PROCESSED BY:
SPECIAL CONDITIONS:
I. hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below try the checkmark(s) I have placed next to the applicable Blurts)
Section T031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve; demolish, or repair any structure, prior to its Issuance, also requires the applicant for
is permit tome a signed statement that he or she is licensed pursuant to the provisions of the Contreciors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Imfeesions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fore permit subjects the applicant to a civil penalty Of
of more their five hundred dollars ($500)..
3 1, 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 10",
hisiness and Professions Code: The Contractors' State License Law does not. apply to onowner of property who, through employees' or personal effort, builds or improves the property, provided that"
nprovements are not intanded 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
Jn roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
ly to an owner of property who builds or improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' Stale License Law).
.! I am exempt from Ilcensure Under the Contractors' State License Law for the following reason: _
ty my Signature below t 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 legath
ell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that acopy of the applicable law, Section 7044 of life Business and
Irdfessions Code, is: available upon request when this application Is submitted or at the following Web site:htlp:f/www.laginfo.ca.gov}celaw.html.
signature of Property Owner or Authorized Agent Data
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Professions Cale, and my Ifeense n f ree
Ind effect. License Class License ND. Data 2 Contractor Signature �f1 _off
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS gAII0.40a), IN ADDITION TO THE
DST OF COMPENSATION, DAMAO" AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm u. rGcr,renafty of perjury One of the following declarafions:
] 1 have and vAu maintain a certificate of consent to self.tnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
r1ls—r)riance of ti i, wurk for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as requited by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
Date
in m Agent Phone q
-�r:Ny that. ;a the performance of the work for which this permit is issued; I shall not employ any person in any manner so as to became subject to the workers` compensation laws of California, and
It I should become subject to the workers' compensation Dievislons of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions.
M1
Date 64111-7 3
h^r�'Y, 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
enders Name Lender's Address
iy my signature oalow, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I hays read this application and the information I have provided is correct.
1 agree to comply with all applicable city and county ordinances and state laws relay to building construction.
I authorize representatives of this city or county to Inter the above-iden)ifl rty for Inspection purposes. ,
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
CERTIFICATEOF
OCCUPANCY I5S
GATE BY I
DECLARATION OF REGULATIONS PART6 Of TITLE 40 AND AOMh RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY
SUBMITTED ASBESTOS NOTIFICATION TO
/� I U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
ILI•Z PROPOSED DEMOLITION
Civil Cada).
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