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Home My WebLink AboutH2022-0622 - PermitsrcW...... City of Newport Beach Community Development Department- Building Division 101, Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 �..:.. r. �. OR, Inspection Requests Phone: (949) 644-3255 0,,WN' newportbeachca.gov/Inspections Mechanical Permit : H2O22-0622 Plan Check No : 1756-2021 Work Class : Other Issued Date : 11/02/2022 Inspection Area : 6 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: 63 CAMBRIA DR Legal Desc : N TR 7844 BILK LOT 122 Description: MECH (3) NEW A/C UNITS *TAMPER PROOF CAP REQ* Owner: BIRE II LLC Address : 7642 W IRVING PARK RD NORRIDGE, IL 60706 Phone: Applicant: QUALITY AIR INDUSTRIES INC Address: 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone : (714) 718-2946 Owner/Builder : Address Phone: Contractor: QUALITY AIR INDUSTRIES INC Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Con State Lic : 1052628 Lic Expire : 04/30/2023 Bus Lic: BT30075259 Bus Lic Expire:05/31/2023 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9017366 W. C. Expire: 7/4/2023 Code Edition : 2019 Fire Hazard Zone : NO Manufacturer : LG Type of Construction : Model# : GXH48-60SK4DH Occupancy Groups: Building Setbacks : Front: 6, Side: 5, Rear: 30 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: _ SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors` Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section T031.5. 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 he permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and arofesslons 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 cavil penalty of of more then five hundred dollars ($500). 1 I, as owner of the properly, or my employees with wages as their sole compensation, will do J all of or (_) portions of the work,and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to anowner of property who, through employees' or personal effort, builds or improves the property, provided that the mpravemenis 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 m roved for the purpose of sale)_ t as Owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors` Stacie License Law does not Ipply 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 licensors under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided -far at least one year prior to completion of the Improvements covered by this permit, I cannot legafl ,eA a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and fiofessions Code, Is available upon request when this application Is submitted or at the following Web site:tittpJlvrvvw.legfnfo.ca.govFcaiawatml. Ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perfury that I am licensed under provisions of Cha�_ommSection 0) of Div€stgn 3 of the Business and Prof Ie a. do, nd y license is in full force Ind effect. License Class License No Date - ' i Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRNINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (bi Ql},eaa), IN ADERTION TO THE GST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I I 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 3T00 of the Labor Code, forth 91i rnrance of the work for which this permit is issued. Policy No, 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' rence carrier and policy number are: varier Policy. Number Expiration Date lame of Agent Phone # 11 certify that, in the p or ance of the work for which this permit is issued, t shall not employ any person in any manner so as to become subject fo the work rs' mpensat on laws of California, and agre tat 111 should become u ierct to the workers' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. 9 f) 99 ignature of Applicant .... Date IECLARATfDN REGA 1 CON$TRUCTION LENDING AGENCY hereby affirm under p alty erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CI I Code). enders Name, Lenders Address y my signature below. I cerMy tc each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read tills application and the Information I h ve provided is correct I agree to Comply with all applicable city and c ul y ordinances and state laws relating to building construction. I authorize representatives of this city or count y19krJV above -identified property for Inspection purposes. \ x / or ACTION DATE BY / ' OI:66ARATION OF COMPLIANCE WITH CODE. OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT CANCELLED PCITIVIiT EX rENDED PERMIT FI NAL CERTIFICATE Of OCCUPANCY ISSUED LJ::CBMITEJ AS ,CS'OS NOTIFICATION TO CLRA . _M4M'.D ASBESTOS NOTIFICATION 15 NOT APPLICABLE PROPOSED DEMOLITION 3IIGNATURE, TO Date 0Z-Z ZL