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Home My WebLink AboutH2023-0173 - Permits¢a�WPoar City of Newport Beach D @ Community Development Department - Building Division r �y 100 Civic Center Drive, Newport Beach, CA 92660 G > S Permit Counter Phone: (949) 644-3288 +r. Inspection Requests Phone: (949) 644-3255 C9(/ppp��P newportbeachca.gov/inspections Mechanical Permit Plan Check o Work Class : Alteration Issued Date : 03/13/2023 Inspection Area :6 H2O23-0173 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 : 10 ANACAPRI Legal Desc : N TR 15493 BLK LOT 6 Description: MECH CHANGE OUT/RELOCATE A/C; REPLACE FAU; TAMPER PROOF CAP REQ'D Owner: ARTA FARSHIDI Address : NEWPORT BEACH, CA 92658 Phone: Applicant: TRITON AIR INC Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Phone: (949)492-0290 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : YES Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: _ SPECIAL CONDITIONS: Contractor : TRITON AIR INC Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA, 9?�73 Phone : (949) 492-0290 Con State Lic : 774877 ° Lic Expire : 06/30/2024 Bus Lic: BT30042558 Bus Lic Expire:03/31/2023 Workers' Compensation Insurance ' Carrier : FALLS LAKE FIRE Policy No: FLA01867400 W. C. Expire: 4/1/2023 Manufacturer: AC PRO Model#: AULD60W2/A SVT3J ECT TO FIELD TNSPECTOR78 RE VIEW AND APPROVAL 1i,1SP I. :CT0F1 OWNER -BUILDER DECLARATION I hereby affim under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items) 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 ie permit to file a signed statement that he or she Is licensed pursuantto the provisionsof 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 lieensure and the basis for the alleged exemption. Any vloletion of Section 7031.6 by any applicant for a. permit subjects the applicant to a civil penalty of of more than five hundred dollars ($50D). 11, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, lusness 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 nprovements 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 nprovod for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not poly 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 I am exempt from ficensure under the Contractors' State License Law for the following reason:._ lmy 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 Improvementscovered by this permit, I cannot legally ell a structure that 1 have bulfl as an Dwner-builder if 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:httpiflwww.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)1' of the Business and Pro es r Aes, and my license is in full force nd effect. Licel._s Class License. No Date Contractor Signature J PORKERS"GGNIPENSATION DECLARATION 91 't RN;V :. FAILURL TO SEJURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARS ($100.000), IN ADDITION TO THE DST OF UOMPgNspTION, DAMAGESAS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, "a ATTORNEYS FEES. Uv affirm under penalty of perjury one of the following dec6arat ons: e and wi'I Fr i„ lain 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 IN nce of the work for which this permit is issued. Policy No. JI have and wit maii,tain 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' compensation nsurancr carrier Choi pclicy number are: ;amen Policy Number Expiration Date vnma of "gent -_ _ Phone # JI cart+f+' that, in the performance of the work for which this permit is issued, 1 ann �plcy any person in any manner so as to become subject to the workers' compensation laws of California, and agi tat, if I s:Iould become subject to the wq rs' co n era o Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant )ECLARATION REGA DIN_. -COG...-.._.,--._,_ ENDING AGENCY �r}ury hereby affirm under pen ere is a construction lending agency for the performance of the work for which this permit is issued'. (Section 3097, Civil Code). -enders Name Lender's Address 3y my signature below, I ce ' to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provinq Is correct. I agree to comply with all applicable city and county ord' ces and state laws rat 'Rg-ItSbuilding construction. / I authorize representatives of this City or county to ente-rifTe above-i property for inspection purposes, h 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ents Nam17l f Da ACTION DATE BY ( ATtON OF COMPLIANCE WITH CO DE OF FEDERAL FOR OFFICE USE ONLY € REGULATIONS PART 61 OF TITLE, 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED E11PA PERMIT EXTENDED LJAQMD PERMIT FINAL %—(g �� U ASBESTOS NOl1F1CATION IS NOT APPLICABLE TO Der- CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: