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Home My WebLink AboutH2022-0628 - Permits�FWaokT City of Newport Beach III I I I II I II Community Development Department - Building Division `r> y 100 Civic Center Drive, Newport Beach, CA 92660 V ps S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9<n. nr�r newportbeachca.gov/inspections Mechanical Permit : H2O22-0628 Plan Check No : 0569-2022 Work Class : Other Issued Date : 11/03/2022 Inspection Area : 2 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 : 105 VIA YELLA Legal Desc : N TR 907 BILK LOT 389 Description: MECH: R/R FURNACE. INSTALL (N) A/C @ 2ND FLOOR DECK. **TAMPER RESISTANT CAPS REQUIRED — Owner: TIMOTHY ERICSEN Address : 105 VIA YELLA NEWPORT BEACH, CA Phone : (714) 231-7601 Applicant: BREEZY AIR SERVICES Address : 16835 ALGONQUIN ST #432 HUNTINGTON BEACH, CA 92649 Phone : (714) 487-8372 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: Front: 10, Front: 4, Side: 3, Side: 3 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: HIGH DENSITY ZONE Fire Hazard Zone Contractor : BREEZY AIR SERVICES Address : 16835 ALGONQUIN ST #432 HUNTINGTON BEACH, CA 92649 Phone : (714) 487-8372 Con State Lic : 1077447 Lic Expire : 06/30/2023 Bus Lic : BT30076246 Bus Lic Expire:08/3112023 Workers' Compensation Insurance Carrier: NORGUARD INS CO Policy No : BRWC273327 W. C. Expire : 5/27/2023 NO Manufacturer: AC PRO Model# : AULD36W2 NO CONSTRUCTION NOISE ON THE WEEKEND OWNER -BUILDER DECLARATION I hereby afflml 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) 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 Te permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofesslons 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 got more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 70", lusiness 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 n roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of properly 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: ly 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 legall, all 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:http:t/w .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under pro�n visions of Chapter 9 (commencing with Section 7g00) of Division 3 of the Business and Profess Code, and y1a Be is in full force nd effect. License Class License No Date /1— 3— ZZ Contractor Signature VORKERS'COMPENSATION DECLARATION ARNING: 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 ($100,000). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me 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 3700 of the Labor Code, for th erformance 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' ranee canter and policy number are: Policy Number Expiratic of Agent Phone # Date 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 California, and if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date _//--3—Z�i CLARATION REGARDING CONSTRUCTION LENDING AGENCY neby 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 Ider s Name Lender's Address 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 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 or county nter the aboveve-ide tt�iffied property for inspection purposes. nature of ProDertv Owner or Authorized Acent�i i �« I 7 Print Prooartv Owner's or Authorized Aoenfs Name Co �`_l ACTION J DATE BY RECU ATTONS PART B3 RAION OF LIANCE TITLE I AND TH CODE OFAQMD RULE ( FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED E1AQMD PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED f�I ' ` ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURFn Civil Code). /r r d7 Date ��—JS