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Home My WebLink AboutH2023-0605 - Permits,,EWPotr City of Newport Beach III I I I II Mechanical Permit I III II II II IIII II Community Development Department - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PermCounter Phone: 949 ( I 718-1888 Work Class : Other newpoit rtbeachca.gov/civic Issued Date : 0911512023 FN - Inspection Area : 2 H2O23-0605 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID—ECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDA` 3H DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2552 VISTA DR Legal Desc Description: MECH - R/R A/C CONDESNER R 8 COILS Owner: RICHARD MURPHY Address : 2552 VISTA DR NEWPORT BEACH, CA 92663 Phone: Applicant: BREEZY AIR SERVICES Address : 16835 ALGONQUIN ST #432 HUNTINGTON BEACH, CA 92649 Phone: (714)487-8372 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 140 BLK LOT 22 Fire Hazard Zone : NO Contractor : BREEZY AIR SERVICES Address : 16835 ALGONQUIN ST #432 HUNTINGTON BEACH, CA 92649 Phone: (714)487-8372 Con State Lie: 1077447 Lie Expire : 06/30/2025 Bus Lie: BT30076246 Bus Lie Expire:08131/2024 Workers' Compensation Insurance Carrier : NORGUARD INS CO Policy No : BRWC444990 W. C. Expire: 5/27/2024 Manufacturer: AC PRO Model#: AULD36W2/A-D(U) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 the permit to file 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 Professions Code) or that he or she is exempt from ficensure 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 not more than five hundred dollars ($500). 111, 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 notintended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). E) 1, 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 apply 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 licensere under the Contractors' State License law for the following reason -------- By_...._..__._....___ 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 legallt sell 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 a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:hdLXwww.legmfo.ca..gov/cs law. him]. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70pt7) of Diytsi 3 f the Business and Professions £ode,. and my tic II force and effect License Class License No Data 1 / '7 Contractor Signature �� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU9JEC7 AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty, of perjury one of the following declarations: 111 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 pert rmance 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' compensator nsurance carrier and policy number are: Policy Number Date ame. of Agent none R ]I 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 agre lit, if I should become subject to the •aurkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ipnalure of Applicant _ _ Date DECLARATION REGAR G CON RUCTION 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, Civil Code). tinder's Name _ _ Lenders Address y my signature below,__ 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 stale laws relating to building construction. I authorize representatives of this city or county to enter the above -identified r party for inspection purposes. .�i— iunature of Propery, Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name C VU F) I 1 d I I Cate�lnr fif( -D ACTION DATE I By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY l R'FGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 POWU EXPIHEO .L 'i.L1 I SUBMITTED ASBESTOS NOTIFICATION TO BERPAiT CAi,CE�4£0LIEPA _ -.— _ _.-_—_ F'E.Ri✓1T fX, fN�➢PC' _,_...... .. L1FlQM D PEAPAIT FINAi DASBESiUS NUTI 1IEICAON I5 NOT APPLICABLE T4 CERTIFfCATE OF Q : PROPOSED DEMOUTION OCCUPANCY ISSUED SIGNATURE,