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Home My WebLink AboutH2023-0127 - Permitsuq,. City of Newport Beach ^4Community Development Department -Building Division Mechanical Permit:HZOZ3-0 1L/ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 644-3288 EE �Inspection Requests Phone: (949) 644-3255 � +-� a Work Class : Other newnewportbeachca.gov/inspections 1 -. Issued Date : 02/21/2023 Inspection Area : 1 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 : 916 BALBOA BLVD W Legal Desc : A TR NEWPORT BEACH SEC B BILK 109 LOT 9 Description: MECH: INSTALL AC UNIT AND HEAT PUMP AT SIDE ***TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED ON HEAT PUMPS*** Owner: 916 W BALBOA BLVD ACQUISITION LLC Address : 3379 LONG BEACH BLVD #278 LONG BEACH, CA 90807 Phone : (949) 877-6719 Applicant: PETRA AIR SYSTEM Address: 2830 W BALL RD #P52 ANAHEIM, CA 92804 Phone: (714)310-1103 Owner/Builder : Address Phone : Contractor : PETRA AIR SYSTEM Address : 2830 W BALL RD #P52 ANAHEIM, CA 92804 Phone : (714) 310-1103 Con State Lic : 973814 Lic Expire : 06130/2024 Bus Lic: BT30079793 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Carrier: Policy No: EXEMPT W. C. Expire: Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AC PRO & STAR AIR Type of Construction : Model# : AULD36W2/A-D(U) & SAK27CD Occupancy Groups: Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 0 Flood Zone : X; AO 1 Use Zone: //RR-22,- Two -Unit Residential } p' PROCESSED BY: y "40 CONST I� 1 t�'n SPECIAL CONDITIONS: HIGH DENSITY ZONE ��cTIOt V ' 01' TIMERS PROHIBi i ED ON THE WEEKEND . ON HEAT PUMPS = OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the Teasonfs) 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 requiresa 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 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 not more than rive hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended 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 wBl have the burden of proving that It was not built or Improved for the purpose of sale). '0 I, 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 theprojects with a licensed Contractor pursuant to the Contractors' State License Law). 0 1 am exempt from licensors under the Contractors' Stale 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 legall 'sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:http:llwww.leginfo.ca.govlcalaw.html. Signature of Properly 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 70001 of Division 3 of the Business and Profession Ca e, and. my license is in full force and effect. License Class License No Date .i- 2/�202 3 Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED IN AND DOLLARS ($100.000), IN ADDITION TO THE :DST OF COMPENSATtON, DAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 efformance of the work for which this permit is issued. Policy No. -1I have and Will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor whichthis permit is issued. My workers' compensatioi isurance carrier and policy number are: varier Policy Number Expiration Date Jame of Agent Phone N 11 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 Tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ilgnature of Applicant __,,,,,- Date.7-1.2ti Zzv2 c,' _ areby 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). voters Name Lenders 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 ibis ipplicalfon and the information I have provided is correct. I agree to comply with all applicable city and co I ty ordinances and state laws relating to building construction. I aulhorl7e re?resentalives of this city or county enter the above -identified property for inspection purposes. :natures of Pronerty Owner nr Authnnved An RD Print Pr..nadv Owner's or Authorised AnFnI'S Name -� d DATE ILARATION OF COMPLIANCE WITH CODE OF FEDEBY i REGULATIONS PART 530 TITLE AO AND AQMD RULERAL' FOR OFFICE USE ONLY PERMITEXPIRLD I- JISUBMITTEOASaESTOSNOTIRCATIONTO PERMIT CANCELLED PERMITEXTENDLD �r'EFA- --- AQMU p PERAWITFINAT CERTIFICATE O: OCC'1PANCY'SSUEC /Q d 2 / ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: