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Home My WebLink AboutH2023-0288 - Permits�aEWPoRr City of Newport Beach D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 > x Permit Counter Phone: (949) 644-3288 o.Inspection Requests Phone: (949) 644-3255 °'�tiFna"�P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 05/02/2023 Inspection Area :2 H2O23-0288 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: 1901 BAYADERE TER Legal Desc : N TR 2813 BLK LOT 171 Description: MECH INSTALL (2) FURNACES AND (2) A/C'S; TAMPER PROOF CAP AND TIMERS REQ'D Owner: CROUL KINGSLEY R TR Contractor : KLONDIKE AIR INC Address : 1901 BAYADERE TER CORONA DEL MAR, CA 92625 Address : 1308 LOGAN STE E COSTA MESA, CA 92626 Phone : (949) 887-3134 Phone : (714) 979-2070 _ Con State Lie : 754456 » Applicant: JERMAINE MAEWEATHER Lie Expire : 09/30/2024 Address : 3675 RUFFIN RD. SAN DIEGO, CA 92123 Bus Lie: BT30080447 Phone: (619) 677-8487 Bus Lie Expire:01131/2024 Workers' Compensation Insurance Owner/Builder : Carrier : FALLS LAKE FIRE & CASUALTY CO " Address : Policy No: FLA01974800 ' Phone: W. C. Expire: 10/10/2023 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AC PRO ' Type of Construction : Model# : AULD60W2/A-D(U) Occupancy Groups: Building Setbacks : Front; 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the ContractorsState 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 Cade: 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 Lava (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 (S500).. ❑ 1, as owner of the property,. or my employees with wages as their sole compensation, will do (_) ail 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 will have the burden of proving that it was not built or improvedfor the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors is 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), ❑ 1 am exempt from licensure 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http•.11W .leginfo.ca.govlcalaw.htmi. 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 7000 of bvsion of the Business and ofessions Cod , and my license is in full force and effect. License Class License. No Date 1' Contractor Signatu NORKII COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION DOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AODMON TO THE COST OF COMPENSAT'CN 7AMAGES AS PROVIDED FOR. IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEYS FEES. hereby affirm uri , rnaity of perjury one of the following declarations: DI have and wit, ,na,ntain 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 thl cerf ru'�Fm ice of the "i for which this permit is. issued. Policy No. 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' carrier &io pulley number are: Policy Number Expiratic of Agent _ _ _ Phone 0 Date r1I mrvly that, inthe 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 afire( that +f I Should become subject to the workers' comp nsation provisions of Section 3700 of the Labor Code., I shallforthwith comply with those provisions. Signature of Apphcant, DLCC.AFZ ,TION REGARDING CONSTRUCTION LENDING AGENCY I he. -£by 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). Lenders Name Lender's Address _ By my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly Owners behalf, I have read this application and the information I have provided is correct. I agree to Dimply with.. all applicable city and county ordinances nd state laws relating to building.. construction. I authorize representatives of this City or coup t ter the orb eftfied property for Inspection purposes. Signature of Property Owner or Authorized Agent Pnnt Pro ert Owner's or Authorized Agents Nam Dater,-� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART fit OF TITLE 40 AND AQMD RULE i 1403 PERMIT PXP"Ifl) I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPArlCY ISSUED LIASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION