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Home My WebLink AboutH2023-0448 - Permitsag�w aoR City of Newport Beach Community Development Department- Building Division 0 r' a 100 Civic Center Drive, Newport Beach, CA 92660 u--,• i Permit Counter Phone: (949) 718-1888 c newportbeachca.gov/civic "°4tion" P Mechanical Permit ... ........ _____ _.... Plan Check o Work Class : Other Issued Date : 07/11/2023 Inspection Area : 5 H2O23-0448 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 : 14 SIDNEY BAY DR Legal Desc : N TR 15445 BLK LOT 18 Description: MECH R/R (2) A/C CONDENSERS; TAMPER RESISTANT CAPS REQUIRED Owner: SKEPASMENOLLC Address : 140 N CENTER ST MESA, AZ 85201 Phone: Applicant: AIR MAX INC Address: 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (626)468-9999 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone Contractor: AIR MAX INC Address : 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691, Phone: (626)468-9999 " Con State Lic: 1015725 ' Lic Expire : 07/31/2024 > > > > Bus Lic: BT30065145 Bus Lic Expire:11/30/2023 : .. - Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9170882 W. C. Expire: 8/4/2023 , NO Manufacturer: CARRIER Model# : 34SCA5 SIM TECT TO FIELD INSPECTOR'.S REVIEW AND APPROVAL '• * : 'tom i �f"i 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 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 he permit to File a signed statement thathe or she is licensed pursuantto the provisions: of the Contractors' State License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Justness 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 mprovemenls 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 mproved for the purpose of sale). D 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 91 ly 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), am exempt from ticehsure under the Contractors' State License Law for the following reason. ly my signature below h 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:/..wronv.legmfo.ca.govlcalaw.htmi, signature of Property Owner or Authorized Agent _ _ Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under Drii olty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section �Q�Q) of Division 3 of the Business and Profe� ns Co a. nd nyr li nc� se i yin foil force rd effec'. License Class License No %tl! T�'72 ' Date Tf�_ ( 1(=2T Contractor Si nature VORKERS' COMPENSATION DECLARATION 77�'�� rAENING. FAILURE TO SECURE WORIO RS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :UST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AMID ATTORNEYS FEES. hereby affirm under ner ally of perjury one of the following declarations: .1 I har'e 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 performance of the wore, for which this permit is. issued. Policy No. -IyIKa a 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' compensatioi 1,tiree carrier and policy number are: Policy Number Expiration Date n` Agent o,tiq that. in the nPnormance of the work for which this permit 1 Issued, I shall not employ any person in any manner so as to become subject to the Workers' compensation laws of California, and it I should become subject to the workers' Wpensatiog provins of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Dated, r,7—It-7-3__ _._.._...__ 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). ender's Name _ Lender's Address Vy my signature below, I certify to each of the following: 1 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 withall applicable city and county ordinances and state laws belai to building . construction. I authorize representatives of this city or county to an/1• r the ova-i led cps for inspection purposes. , liomalure of Prooertv Owner or Authorized AoenA D //�_-/% -- _ Print Prooertv Owner's or AUlhnrived Anent :c NamPnrJ. VIA MirU ACTION I DATE ( BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE p REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT PERMIT EXTENDED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL J j^[ `� j I ASBESTOS NOT IFICATION IS NOT APPLICABLE TO CERTIFICATE OF 11 PROPOSED DEMOLITION OCCUPANCYI5SUED SIGNATURE: