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Home My WebLink AboutH2023-0211 - PermitsatiwPoRT City of Newport Beach III I I III I I II II D� d Community Development Department- Building Division -n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U Inspection Requests Phone: (949) 644-3255 °q<icoaN�P newportbeachca.gov/inspections Mechanical Permit : H2023-0211 Plan Check No : 0465-2022 Work Class : Other Issued Date : 03/27/2023 Inspection Area :8 PERMITS EXPIRE 180 DAYS FTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATEISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1124 ESSEX LN � Legal Desc : N TR 3000 BLK LOT 50 Description: MECH -INSTALL 2 HEA IMU.TAMPER-RESISTANT CAPS REQ'D Owner: Address Phone : HEINKE KEITH L TR ' " Contractor : BASIC AIR INC 1124 ESSEX LN NEWPORT BE i 02660 Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 (949) 233-6931 yo ✓y Phone : (714) 469-4542 Con State Lie : 909834 Applicant: BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA Phone: (714)469-4542 Owner/Builder : Address: Phone : Code Edition : 2019 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITION Lie Expire : 01131/2024 Bus Lie : BT30045172 Bus Lie Expire:10/31/2023 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INS CO Policy No: PSIC1196402 W. C. Expire: 10/22/2023 Manufacturer: f,�1Aadl# : RXTQ36TAVJ9 OWNER -BUILDER I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons} indicated below, by the checkmark(s) I haveplaced 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 le permit to file a signed statement thathe 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 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.. Any violation of Section 7031h5 by any applicant fore.. permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as theirsole compensation will do U 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compietlon, the Owner -Builder will have the burden of proving that it was not built or nyRroved for the purpose of sale). J 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 poly 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). 3 1 am exempt from Ilcensure under the Contractors' State License Law for the following reason: .y my signature belovi 1 acknowledge that, except for my personal residence in which I must have fesided for at least one year prior to completion of the improvements covered by this permit, I cannot legal]) oil a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applioabie 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:/lwww.leginfo.ca.govfcalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secyr�% f the Business and Pro ssions Cod�,and my license is in full force no effect. License Class License No Contractor Signature1!/� VORKERS' COMPENSATION DECLARATION `ten _� rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SLISJCCT AN EMPLOYER TO CRIMINAL PENALTIES AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLARS St00,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 etformance of the work 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 and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should becomesubjectto t/heaFJce pensaticn provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ^ �J lalure of AoulicarTi/ / /ZVO _. _. Aat3 7 I hereby affirm under penalty of perjury that tHem is-a-:aristruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cooley. ' Lender's Name Lender's Address By my signature below. I cerl.ify 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 to enter th be Ventified property for Inspection purposes. ` l Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name v � Cate ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED ! ISUBMITTFOASBF.STOSNOI,FICAT,ONTO PERMIT CANCELLED i EPA PERMIT EXTENDED ?L.JACjMD PERMIT FINAL 23 S j LQASB€STOS NOITFICATION IS NOT APPLICABLE TO CERTIFICATE OF SIGNATURE: DEMOLITION OCCUPANCY ISSUED