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Home My WebLink AboutH2022-0415 - Permits�EWPoRr City of Newport BeachIII I I I II I II I II II III II I II unity Development Department- Building Division - Comm x 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgG�pnpN�P newportbeachca.gov/inspections Mechanical Permit : H2O22-0415 Plan Check No : 1470-2021 Work Class : Other Issued Date : OB/11/2022 Inspection Area : 2 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 : 400 S BAY FRONT Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 ELK 7 LOT 1 BALBOA ISLAND RES UB SEC 1 LOT 1 BILK AND LOT 2 Description: MECH -INSTALL 3 A/C CONDENSERS @ ROOF DECK. TAMPER -RESISTANT CAPS REQUIRED Owner: GLEN SALSBURY Address Phone: Applicant: SOLSTICE HEATING & A/C Address: 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone: (949)573-3607 Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY Contractor : SOLSTICE HEATING & A/C Address : 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone: (949)573-3607 Con State Lic : 938888 Lic Expire : 10/31/2023 NOCOBu s Lic Expire: /28/2Compensation Insurance Carrier:, L/r+,ZECURITY NATIONAL INS CO Policy No : 76785 ON W. C. Expire : 3/19 2'A/ @�, `1 2019 Fire Hazard Zone : N ' 7� I s, r Manufacturer 4'1 Model#: Front: 5, Side: 3, Side: 3, Rear: 5� X; AO 1 R-BI -Two-Unit Residential, Balboa Island OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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 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 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, Business and Professions Code: The Contractors' State License Law does not apply la 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 buill. or improved for the purpose of sale). Q 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 a ply 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), lam exempt from licensure under the Contractors' Slate 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 cove€ed 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 Cade, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.govicalaw.html. 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 Secti 7000) of talon 3.of the Business and Proftgssi ns C , and my license is in full force and effect. License Class License No a //l 1 L Contractor Signatu✓r�, WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINS UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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: ❑ I 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 p ormance of the work for which this permit Is issued. Policy No. 4 ve 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' compensatiol insur ce carrier and policy number are: 1e of Agent certify that, In the performance of , If I should become subjectto the m Policy Number Date 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 �ker compens on provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. — ��t— hereby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Girder's Name Lender's Address ly my signature below, I certify to each of the fallowing. I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is correct,. I agree to comply with at] applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county ty ant the ablwe-Identified property for inspection purposes, _ / -1 o..,,.an„ n,.,.,or „� A. Ah, n,o,i nr,�,,rrz /W ./Ail Print Prooertv Owner's or Authorized Agent's Name _1[ St�qn (- � PERMIT EXPIRED CERTIFICATE OF OCCUPANCY ISSUED DATE T� DECLARATION OF COM P'LIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE �A 1403 5l1BMITTFD ASBESTOS NOTIFICATION TO n—CPA '.ASBESTOS NOTIFICATION 15 NOT APPLICABLE To PROPOSED DENIOLMON SIGNATURE: Date Ali recp'ired alarms, Iarcnes gates and fences which serve as part of a pool/spa barrier, shall be in p'sce priortn approval to fill pool/spa & shall remain In place & be maintained for the II'a of Me pool. _