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H2022-0616 - Permits
�E'wp9'T City of Newport Beach II I II I II I II I II I III II Ck Community Development Department - Building Division "y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �grrFoar`:^' newpodbeachca.gov/inspections FA f m Mechanical Permit : H2022-0616 Plan Check No : 1222-2021 Work Class : Other Issued Date : 11/01/2022 Inspection Area : 3 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: 1806 BERYL LN Legal Desc : N TR 1806 BILK LOT 24 Description: MECH: REPLACE A/C UNIT @ SIDE "TAMPER RESISTANT CAPS REQUIRED— (X2021-1385) Owner: BERNICEDEVRIES Address : 1806 BERYL LN NEWPORT BEACH, CA 92660 Phone: Applicant: ECONO AIR Address: 555 VANGUARD BREA, CA 92821 Phone : (714) 695-6661 Owner/Builder Address Phone : Contractor : ECONO AIR Address : 555 VANGUARD BREA, CA 92821 Phone : (714) 695-6661 Con State Lic : 445220 Lic Expire : 02/29/2024 Bus Lic: BT30064026 Bus Lic Expire:11/30/2023 Workers' Compensation Insurance Carrier: CAROLINA CASUALTY INSURANCE COMPANY Policy No : BNUWC0156679 W. C. Expire: 4/7/2023 Code Edition : 2019 Fire Hazard Zone : NO Manufacturer : GHREE Type of Construction : Model# : FLEXX60HP230VABH Occupancy Groups: Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-60y0000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: N ' SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Slate License Law for the reasons) 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 Ilcensure 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). 111, as Owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 bullt or ,improved for the purpose of sale), ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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 Iicensure 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 legaly self 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://wwryv.leginfo.ca.gov/c law.html. Signature of Property Owner or Authorized Agent Date_ LICENSED CONTRACTOR'S DECLARATION II hereby affirm under penaily of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0 of 'vision 3 of the Business and Profs on and my license is in full force 'and effect. License Class License No Date l 6I Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE RUNDRED THOUSANO DOLLARS ($100,000L IN AODFION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 J 1 have and will maintain a certificate of consent to self -insure for workers compensation. issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for thi rerf��ormance of the work for which this permit Is issued. Policy No. atlave 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' Compensator prance carrier and policy number are: Sorrier Policy Number Expiration Date Jame of Agent Phone N :1I certify that, in the perfor ancs of th r fnr Bich 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 agree hat, If I should become su cf to t ork s' c pensation provisions of Section 3700 of the Labor Code. I shall forthwhh comply with those provisions. ilgnalure Of Applicant m Date l O f 9 Z 1Cr•4 ADAT'IAAI Car AOYfr _ YCI Yt`•TY. �I CI,tT1 IM0 Al�WMI V c !retry affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is Issued (Section 3097, Civil Code). Iders 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 this application and the information I have provided is correct. I agree to ^rmfl; with all applicable city and coup ordina a d state laws relating to building construction. I authorize representatives of this city or county to enfer a ov -identified property for inspection purposes. �,Edure of Pronef'v Owner or Authorized Anent Print Prooartv Owner's or Authorized Aaent's Name 171, FOR OFFICE USE ONLY s RBCOLATIONS PART 61. OF TITLE 40 AND AQMD RULE _ _ 1403 °ERM'T EXPIRr I I SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CANCEI..ED L_ QI--rEPA PERM EXTENDED iJAQMD PERMIT FINAL El ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO C5RTIFICATE OF PROPOSED DEMOLITION OCCUPANCY BSt'E9 SIGNATURE: { { 0 0 0 0 0 G o o 0 \ \ \ \ \ \ \ \ } 7 § § R § § R _ § = g w LU k ) k ) ) \ \ \ \ \ \ -j § 2 k 2 p 2\\\}\ R ) 2 7 2 LL rn w Fr § k \ \ d \ $ 2 w - Q , - 2 - ; - a - Q - @ - Q - W§ § \ N \ LLI - LL U U cLU a Ef\\\e ~ | 0 0- ) } ! ~ { -cc LU � / ° \ ° \ \ \LU _ { � � \ 2 2 , f ! % ) fLU ) z O [ ) CO) [ } _ I f ! \ ! $ LL LL \\) i \ + f 7 § + )}uj§ _ ( w R E w § \ _ _ ) . / § $ $ § < © 4 Q U o S% $ Q U o Q ( 6 \ b § b 2 b \ b - k ± §%§§ 5 & \ k \.. §) ..� �� LL LL\ f 8 (J) { W q W g 2 o g a a 7 f / # 5 2 z ! U w, I-- w( % § § , / k | E / 7 45 Q Q Q O O O 00 O O LU m o o 0 0 0 0 Z o 0 0 Z Q N O N O N N F N N N VI O O O W N N N N N N /�/ L 2 a: 7:5 . 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