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Home My WebLink AboutH2022-0163 - Permits (3)¢`��WeoRT City of Newport Beach C' p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachce.gov/civic C9C/FOQN�P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 03/25/2022 Inspection Area : 2 H2O22-0163 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 : 230 OPAL AVE Description: CHANGE OUT FURNACE & DUCTING Owner: PREUSCH ALLAN WAYNE TR Address: 230 OPAL AVE NEWPORT BEACH, CA 92662 Phone Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BILK 12 LOT 28 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups : Fire Hazard Zone Building Setbacks : Front: 2, Front: 10, Side: 3 Flood Zone : AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 4:s SPECIAL CONDITIONS: Contractor: SOCAL AIRFLOW PROS Address : 29816 AVENIDA DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone: (949)303-5525 Con State Lic : 1010956 Lic Expire : 01/31/2025 Bus Lic : BT300 1995$ Bus Lic Expire: 2/2spozil Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INS CO Policy No : WC21221200002 W. C. Expire: 12/1/2024 NO Manufacturer Model# : OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors State License Law for the reason($) indicated below by the checkmark(s) I have placed next to the applicable Iteri '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 io its issuance, also requires the applicant for .he 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 ?rofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Anyvlolation of Section 7031.5 by any applicant forapermit subjects the applicant to a civil penalty of rot more than five hundred dollars ($500). 1 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, 3usiness 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 mprovements 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 mIroved for the purpose of sale). h 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 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 exampt from ficensure under the Contractors' Stale License Law for file following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at Gast one year prior to completion of the improvements covered by this permit, I cannot legall) sail a structure that I have built as an owner -builder if it has not beenconstructed 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:/lwww.leginfo.ca..gov/calaw.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 Section 7000 f ovi icn of the Business and Professions d and my license is in full force and effect License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU D THOUSAND DOLLARS 11100.000), IN ADDITION TO THE COST OF COMPENSATIGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO 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 peiformance of the work for which this permit is issued. Policy No. have 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' fiance carrier and policy number are: Policy Number Date lame of Agent rnone rF 11 certify that, in the 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 agre rat, it I should became subject to hie workers compensation provisions of Section 3700 of the Labor Code, I shallforthwith comply With thoseprovisions. signature of Applicant----- _ Date re )ECLARATiON REGARDING CONSTR NDP. - ENCV hereby affirm under penalty of rjury t constriction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .enders Name Lender's Address iy my signature below, I certify to e9 the following: I am the property owner honzed to act on the property owner's behalf. I have read this appfcation one ire information I Have provided is correct. I agree to comply with rll applicable city and county ordinances and state laws elating to building construction. I authorize repres ^.lair,es of thh 07 or county to ant a above -id ' d property for Inspection purposes. 7.�/", 'ri naiura of Pro art CNner or Authorized A ens Print Property Owner's or Authorized Agent's Name DatZ!�/ ACTION I DATE B� ABLATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE , nm PERMIT FXPIRED PERMIT EXTENDED LIAQMD PERMIT FINAL ASBESTOS PIOT151CATION 15 NOT APPLICABLE TO CERTIFICATE or PROPOSED DEMOLITION OCCUPANCY ISSUED �) SIGNATURE;