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Home My WebLink AboutH2024-0052 - Permitso�aeWPo?T City of Newport Beach III I I I II I I II I I II Mechanical Permit : H2O24-005J2 � Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1400-2020 Permit Counter Phone: (949) 718-188B Work Class: New newportbeachca.gov/civic Issued Date : 01/30/2024 Cq</FORN\P Inspection Area : 5 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 : 440 FERNLEAF AVE Legal Desc : A TR CORONA DEL MAR BLK 433 LOT 22 Description: MECH (2) NEW HEAT PUMPS* TAMPER RESISTANT CAPS REQUIRED Owner: CHRIS GALLO Contractor : AIRSMITHS INC Address : 440 FERNLEAF AVE NEWPORT BEACH, CA 92625 Address : 1474-A POMONA ROAD CORONA, CA 92882 • • - Phone : Phone : (951) 735-5225 Con State Lic : 783449 Applicant: AIRSMITHS INC Lic Expire : 08/31/2024 ; Address : 1474-A POMONA ROAD CORONA, CA 92882 Bus Lic : BT95002015 Phone: (951) 735-5225 Bus Lic Expire:10/31/2025 Workers' Compensation Insurance Owner/Builder: Carrier : INSURANCE CO OF THE WEST Address : Policy No: WSA506136801 Phone: W. C. Expire: 7/1/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: MITSUBISHI Type of Construction : Model# : MXZ-SM48NAM2 & PEAL)-A30AAB Occupancy Groups: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone: X TIMERS PROHIBITED Use Zone : R-2 -Two-Unit Residential ON HEAT PUMPS BY: PROCESSED SPECIAL CONDITIONS: N NO CONSTRUCTION NOISE , PN THE 'WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perfury 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 Hoopla) 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 that. he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chaplor 9 (commencing with Section 7000) of Division 3 of the Business and 'rofesslons 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). 1, as owner of the property,or my employees with wages as their sole compensation, will do I_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Cade: The Contractors' State License Law does not apply to on 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 not built or mlproved for the purpose of sale). .J L 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 Ipp[y 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 licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year peter to corrl.pletfon of the improvements covered by this permit, I.cannot legally all a structure that I have built as an owner -builder if it has not been constructed In itsentirety by licensed Contractors. I understand that 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:fimiip;/fwww.leginio.ca..gov/calaw.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 Section 7 00) okDivrkion 3Business and Professi s e, and y lic 'n full force tnd effect. License Gives License. No Date '� entractor Signature NORKFRS' COMPENSATION DECLARATION i,AIANINU: FAILURE Th SSrn'RE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGESAS PROVIDED FORM SECTION 070E OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES, hereby ifflrm under penalty of perjury one of the following declarations: ..I 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 lorfcrma,ice of Ei,u wvik for which this permit is issued. Paticy 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' ranee carrier and policy number are: of Agent cs Y:f; that, in the performance of if I should bacon a subject to t mature of Applicant _ Policy Number Date work for which this permit *rtssued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ;kers' ccoomgruRgabon prcyvfsf ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ( � I1 1 1 N I PhilAC'FGFFNNrY Dater J c' hereby affirm under penalty of perjury that there-isra construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Fader's Name Lender's Address y 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 comply with all applicable city and county ordina s and state laws relat'ng to building construction. I authorize representatives of this city or county tol rite a ova IdAentified pro arty for Inspection purposes. �CF.1 �� ienature of PmDertv Owner or Authorized Rnenl ..-✓/ Print Prooerty Owner's or Authnri7ed Anent'a Nama r 5, ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERiNTIT EXTENDED P€AMITHNAL 3-t( .L CERPFICATEOF OCCUPANCY ISSUED By 3 DECLARATION OF COIXANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY i REGULATIONS PART 1 OFTITLE 40AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO JQ LAASBESTOS NOTI' TIONISNUTAPP E SO PROPOSED DEMO 10