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Home My WebLink AboutH2024-0055 - Permits (2)4`��WPoRr City of Newport Beach C Community Development Department- Building Division r100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 o.. newportbeachca.gov/civic cqC/FO R��P II II II II I II II Mechanical Permit : H2O24-0055 Plan Check No : PC2022-2747 Work Class : Other Issued Date : 0113112024 Inspection Area : 6 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: 31 MONTECITO DR Legal Desc : N TR 7844 BLK LOT 70 Description: MECH R/R 3 A/C UNITS AT SIDE (SAME LOCATION) **TAMPER RESISTANT CAPS REQUIRED** (XR2022-2895) Owner: HENRY & GEORGEANN CAMISASCA Address: 31 MONTECITO DR CORONA DEL MAR, CA 92625 Phone : (949) 542-0195 Applicant: BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (171)430-9454 x2 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 107-100 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Contractor : BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone : (171) 430-9454 x2 Can State Lic : 909834 Lic Expire : 01/31/2026 Bus Lic : BT30045172 Bus Lic Expire:10/31/2024 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INSURANCE COMPANY Policy No : PSIC1196403 W. C. Expire: 10/22/2024 NO Manufacturer: AC PRO Model#: AULD36W2/A-DU) OWNER -BUILDER DECLARATION I hereby affirm under penally 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? ,action 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 is permit to rile a signed statement that he or she is licensed pursuantto 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 licensore and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to s civil penalty of of more than five hundred dollars ($500). 11. 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, usiness 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 completion, the Owner -Builder will have the burden of proving that It was not built or nproved for the purpose ofsale) - 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not pply 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), I I am exempt from licensors under the Contractors' State License Law for the following reason: �y my signature below 1,. acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvementscovered by this permit, I.cannot Iagailt all 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 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http://%A .leginfo.ca.govlcalaw.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 7000}a f v of the Business and Profess; nd my license is in full force nd effect. License Class License No 'aeD de J2. I, . Contractor Signature '^� VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ 00,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES, hereby affirm under penalty of perjury one of the following declarations: D 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. forth erformance of the work for which this permit is. issued. Policy No. -1I 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` compensatiol isurance carrier and policy number are: Policy Number Date ie of Agent rnone u 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 , if I should become subjgc�4o the woDE�,qrs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date !reby affirm under penalty of per}ury that there is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code). Iders Name Lender's 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 f 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 97tgr the above -identified property for inspection purposes. —I.— ,.f 0.,,,. , n,.,»er »r v, ahr,a,orl Ananl / I /',, I i1 611 Print Prooertv, Owner's or Authorized AGent's Name ACTION I DATE I BY PBRM(F EXPIRED PERMIT CANCELLED PERMIT ENTENOEO PERMITFINAL rrtt qq CERTIFfCATEOF �PFP OCCUPANCYISSUED DECLARATION CF 9OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG'U ATlONS PAAT 61 OF TITLE. 40 AND AQMD RU LF. 1403 I AJBMITTFD ASBESTOS NOTI L ASBESTOS NO11FICATION 15 NOT APPLICABLE PROPOSED DEMOLITION S,GNATURE:___ ____._ TO Date