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Home My WebLink AboutH2023-0655 - Permitsv,EWeoRr City of Newport Beach III II I II Mechanical Permit I III II II II II II II `� @ Community Development Department- Building Division -' - 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Work Class : Other newportbeachca.govlcivic Issued Date : 1010912023 C��Fn RM�p Inspection Area : 2 H2O23-0655 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 : 222 COLLINS AVE, A Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 11 LOT 21 Description: MECH - R/R HEATPUMP. TAMPER RESISTANT CAP REQUIRED Owner: ECONN CAROL ANNE TR Address : 695 ARBOR ST PASADENA, CA 91105 Phone : Applicant : CONNECTED HEATING AND AIR Address : 9 MACARTHUR PL #2005 SANTA ANA, CA 92707 Phone : (714) 272-0903 Owner/Builder : Address Phone : Code Edition: 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone: X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: Contractor : CONNECTED HEATING AND AIR Address : 9 MACARTHUR PL #2005 SANTA ANA, CA 92707 Phone : (714) 272-0903 Con State Lie : 890199 Lie Expire : 05/31/2024 Bus Lie: BT30062863 Bus Lie Expire:03/31/2024 Workers' Compensation Insurance Carrier: EMPLOERS PREF. INS Policy No: EIG499189600 W. C. Expire: 4/22/2024 Manufacturer : BRYANT Model# : 215S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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 permit to construct, alter, improve, demolish, orrepair 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 fora 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 will wages as their sole compensation, will do i_) all of or (_) portions of the work., and the structure is notintended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Slate 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 built or Irrynproved for the purpose of sale). U 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 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). ❑ I. am exempt from licensure under the Contractors' Stale License Lawfor 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 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 Code, is available upon request when this application is submitted or at the following Web sitei:hftp:/lwroiw leglnfo.ca.gowcalaw..hbnl. 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 700p) of Div////sk�i➢Qn 3 of the Business and Professi hs de, and m license is in full force and effect. License Class License. No Date 01- n Coritractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS OLLARS 1E100,000), IN ADDITION TD THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 3N SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEE& hereby affirm under penalty of perjury one of the following dectaratiori have and will maintain a certificate of consentto self -insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for xmance 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' compensa ranee carrier and policy number are: Policy Number of Agent Date certify that. in the performance of the work for which thi . 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 subject to the °.v Impensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I_ areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lders 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 applicaliao and the information I have provided is correct.. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to enter�it Dye -Identify -for Inspection purposes. ,/Z / ACTION DATE I REGULATIONS BY CLARAION PARTONI LI TITLE AO H CODE OFD AQN1D REP FEDERAL FOR OFFICE USE ONLY PEHMrf EXPiHED 1 I U I iiUBMITTED ASBESTOS NOTIFICATION TO PERMIT CAA'CFUED 'PA RERNriT FXTFNOFD � �'�ILrt�,agMp PERMT FINAL p y / ram ASBESTOS NOTIFICATION IS NOT APPLICABLE 10 CERTIFICATE OF i'Z l PROPOSED DEMOLITION OCCUPANCY ISSUED S'C NATURE �