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Home My WebLink AboutH2023-0090 - Permits4 aE�wvoRr City of Newport Beach Community Development Department- Building Division F y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 eq</FOFN�P newportbeachca.gov/inspections II I III II II II I I II II Mechanical Permit : H2O23-0090 Plan Work Class k Other 678-202t Issued Date : 02/08/2023 Inspection Area : 2 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 : 109 TURQUOISE AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BILK 13 LOT 9 BALBOA ISLAND RE SUB SEC 1 LOT 9 BLK 13 AND LOT 10 Description: MECH 2 NEW A/C UNITS ON THE ROOF *TAMPER PROOF CAP REQ* Owner: KERRY FREIMANN Address : 4401 SAN JOAQUIN PLZ NEWPORT BEACH, CA 92660 Phone: Applicant: FOLGER HEATING & AIR INC Address : 8842 LUSS DR HUNTINGTON BEACH, CA 92646 Phone: (714)334-4433 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: Contractor : FOLGER HEATING & AIR INC Address: 8842 LUSS DR HUNTINGTON BEACH, CA 92646 Phone : (714) 3844433 Con State Lie : 763312 Lie Expire : 04/30/2024 Bus Lie: BT30047641 Bus Lie Expire: 06/3012023 Workers' Compensation Insurance Carrier: CLEAR SPRING Policy No: CWC00194500 W. C. Expire: 10/1/2023 Manufacturer: AC PRO Model#: AULD36W2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable itemts) (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 thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chafe ar 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from iicensure 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). '❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or II-myproved for the purpose of sele). 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 licensors under the Contractors' State 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 coveredby this permit, I.cannot lei soil 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 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 INeb site:httpJ,'www.leginfo.ca..gov/calaw.html, iSignature 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 Sectio 70 0 of D'IvVsion 3 of the Business and jriss!��nsaJsi force and effect. License Class License No Date Co COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SiDgOPP), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION3785 OF THE LABOR CODE., INTEREST, AND ATTORNI FEES. hereby affirm under penalty of perjury one of the following declarations: 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 'ormance 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 trance carrier and policy number are: Policy Number of Agent Date LJI certify that. L I the pe, ormance of the work for which thispermit 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 thaL If I should become rkers' compensation provisions of Section 3700 of the Labor Code, I shallforthwith comply with those provisions. Signature of Appl rei _ D O i C CECLAPATION REG ONSTRUCTION LENDING AGENCY I hereby affirm under malty of perjury thatihere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address Cy my signature below, I certify to each of the following.:. I am the prcpeiy 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 ag,ee to comply with all applicable city and cou y Ordinances and state laws relating to building construction. I authorize represe,Itatives of this city or cou enter -den' d to y r inspection purposes. S'omi+uFe of Prouedv owner or Authorized Anent 1Print Prooertv Owner's or Authorized Anent Name�`- b.CT:CN ( DATE BY `/ ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY RECUTI TAONS PART 51 OF TITLE 40 AND AO.MD RULE PERMIT EXPIRIFD ( ! Ui SUaLAITTED ASBESTOS NOTIFICATION TO PERMITCANCELLEP T S ''._FPA PERMIT FINAL V ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: