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Home My WebLink AboutH2023-0446 - Permits"",*PORT City of Newport Beach C� @ Community Development Department- Building Division 1"y 100 Civic Center Drive, Newport Beach, CA 92660 D rh Z Permit Counter Phone: (949) 718-1888 .�., newportbeachca.gov/civic C94 FORN�P Mechanical Permit : H2O23-0446 Plan Work 0884-2021 Class: New Issued Date : 07/1012023 Inspection Area :8 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: 911 KINGS RD Legal Desc : N TR 1219 BILK E LOT 26 Description: MECH -INSTALL 2 A/C CONDENSERS, 1 HEAT PUMP. TAMPER -RESISTANT CAPS REQ'D Owner: CHASE RYAN TR THE R & B Address : 911 KINGS RD NEWPORT BEACH, CA 92663 Phone: (949)292-1404 Applicant : ALLEN HEATING & AIR Address : 140 E STETSON AVE, 332 HEMET, CA 92543 Phone: (951)658-8285 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITION Fire Hazard Zone Contractor : ALLEN HEATING & AIR Address : 140 E STETSON AVE, 332 HEMET, CA 92543 Phone : (951) 658-8285 Con State Lic : 779192 Lic Expire : 05/31/2024 Bus Lic: BT30075375 Bus Lic Expire:04/30/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE COMPANY INC Policy No: TWC4122227 W. C. Expire: 7/21/2023 NO Manufacturer: AC PRO Model# : AULD60W2/A-D(U) ®K Z m fly >� C m OWNER -BUILDER 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) ction 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 permit to file 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 fesslons Code) or that he or she is exempt from ficensure 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 more then five hundred dollars ($500).. I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work., and the structure Is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the ,rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or ,roved for the purpose of sale). 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ,ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), L3 I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must haveresided for at least one year prior to completion of the in sail a structure that I have built as an owner -builder If It has not been constructed In itsentirety by licensed contractors. I understand that a copy of the appi Professions Code, is available upon request when this application Is submitted or at the following Web site:hitp:/1www.leginfo.ca..gov/colaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Di s� s' ign�tofiaha Business and and effect. License Class License. No Date ! V O°✓Contractor Signa WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORNERS' COMPEN$ATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMIM L PEN. LTIES AND CIVIL FINES UP TO ONE HUr COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: Tlents covered by this permit, I.cannot law, Section 7044 of the Business and Date license Is in full force DOLLARS ($100.000), IN ADDITION TO THE 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 grmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number is of Agent _ Date I certify that, in the performanc 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 agree L If I should become subje a vyftrkfQt mpensatioh provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , ` CLARof Applicant 11// Da CLARATION REG AXINNG CONSTRUCTION LENDING AGENCY /\S 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, Ci it Code). ides s Name Lenders 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. �, /� q / j� 1 I have read this application and the information I have provided is correct (,'/ N// I agree to comply with all applicable city and county ordn and state laws relating to building construction. I authorize representatives of this city or county�O enterr entified oparty for inspection purposes. nature of Property Owner or Authorized Aaenl \� `�/ Print Property Owner's or Authorized ADent's Name ' X Date FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403 PERMIT EXPIRED I 1 E ISUBMITTEDASBESTOSNOTIFICATIONTO PERMIT EXTENDED 2-,iAQMD _ 'ASHESTOL N01 MCA'TIOR' IS NOT AEFLICABLE TO PERMIT FINAL Q CERTIFICATE OF L•T PROF 05ED DEMOLITION OCCUPANCY ISSUED �. SIGNATURE: