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Home My WebLink AboutH2023-0490 - Permits (3)�aEWPORT City of Newport Beach Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-18BB u r newportbeachca,govlcivic cq4 FOr+N`P Mechanical Permit Plan Check No :2�oQ3 Work Class : Other Issued Date : 0810112023 Inspection Area :4 H2O23-0490 Zor4 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 : 23 AUGUSTA LN Legal Desc : N TR 7223 BLK LOT 23 Description: MECH 4 NEW HEAT PUMPS `TAMPER PROOF CAP REQ' U�� Owner: MARC SCHNEIDER Address : 23 AUGUSTA LN NEWPORT BEACH, CA 92660 .� Phone : (714) 345-0575 Applicant : BASIC AIR INC a✓/V/ / //�A 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: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: 51 SPECIAL CONDITIONS: Fire Hazard Zone : NO Contrac or : BASIC AIR INC C&t ,V �' Address(: 1157 SALINAS AVENUE COSTA ESA, CA 92626 Phone : (171) 430-9454 x2 Con State : 909834 Lie Expire : 1/202 Bus Lie: BT300 72 Bus Lie Expire:10/31/2024 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INSURANCE COMPANY Policy No : PSIC1196403 W. C. Expire: 10/22/2024 Manufacturer: HITACHI Model#: VAHP060B21S 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) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve; demolish, or repair any structure, poor to its issuance, also requires the applicant for he permit to file a signed statement thathe 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 'rofescons 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 at more than five hundred dollars ($500), I, as owner of the property, or my employees with wages as their sets compensation, will do (,-) all of or (_) portions of the work., and the structure is notintended or offered for sale (Section 7044, lusiness 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 theproperty, 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 was not built or mtproved for the purpose of sale)- ) 1, 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 pty 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' State License Law for the following reason; _ 3y my signature below I acknowledge that, exceptfor my personal residence in which I must have resided for at leastone year prior to completion of the Improvements covered by this permit, I cannot legall! Of 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 rrofessions Code, is available upon request when this application is submitted or at the following YJeb site:htip:/fwww.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. License Class License. No Date Contractor Signature VORKERS' COMPENSATION DECLARATION MRNING: FAILURE TO SECURE WORN.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, ANOATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: ,,.. -1 1 have and will maintain a Certificate of consent to self -insure for workers' compensation, issued by thtiff 6 redtor`of *h ustrial Relations as provided for by Section 3700 of the Labor Code, for th performance 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' compereatiot isurance carrier and policy number are: Policy Number Expiration Date is of Agent Phone 0 certify Chet. in the performance 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 It I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions. Signature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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), Lender's Name Lenders Address By 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. of Prooertv Owner or At ACTION PERMIT EXPIFID PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE ( BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI R'F,G(R ATIONS PART $1 OF TITLE AO AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO LJ ASBESTOS NOTINCATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION rner's or Authorized Acent's Name FOR OFFICE USE ONLY