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Home My WebLink AboutH2023-0702 - Permitse`eWPoRr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (949) 718-1888 :ems. CqG/FOQN�P newportbeachce.gov/civic Mechanical Permit Plan Check No : Work Class : Other Issued Date : 11/01/2023 Inspection Area : 4 H2O23-0702 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 : 2655 BASSWOOD ST Legal Desc : N TR 4892 BILK LOT 2 Description: MECH -NEW A/C. TAMPER RESISTANT CAP REQUIRED Owner: RYANOGRADY Address : 2655 BASSWOOD ST NEWPORT BEACH, CA 92660 Phone: (949)244-7277 Applicant : HIGH PERFORMANCE AIR INC Address : 6200 BOX SPRINGS BLVD # C RIVERSIDE, CA 92507 Phone : (951) 653-0239 Owner/Builder : Address Phone: Code Edition: 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: r N. Contractor : HIGH PERFORMANCE AIR INC Address : 6200 BOX SPRINGS BLVD # C RIVERSIDE, CA 92507 Phone : (951) 653-0239 Con State Lie : 820042 Lie Expire : 10/31/2024 Bus Lie: BT30077623 Bus Lie Expire:12/31/2023 Workers' Compensation Insurance Carrier : CANYON CREST INS SERVICES Policy No : SWC1405362 W. C. Expire: 10/30/2024 �Qv�REo oN10 p M• g� 1\011 ��N 10 So OFp Manufacturer: AC PRO Model# : 4AC17L36P OWNER -BUILDER DECLARATION I hereby affirm under penaltyof perjury that I am exempt from the Contractors' State License Law for the reasons) 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, orrepair 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 (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors 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).. ❑ 1, as owner of the property,or my employees with wages as their sole Compensation, will do (_) all of Or U 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 one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale)_ ❑ 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 wlio builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 are exempt from licensure under the Contractors' Slate 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 covered by this permit, I cannot legalit soil a structure that I have built as an owner -Wilder if It has not been constructed In its entirety by licensed contractors. I understand lhata 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 site:http:/lwww.leginfo.ca:.govlcalaw.html. 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 7090 o tv sion 3 of the Business and Profe s Code nd n Ifcan' 's in full farce and effect. License Class License. No Date Contractor Signature !i NORKERS' COMPENSATION DECLARATION ✓� NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR M SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: -1 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 the jerformance 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: of Agent certify that, in the performance of the work for it I should become �a act to the workers' nature of Applicantl._,,(1'�-�20' Policy Number Expiration Date Phone # 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 agree ption provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. Date_1//r�z3 ereby affirm under penatta''of perjury that there is a construction lending agency for the performance of the work for which this permitis issued (Section 3097, Civil Code), ides s 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 I have provided 15 correct. �C I agree to comply with all applicable city and county Ordinances and state lases relating to building construction. // Y J I authorize representatives of this city or county Spier the,..abolie-ideylifie"mperty for inspection purposes. Owner's or Authorized Aaent's Name ACTION DATE BY ON OF COMPLIANCE WITH [ODE OF FEDERAL FOR OFFICE USE ONLY tAT10NS PART bt OF TITLE 40 AND AQMD ROLE 1403 7" PERMIT EXPiREO _ _ 5t1@�t AE ASR SYOS ¢i€F1tATION TO PERMIT CAA'CELL--D EPA w '+ - PERMITENTENi+Er7- PERMIT FINAL �� 4 ASBESTOS NOTIFICATION ISCERTIF(CATE NO7 A'PpLkC+jBLE 70 y OCCUPANCY OF /J �OPOSEDt7EMOLITION TMe 4q- OCCUPANCYf$$l/ED SIGNATURE: 7/�31z4-