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HomeMy WebLinkAboutH2022-0592 - Permits�EWPORT City of Newport Beach _ IIL.II,..I I.I II II I III I II Mechanical Permit : H2O22-0592 04 A Community Development Department - Building Division �y 100 Civic Center Drive, Newport Beach, CA 92660 -- Plan Check No: Permit Counter Phone: (949) 644-3288 Work Class :Other Inspection Requests Phone: (949) 644-3255 Issued Date : 10/2112022 Cq<IFp PN�P newportbeachca.gov/inspections Inspection Area : 6 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 ANJOU Legal Desc : N TR 14588 BLK LOT 4 UN 124 TRACT 14588, LOT 4 OF PROJECT 93 6-46 LOCATED ON Description: MECH: REPLACE A/C UNIT & COIL **TAMPER RESISTANT CAPS REQUIRED ** Owner: JON FITZGERALD Address : 23 ANJOU NEWPORT BEACH, CA Phone: (303) 506-4809 Applicant: PLATINUM REPAIR INC Address: 11647 SWINTON AVE GRANADA HILLS, CA 91344 Phone: (818)435-4442 Owner/Builder: Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: 0 �5 SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : PLATINUM REPAIR INC Address : 11647 SW INTON AVE GRANADA HILLS, CA 91344 Phone: (818)435-4442 Con State Lic : 991373 Lic Expire : 03/31/2024 Bus Lic: BT30069872 Bus Lic Expire: 11/30/2022 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9092354 W. C. Expire: 3/14/2023 Manufacturer: GOODMAN Model# : GSX14031 i hereby affirm under penally of perjury that I am exempt from the ContractorsSlate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (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 that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 70DO) of Division 3 of the Business and Professions Code) or that he or she is exempt from Ilcensure andthe 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 (_) all of or (_) 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). © 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 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). 1 am exempt from licensure under the Contractors' Stale 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 legal sag 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 site:htip:liw-leginio.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _ / DatteyO. ty� LICENSED CONTRACTOR'S DECLARATION $i a ✓T/.�% I hereby afriml under penalty of perjury, that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) f Div i on 3 of the Business and Profession o and is and effect. License Class License No Date Tp 7! '72 Contractor Signature 'L c COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, Me SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (i100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 Relationsas provided for by Section 3700 of the Labor Code, for th performance of the Work for which this pertrit Is. issued. Policy No, and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the war)( for whichthis permit is issued. My workers' carrier and policy number are: Policy Number is of Agent certify that, in the performance of the Work for which this it I should become subject to Ws' o p lature of Applicant Date arson in any manner so as to become subject to the workers' compensation laws of California, and agre Code. I shall forthwith comply with those provisions. Dale_,,,,,,, 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). enders Name Lender's Address ly 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 1 have provided is correct. I agree to comply with all applicable city and county ord�n; st ay Sting to Ilding construction. I authorize re msemalives of this cit or counttoe died e r coon ur uses.P Y Y P P P /J�lionature of Pioodlrt Owner or Authorized Aaon[ Pnnt Prooertv Owner's or Authorized Amml a Name ✓`)` G is FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE. PE N AT EXPIRED _ ..-.-.. PERAfTCANCE:LED U I SUBMITTED ASBESTOS NOTIFICATION TO __._. l { PEd,AfT EXTENDED .. ... rrEEP�PA_ —..._ _..ei� LJAQMD — —. — rC&AITFINAL _- - -------- 4/ll/23 �.aN HMI 7 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO LE,77fFICATE OF PROPOSED DEMOLITION rnrCIJPANCYISSUeD I SIGNATURE: