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Home My WebLink AboutH2023-0452 - Permits�tiWPO�T City of Newport Beach III I I I II I III II II IIII I I II o� Community Development Department - Building D!vision 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 `3 newportbeachca.gov/civic C9LiFORN�P Mechanical Permit : H2O23-0452 Plan Check No : 0948-2021 Work Class : New Issued Date : 07/12/2023 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: 1 COLLINS ISLE Legal Desc : N TR 1723 BILK LOT 1 Description: MECH -INSTALL 3 HEAT PUMPS. TAMPER -RESISTANT CAPS REQ'D Owner: DIVIDED SKY SMKJ LLC Address : 4639 S LINDHURST AVE DALLAS, TX 75229 Phone: Applicant: QUALITY AIR INDUSTRIES INC Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups Building Setbacks : Front: 7, Side: 4, Rear: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential (:::� PROCESSED BY: 0 SPECIAL CONDITIONS: ON Fire Hazard Zone : NO 0- Contractor : QUALITY AIR INDUSTRIES INC Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Con State Lic : 1052628 Lic Expire : 04/30/2025 Bus Lic: BT30075259 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9017366 W. C. Expire: 7/4/2024 Manufacturer: DAIKIN Model#: RXTQ60TAVJUA OWNER -BUILDER DECLARATION -- I hereby affirm under penalty 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, prior to its issuance, also requires the applicant for he permit to file a signed statement that he 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 'rofessions 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 fora permit subjects the applicant to a civil penalty of tot more than five hundred dollars (S500). 1, as owner of the property, or my employees with wages as their sole compensation, will de (_) all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044, 3usiness 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 (hat 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 mproved for the purpose of safe)- 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 ply 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' State License Law for the following reason. 3y 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 crovsred by this permit, I Gannet legally ell a structure that I have built as an owner -builder if It has not been constructed In its entirely by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available uponrequest when this application Is submitted or at the following Web site:http:pwww.leginfo.ca..gov/calaw.html. signature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivfsi In 3 of the Business and ofe sions Go I B�' ull force Ind effect. License Class License. No Dat Contractor Signal NORKERS' COMPENSATION DECLARATION be rARNING: FAILURE TO SECURE WORlIERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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, AND ATTORNEY'SFEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consentto self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for to mane 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 Expiration Data of Agent UI certify that. in the performance of 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 agre that, if I should become subject to the wor 59/[a/gmIts ation ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 2 Signature o(ApplicantA)��n DECLARATION REGA 1 CON UCTI ENDI AGENCY _ I hereby affirm under penalty of perjury that there is a c nstruction lending agency for the performance of the work for which this permit Is issued: (Section 3097, it Code). Lenders Name Lender's 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 withall applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cou ty enter the ab nfifie y f pection purposes. `\ Si nature of Proeft Owner or Authorized Age Print Pro ert Owner's or Authorized A ent's Namr\V ry Date j ACTION DATE BY i DEL TIDN OF C LIAN " ITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TLE 40 AND AQMD RULF 1403 PERMIT EKWHED U I SUBMITTFF) ASBESTOS NOTIFICATION TO PERMITF(NA! I %�fJr�l/i DL r�ON UASB€STOS NOI' IFICATION 15 NOT APPLICABLE TO °. CERTIFICATE OF t ,. PROPOSED DEMOLITION Iv OCCUPANCY ISSUED DR I cI...TI..F.