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Home My WebLink AboutH2023-0760 - Permits��"W o�T, City of Newport Beach p` Community Development Department - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 71 B-1888 .s. newportbeachca.gov/civic C9[./F00.N\P III I I II I III II II IIII II II Mechanical Permit : H2O23-0760 k No : PC2023-1059 Work Cris Issued Date : 12/0412023 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: 2401 BAY SHORE DR Legal Desc : N TR 1140 BILK LOT 89 !� P , +t Description: MECH INSTL (1) HEAT PUMP AND (1) COMPRESSOR, BOTH GROUND MOUNTED, TAMPER RESISTANT CAPS REQ Owner: MIKE MOINFAR Contractor : FOLGER HEATING & AIR INC Address : 16951 ARMSTRONG AVE IRVINE, CA 92606 Address : 8842 LUSS DR HUNTINGTON BEACH, CA 92646 Phone : (619) 572-6561 Phone : (714) 334-4433 Con State Lie : 763312 Applicant: FOLGER HEATING & AIR INC Address : 8842 LUSS DR HUNTINGTON BEACH, CA 92646 Phone: (714)334-4433 Owner/Builder: MIKE MOINFAR Address: 16951 ARMSTRONG AVE IRVINE, CA 92606 Phone : (619) 572-6561 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 CONDITIONS: Lie Expire : 04/30/2024 Bus Lie: BT30047641 Bus Lie Expire:06/30/2024 Workers' Compensation Insurance " Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC00194502 W. C. Expire: 10/1/2024 Fire Hazard Zone : NO Manufacturer: A/C PRO -! Model# : AULD60W2/A-D(U)/AUD60W/Al-_-,"JS 30" W DE X 36" DEPTH .., R-EQUIRED FOR A/C DISCONNECTS WEBS PROHIBITED ON HEAT PUMP OWNER -BUILDER DECLARATION I hereby affirm under penally cf perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I haveplaced next to the applicable items) Section 7031.5. Business end Professions Code: Any city or county that requires a permit to construot, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for le 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 for a permit subjects the applicant to a civil penalty of bt more than five hundred dollars ($500). 3 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 properly who, thmugh employees' or personal effort, builds or Improves the property, provided that the nproverrents 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 ntproved for the purpose of sale). J 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors` Stale License Law does naL ppiy 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). 7 I Sri exempt from licensure under the Contractors' State License Law for the following reasom .y 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 improvementscovered by this permit, I cannot legally ol: 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 copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request When this applicatlon is submitted or at the following Web site:http:llwww.leginfo.ca..gov/calaw.html. �Ignature. 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 Sectio 000 of Division 3 of the Be as sin o �slo�s Code, and my N ense Is m full force nd effect. License Class License. No I ` Contr c�Signature �5 14 VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,tl00j, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR DOOR, INTEREST, AND ATTORNEY'S FEES, hereby affirm undo, penalty of perjury one of the following declarations: 71 have Ind 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 ap Wroauoe of the work fu which this permit is issued. Policy No. Lave 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' ranre carrier and`policy number are: Policy Number Date e. C, 'Igent Phone 6f erlify that, in the oarformance 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 agree 'd l - I0u1 "Ito the workers Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions - ,ire of Ent ...__ Ea_,._1 hi, reuy at, Um sunder penalty, of pedury_that there is a construction lending agency for the performance of the work for which this permit 1s issued i (Section 3097, Civil Code). snow.'- Name ' _ _ Lender's Address y 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 co&ly with.all applicable. city And county ordinances and state laws relating to buildingconstruction. i authorize reprea riNtives of this Chi rcount to an a above-idend d-property for Inspection purposes. ianature of Prooertv Owner or Authorize Carl Print Prooerty Owner's or Authnn7ed Anent' ma o ACTION OAT[ BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i RFGUTATIONS PART 61 OF TITLE 40 AND AQMD RULE PE8MIFVP?FO I ' U I SUBMITTFD ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED E1AQMD - PERMITFINAL ' �V 2y ASBESTOS NOI IFICATION 15 NOT APPLICABLE 10 CERTIFICATE'OF I PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: 1,L