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HomeMy WebLinkAboutH2023-0442 - Permits4�e`�'PORr City of Newport Beach _ p - @ Community Development Department - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 718-1888 }M newportbeachca.gov/civic Cq<IFOQ��r Mechanical Permit Plan Check No : Work Class : Other Issued Date : 07/10/2023 Inspection Area: 4 H2O23-0442 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 : 43 HILLSDALE DR Legal Desc : N TR 11785 BLK'LOT 3 UN 32 TR 11785 LOT 3 UNIT 32 Des6ription : MECH - CHANGE -OUT A/C CONDENSER & F.A.U. TIMER & TAMPER -RESISTANT CAP REQ-D Owner: DONALDSTINNETT Address : 43 HILLSDALE ST NEWPORT BEACH, CA 92660 Phone: Applicant: ABSOLUTE AIRFLOW INC Address : 14122 WILLOW LN WESTMINSTER, CA 92683 Phone: (833)482-2626 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone: X Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS:' Contractor : ABSOLUTE AIRFLOW INC Address: 14122 WILLOW LN WESTMINSTER, CA 92683 Phone : (833) 482-2626 Con State Lic : 1049023 Lic Expire : 01/31/2025 Bus Lic: BT30079754 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Carrier : PACIFIC COMP INS CO Policy No: 1026229 W. C. Expire: 1/27/2024 Fire Hazard Zone : NO TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Manufacturer: GOODMAN Model#: GSXN406010A' OWNER -BUILDER DECLA€iA I IUIv I hereby affirm under penalty Of penury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checcture, prior I have placed next to the quires the applicant section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct. after, improve; demotvsh, or repair anystrancin , prior to its issuance, also requires the Business for a 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 Div+sion 3. of the Business and 'ofessions Cade) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of A more than five hundred dollars ($600). I, Be owner of the property, or my employees with wages as their sale Compensation, will do (_j all of or (_) portions of the work, and the structure Is not intended oroHored for sale (Section at thD usiness and Professions Code The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort. builds or unproven the property. provided iprovements 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 iproved for the purpose Or 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 a ly 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 licensors under the Contractors' State License Law for the following reason '"Gomm"'-" 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 improvements cowered by this parmik I.cannol lagati all a Structure that I have built as an owner -builder if it has not been constructed to itsentlroty by licensed contractors- I understand that a copy office applicable law, Section 7044 oftRia Business add rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca..gov/calaw.html.. Date Ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 700010 Dav!pfi of the Business and Pr. a sion .. an y license is in foil force rid effect. License Class License No Date a - G Con€rector Slgnadu� VORKERS' COMPENSATION DECLARATION :'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER SO CRkSNAL AENALT 5 AND CIVIL PINES UP 70 ONE HUNDRED THOUSAND COLLARS IsicB,rwst, INADoriON RO THE OST OF COMPENSATDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY-3 FEES, hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate at consent to self -insure for workers` compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Coda, for th+ rIs rmance of f?re wor" Forwhich this permit is issued. Policy No. F ' eve and will mantain vroflers' 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' compensallor su rice carrier and policy number are: tar Policy Number. Expiration Date Phone # dame of Agent -1I certify that, in the performance of the for tcin This permit is issued. I. shall not employ any person in any manner so as to become Subject to the workers' com nsation laws of Catitomia, and ogre hat, if I should become subject to the ts' pens n pmvtsians of Section 3700 of the Lobar Cade, I shall forthwith comply With chose Provisions. �` 1 0 ` signature of Applicant „ _ .__ D )EiCLARATION RE DI ON TIOtt LB. DING AGENCY hereby affirm under penalty Of perjury that there. is a construction lending agenoy for the performance clips, work far which this permit is issued (Section 30g7, fl Code). .ender'.s Name Lenders Address 3y 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 to ay+e-I ntified property for inspection purposes. n t� A t Data _. . _ . .,_.__.. _ ,,...�_.�.._,. n..�..,_ / .1� Print Property Owner's or Authorized A9Ent's Nams{ %/�6'u DATE BYCt' DECLARATION OF COM PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 ANDAQMD RULE 1403 EXPIRED °URN,.TfED ASBESTOS NOTI FICATIQN TO PfRM1TFINAL 3�Z��Zy DL4, JM � OSSTOSN TIFICNION. 15 NOT APPLICABLE TO CEN7fFiCATE Of OCCUPANCY ISSUED CISAA UREE: