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Home My WebLink AboutH2022-0584 - PermitsCity of Newport Beach �rvEWPok Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cqG/Fe0.N�P newportbeachca.gov/inspections Mechanical Permit : H2O22-0584 Plan Check No : 0793-2021 Work Class : Other Issued Date : 1012012022 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO W Job Address : 607 36TH ST Legal Desc : A TR CANAL SECTION BLK 636 LOT 4 Description: MECH -INSTALL NEW HEAT PUMP. TAMPER -RESISTANT CAP REQUIRED Owner: ROBERTBRUNNER Address: 607 36TH ST NEWPORT BEACH, CA 92663 Phone: Applicant: BREEZY AIR SERVICES Address : 16835 ALGONQUIN ST #432 HUNTINGTON BEACH, CA 92649 Phone: (714)487-8372 Owner/Builder: Address: Phone: Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Front: 25, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: DATE L AREAS Contractor: BREEZY AIR SERVICES Address : 16835 ALGONQUIN ST#432 HUNTINGTON BEACH, CA 92649 Phone: (714)487-8372 Cie Expire: NOISE Lie Expire�lVVIIJJO �7 Bus Lie: BT30076246 Bus Lie Expire:08/31/2023 Workers' Compensation Insu Carrier : VIEEKEND Policy No: BRWC273327 W. C. Expire: 5/27/2023 Manufacturer: DAIKIN Model#: RXTQ48TAVJU OWNER -BUILDER DECLARATION I hereby affimt 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 cityor 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' 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 licensure and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant for a permit subjects the applicant io a civil penalty of not morethanfive hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L_) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner at property who, through employees' or personal effort, holds 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 Cade: The Contractors' State License Law does not 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). L-I I am exempt from licensure under the Contractors' State License Law for the following reason By my 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 Gannet legaly sell a structure that I have built as an owner -builder if It has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is avatiable upon request when this application Is submitted or at the following Web site:http://www.loginfo.Ga.gov/calaw.html. Signature of Properly Owner or Authorized Agent _ ,_. Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P f s '�1s Code,. and mense is in full farce and effect. License Class License.No Date ConVactar Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Civil. FINES UP TO ONE HUNDRED THOUSAN OLLARS iS100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 1 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 in performance 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 Dale fame of Agent mane IT 31 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 Callfomia, and agre tat, it I should become Subject to th workers compensation romsio on 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant _ _ Daq®y.,-1 (`JJ— ZG 1% - rECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 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 county t terjhe abov -;e rty for inspection purposes. -:... 1a ..a o.,.,,orl., rn.... .r .,r m,lhr,ri�od Anar>l , Print Prooertv Owner's or Authorized Aoent's Name IA ' DATE BY 19CA!KkATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY f REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE. EXPIRED I I I LfISUBMITTEOASBiSTOSNOTIFIChTIONTO PERMIT EXTENDED I I I UAQMD PERMIT FINAL PJtz31zq DL-Po I„ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIRCATF OF PROPOSED DEMOLITION OCCUPANCY ISSUED CM5 SIGNATURE; Date / u