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Home My WebLink AboutH2024-0480 - PermitsatinORr City of Newport Beach Community Development Department - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 �. newportbeachca.gov/civic yci ro ap. r III I I I II I I II II II III I II II Mechanical Permit: H2O24-0480 nCheck Work Class : Other Permit Status: Issued Issued Date : 08/08/2024 Inspection Area : 4 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 : 1423 NEWPORTER WAY Legal Desc : N TR 15243 BLK LOT 51 Description: MECH - R/RAC CONDENSERS & FAU'S (2). TAMPER RESISTANT CAP REQUIRED Owner: JOSEPH WALSH Contractor : BOARDWALK HEATING AND AIR Address : 391 E BOCA RATON RD BOCA RATON, FL 33432 Address: 27271 PRINCIPE ST MISSION VIEJO, CA 92692 Phone: Phone: (562)841-7089 Con State Lie : 1029478 Applicant: BOARDWALK HEATING AND AIR Address : 27271 PRINCIPE ST MISSION VIEJO, CA 92692 Phone: (562)841-7089 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY Front: 10, Side: 5, Side: 5, Rear: 10 PC - Newporter North SPECIAL CONDITIONS: ill Lie Expire: 07/31/2025 Bus Lie: BT30079287 Bus Lie Expire:07/31/2025 Workers' Compensation Insurance Carrier : EMPLOYERS PREFERRED INSURANCE CO Policy No : EIG500292800 W. C. Expire : 5/15/202,5 Manufacturer : AC PRO Model# : AULD36W2/A-D(U) / AULD60W2/A-D(U) OWNER -BUILDER DECLARATION 1 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 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 Ie 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 Totessions Code) or that he or she is exempt from ficensure 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole Compensation. will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 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 improves the property, provided that the nprovements 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 nproved for the purpose of sale)- 1 1, as owner of the property, am exclusively contracting with licensed Contractors to constm .1 the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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 I am exempt from ficensure under the Contractors' State License Law for the following reason: ',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 covered by this permit. I cannot legally ell 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 70" of the Business and Totessions Code, is available upon request when this application is submitted or at the following Web site:http:Uwww.leginfo.ca.govlcalaw.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) f ivi;,ton 3 of the Business and Professi°�,Cfj�e, and my license is in full force nd effect. License Class License No Date 4 ?Y Contractor Signature VORKERS' COMPENSATION DECLARATION ARNUIG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISIOU.DUU), RI ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: J I 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 Cade, for IN erformance of the work for which this permit is issued. Policy No. have 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 compensatior isuranoYe Carrier and poll c umber arean arrier 5v eL..r l �-y4AV�a Policy Number C, 5 0 0 2`i Z k o C) Expiration Date lame of Agent Phone P ]I certify that, in the performance of th k for which this permit is issued, I shall not employ any person inany manner so as to become subject to the workers' compensation laws of California, and agrei Tat, if I should become subject to th ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant ___ ___ _ ____ __ Date----- 5- �-UZ- �ECLARATION REGARDING C TRUCTION LENDING AGENCY hereby affirm under penalty of pe ry 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 Lenders 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 loorrect I agree to comply with all applicable city and county ordinan nd to laws relating to building construction- �Z,I�C✓ I authorize representatives of this city or county to enter the ve a property for inspection purposes. �q,�ql J I �//y Z f ionature of Prooertv Owner or Authorized Agent Print Prooertv Owner's or Authorized ADent's Name Y t'r 4— 1 Date l ACTION DATE BY DEC:Af YTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY // v REGU,`PIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 'A PERMIT EXTENDED _ ��Q_N:D_ ASBE'Tb5rVO71FIGATION 15 NOT APPLICABLE TO LT PERMIT FINAL CERTIFICATE OF '10/07/Zq r'. DL7ov, KK PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: