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Home My WebLink AboutH2023-0521 - Permitsj JaEW PpRT� City of Newport Beach III I II I I II I II Mechanical Permit : H2O23-0521 ion e Community Development Department - Building Division Newport Beach, Permit CounterPhone�(949)718-1888CA 92660 Work CassPlan k Other 2169-2021 newponbeachca.govlcivic Issued Date : 08118/2023 Inspection Area r� I S F-1 0 I, PERMITS EXPIRE 130 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 : 205 VIA EBOLI Legal Desc : Description: MECH INSTALL 3 ROOF MOUNTED HEAT PUMPS **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (X2021-2510) Owner : NIJJAR SANJEET S Contractor : BUILDING WORX INC Address : 4900 SANTA ANITA AVE EL MONTE, CA 91731 Address : 250 NEWPORT CENTER DR Goldenrod E, M-101 NEWPORT BEACH, CA92660 Phone: Phone: (949)842-0636 Con State Lic: 901795 Applicant : Sean Reynolds Lic Expire : 08/31/2024 Address : 250 Newport center or, Ste 200 Newport beach, CA 92655 Bus Lic: BT30040115 Phone; (714) 365-0999 Bus Lic Expire:07/31/2024 Workers' Compensation Insurance Owner/Builder : Carrier: STATE COMPENSATION INSURANCE FUND Address : Policy No : 9318993 Phone: W. C. Expire: 6/1/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer : AC PRO Type of Construction : Model# AOD30U-36HFN1-MRO/AOD3124HFN1M Occupancy Groups: Building Setbacks Flood Zone Use Zone: ' PROCESSED BY: g S + a1 � ,opopin TES' SPECIAL CONDITIONS: HIGH DENSITY ZONE s '$ a�S r K`'� HEAD' PUpr, OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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 Ihat 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 Licanso Law (Chapter9 (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 fora permit subjects the applicant to civil penalty of not aria a than five hundred dollars (R500). ❑ t, as owner orthe property, or my employees with wages as their sole compensation, will do t_) all of or U pardons of the work, and the structure is not Intended proffered for sale (Section 7044, I3ustnos9 and Professions Code: The ContracorsStale Lic¢nse Law dons not apply to on owner of property who, through employees' or personal effort, builds or improves the property, pmvidpd that the Improvements are not Intended or offered for sale If, howover, 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). 0 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 not apply to on owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 'El I Hill exempt (rum licensure under the Contractorti' Slate License Law for the following reason 'sell a structure that I havebuiltas an owner-bullder If It has not been cdnstruc�lad In slenfiretty by licensed contractors. I understand to completion the improvements covered 44Iof t permit I canal legalh y 9 P Y Y priorby (hat a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is Submitted or at the following Ayeh site:hitpalwww.laginto.ca.govlcalaw.html. Signature of Pi aperty owner or Authorized Agent._._.____..._.. _..._..___. _._ .._ ._..,.__._._ Date (LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Cnmrnencing with Section 7 f Divisl i 3 of the Business end is in full force and effect. License Class License No Dale 3Conlractar 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' THOUSAND COLLARS ($100,1100), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR W SECTION 37l6 OF THE LABOR coca, INTEREST', AND ATTORNEY'S FEES, I heretry affirm unrtor penaltyof perjury one of the fallowing Concretions: ❑ 1 have, And Will mRlnlarl e cerllfeaie of consent to self -(mute for Workers' Compensation, Issued by Ilse Director of Indualrlal Relations as provided for by $action 370D Of the Labor Code, for Ih pofformanco or the work fur'which Ihts 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' ranee carrier and policy number are. Policy Number of Agent Date JI 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 Agra lal, It I should became su[ to the workers' compensation provisions of Section 3700 of file Labor Code I shall forthwith comply with those provisions- f5IZ631-2 59 iynalure of APPllcar.I ....__. ..._... Date DECLARATION REGA DING CON TION 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). miler's Name Lenders Address y my signature below. I certify to each at die fallaviny: I ant the property owner of Authorized to act on [Ile propery owner's behalf. I have read this application and the Information I have provided is correct. I nyrec to r amply with all ariplleable city and county ordinances and stale laws relating to building eonstr Ilion. I authorize represents Ives of this city or coup- enl r e t, ve-idenfified properly for Inspection purposes. , 2 nature of L n,c;ty Owner or AJil ad Agent Pnnl Property g f g ��5� �_ � _.. Owner's Dr Authorized Anent s Name V Dal I ACTION DA'E BY DECLARATION OF COMPLIANCE N+1'r41 CODE OF FEDERAL FOR OFFICE USE ONLY •• 11 /% 1 / I� RF'.GULATION5 PART 61 OF -1IT(F AO AND ACyMD RULF. /JAJ /G�yAZ�T(+ 1403 PFflMIT EXPINED I SUBtvIITTEO ASBESTOS NOTIFICATION TO EPA -............._— PERMIT E%7EPIDED LJ'.AQM110 PERMIT FIN?( _ _ ❑ ASRESfOSVOIIFICAFIONISNOf APPLICA8LI; TO CE81I96ATE LF /? -, IDS ,.Il PROPOSED DE V101ITION OCCUP411CY ISSUED ,/4 SIGNATURE.