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Home My WebLink AboutH2022-0685 - Permits�E`x'PORT City of Newport Beach III I I I I I II I II II I I it C� .1 ' Community Development Department- Building Division Mechanical Permit > r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: ? Permit Counter Phone: (949) 644-3288 > Work Class : Other � Inspection Requests Phone: (949) 644-3255 °q<rFoaN'P newportbeachca.govlinspections ' Issued Date : 12/06/2022 Inspection Area : 3 H2O22-0685 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 : 2118 LEEWARD LN Legal Desc : N TR 3801 BLK LOT 11 Description: MECH -INSTALL (3) NEW A/C UNITS *PROVIDE TAMPER -PROOF CAPS AS REQ'D* Owner: BURKESCHECHTEL Address : 2118 LEEWARD LN NEWPORT BEACH, CA 92660 Phone: Applicant: AIR MAX INC Address: 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (626)468-9999 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups : Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Contractor : AIR MAX INC Address : 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (626)468-9999 Con State Lic : 1015725 Lic Expire : 07/31/2024 Bus Lic: BT30065145 Bus Lic Expire:11/30/2023 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9170882 W. C. Expire: 12/8/2022 Manufacturer : AC PRO Model#: AUD36W/A-D(U) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ttem(s) Section 7031-5. Business and Professions Code: Any city or county that requires apermit to construct, after, improve: demolish, or repair any structure,prior to its issuance, also requires the applicant for no 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 'rofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703L6 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars (S500). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (Section 70", usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' Dr 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 I, as owner of Ilia property, am exclusively contracting with licensed Contractors to construct 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 licensure under the Qonlractors' State License Lawfor the following reason: �y my signaturo below I acknowledge that, except for my personal residence In which I must have resided for at leastone year prior to completion of the improvements covered by this permit, I. cannot legallt ell a structure that I have built as an owner -builder If it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginto.ca.gov/calow.htmi. Ignature. of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof essi s de, Itee a is in full force no effect. License Class License No Dator+— D�^ Z2 Contractor Signature ` VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15700,4001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: RUE, 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 th arfor anon 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 Date to of Agent Phone 9 certify that. in :ha pa,f�rnrance 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 If I shndid become subiect to the workers' compensation orouisiona of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applican' Dal e,'-/2— U S. ZZ hErebt, time 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 Lenders Address ly rtny sionalure below, I certify to each of the following: I am the prope4y owner or authorized to act on the properly owner's behalf. I. have ,ead this application and the information I have provided is corroct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I r,uthc,ize repmsentu.bes of this city or county to enter the above -identified property for inspection purposes. _ A DATE BY ! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE AD AND AQMD RULE EXPIRED I I I IJ I SURMITTEDASBFSTOS PERMIT EXTEND€O L1AQMD PERMITFINAL J Z ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO CERTINCATE OE 7 ✓ l PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: