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Home My WebLink AboutH2024-0039 - Permits,�ewp,ve, City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: 1949) 718-1888 � newponbeachca.gov/civic Cy �f Mechanical Permit Plan Check No : Work Class : Other Issued Date : 01/24/2024 Inspection Area: 1 H2O24-0039 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: 1307 BALBOA BLVD E Legal Desc: A TR BALBOA TR EAST SIDE ADD BLK 22 LOT 4 Description: MECH INSTL (N) ROOFTOP HEAT PUMP. TAMPER RESISTANT CAP 'REQUIRED & TIMERS PROHIBITED Owner: JIG ST JOSEPH INVESTMENTS LLC Contractor : 20TH CENTURY AIR INC Address: 1500 BALBOA BLVD W NEWPORT BEACH, CA 92663 Address : 4061 E LA PALMA AVE #A ANAHEIM, CA 92807 Phone: Phone: (714)514-9426 Con State Lic : 511598 Applicant: 20TH CENTURY AIR INC Address : 4061 E LA PALMA AVE #A ANAHEIM, CA 92807 Phone : (714) 514-9426 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY Front: 8, Side: 3, Side: 3, Rear: 0 R-1 - Single -Unit Residential SPECIAL CONDITIONS: Mo Lic Expire : 06/30/2025 Bus Lic : BT30054933 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSA503860605 W. C. Expire: 12/18/2024 Fire Hazard Zone : NO Manufacturer: AC PROS Model#: AUD36WAlDU I hereby affirm under penally or perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the chectmark!s) I L,,ve placeo'nex io 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 �.Irocture pnpr to its issua.ice, a!so requires the applicant for io permit to file a signed statement that he or she is licensed pursuant. to the provisions of the Contractors' State Liconsa Law (Chapter 9 (conamenI Cec1or. 7(1001 of fiivision 3-at the Business and 'rofessions 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 spplicanf to a civil penalty of got more than five hundred dollars ($500). 31, as owner of the property, or my employees with wages as their sole compensation, will do L) of or ( j pinions of the work, and the stru^lure,ls not intended or offered for sale (Section 7044, tusiness and Professions Code: The Contractors' Stale License Law does not apply to an owna' pwinerly who, through employees' or personal Effort, builds or r,npmves tre pnpcdy,.provid". that the nprovements are not intended or pirated for sale. If, however,. the building or improvement is sold within one year of completion, the Owner-3j;:der .will hav:: 'te bL" dap of provirg plat it was not built or reproved for the purpose o1 sale). - - 3 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 poly 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 Itcensure under the Contmctors`State License Law for thefoRowinq reason: ly my signature below l acknowledge that, except for my personal residence In which l must have resided for at least one year prior to completion Of the improvements covered by this permit I -cannot legail! all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand (hat a copy of the applicable law, Section 7044 of the Business And 'rofessions Code, is avaliable upon request when this application is submitted or at the following Web site:help::JlpwW.leginfo.ca`.govicalaw.html, iignature of Property Owner or Authorized Agent. _ Data .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of rjur�,that I am licensed under provisions of Chapter 9 commencing with Section-7000 of Division-3 o the Business and Professions Co e, a. _ mylicense is in full force nd effect. License Class C� /- _J License No. �f � �' Date `X Inzil-� Contractor Signature ,G r VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINESUP TO ONE HUNDRED THOUSAND DOLLARS ISI00,0001, IN ADDITION TO THE AST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR GOOE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 Code, for Ih Kro-miance of the work for which this permit is issued. Policy No. Ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of theworkfor which this permit is issued. My workers' compensatior ,ance carrier and policy number are: f.- f/ artier •. f c • '"�-`E_L" ' \ Policy Number W;)t So3; i G16 Expiration Date ame of Agent Phone P 11 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 afire, tat, If I should become subject to the workers,pompensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date —2'f--2--1 ..�..,�.._,._,_._.._ Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whichthispermit Is issued (Section 3097, Civil Code). eders Name _ Lenders Address my signature below, I certify to each of the following: I am the property owner of authorized to act on the properly owner's behalf. I have road this application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances And slate laws relating to building construction. I authorize representatives of this. city croon ty tp enter the ��{p/p�ye-i fmtiffed property for Inspection purposes. ,,( nature of Property Owner or Authorized AOenlI .O,/� Print Pmnerty Ovmvr's or Authnri7arl Anant'0 NA,-, ,:31a l7 Vh-1 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODEOFFEDERAL FOR OFFICE USE ONLY REGUTATIONS PART 61 OF TITLE 40 AND ACNAD. RULE i IQU3 PERMIT EXPIRED I$UHMITTEO ASBESTOS NOTIFICATION TO PERMIT CANCEL! ED PERMIT EXTENDED LJE—p.A� AQM D PCRMIT FINAL CERTIFICATFOF ��j1� �•VV V� , ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSEpDEMOLITION OCCUPANCY ISSUED I SIGNATURE: