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Home My WebLink AboutH2023-0572 - Permits��wjoRr City of Newport Beach III I I I II I III II II Community Development Department - Building Division i 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Cy �P t GIFOQN Mechanical Permit Plan Check No : Work Class : Other Issued Date : 08/3112023 Inspection Area : 1 H2O23-0572 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 : 1105 BALBOA BLVD E Legal Dose: A TR BALBOA TR EAST SIDE ADD BLK 18 LOT 2 Description: MECH INSTALL (N) HEAT PUMP @ 2ND FLOOR BALCONY "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED"* Owner: MISHICA CHRISTINE MARIE TR 2005 TR Address : NEWPORT BEACH, CA 92661 Phone: (949)554-8110 Applicant: JERAD LAFOND Address: 21622 MARGUERITE PKWY, 270 MISSION VIEJO, CA 92692 Phone: (949)2B5-7360 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 X R-2 - Two -Unit Residential M SPECIAL CONDITIONS: HIGH DENSITY ZONE Fire Haza,d Zone Contractor : FLOOD AIR INC Address : 23632 VIA FABRICANTE STE E MISSION VIEJO, CA 92691 Phone : (949) 768-7733 Con State Lic : 797310 Lic Expire : 06/30/2025 [Bus Lic: BT30078796 [Bus Lie Expire:06/3012025 tWorkers' Compensation Insurance ,Carrier : TRUCK INSURANCE EXCHANGE IPolicy No: F09448073 , W. C. Expire: 4/14/2025 NO Manufacturer: INNOVAIR Model#: SEV36H2R19 NO 0ONS7RQC- I N WORK 0.4 ON AT(_)RDAYS SdVVnd 1dV3—h NO g OWNER -BUILDER DECLARATION I hereby alfirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkark(s) mI 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 io permit to file a signed statement thathe 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 '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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work., and the structure is not intended or offered for safe (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). 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 fy 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 dcensure under the Contractors' Slate 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 legall, 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 7044 of the Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http://www.log;nfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent _- Date____ JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of qtvisiori 3 of the Business and Professjtlfi)f; Code, and my license is in full force nd effect. License Class License No Date Contractor Signature e z ,A\ VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDmON TO THE EST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided far by Section 3700 of the Labor Code, for th ii formance of the work forwhich this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3100 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 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 agre t, if I should become subject t the workers' camps ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _..__..._....,.._......_. Date_..,,_, Z } CLARATION REGARDING STRUCTION LEN ING AGENCY sreby affirm under penalty of perjury that (here is a nstructlon lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code). rders Name _ Lenders Address toy signature below. I certify jo each of the following: I am the property owner or aathorizud to act on the properly owners behalf. I have read this application und lha;informotion I have ro I'd Ed Is correct- I agree to comply with all app cabl^ city slid county rd11 acres antl state laws relating tabulldinkonstruction. I authorize representatives cf this city or county to me the above-iden' ad property fdr Inspectfir�purposes. r� �� j 4 nature of ProoertAIv Owner or Authorized A , Prell.Prooerty Ovner's or Authorized Aoenl's Name l— J Date ACTION DA rE I BY DECLARATION OF COMPLIANCE WITH COOf,OF FEDERAL REGULATIONS PART 61 OFTITLE 40 ANDA1(1MD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRW I SUBMITTED ASRFSTO5 NOTIFICATION TO PERMITCAA'CUEn OEPA... _ND___- PE.RNIT EXTEED � AOry/ip PERMIT FNJAt ASBESTOS NOT IPICATION 15 NOT APPLICABLE TO _ I CERTIFICATE OF OCCUPANCY t53CEp ............ ' . DEMOLITION SiAURE N..._-------