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Home My WebLink AboutH2024-0206 - Permits��E`wP0/7T City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 02660 ` ' ? Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C �P 9GlFOR� III I II I I II II I I I II II Mechanical Permit : H2O24-0206 Plan Check No : PC2022-2040 Work Class : Other Issued Date : 04/11/2024 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 : 18 PINEHURST LN Legal Desc : N TR 7223 BLK LOT 59 Description: MECH 3 NEW HEAT PUMPS *TAMPER PROOF CAP REQ* Owner: RUSKEY CHAD CR FAMILY TR Address : 21 SEAWATCH NEWPORT COAST, CA 92657 Phone: (212)520-2312 Applicant: AIR MAX INC Address: 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (949)468-9999 OwnedBuilder : Address Phone: Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Front: 10, Side: 5, Side: 5 Flood Zone : X Use Zone: PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: Contractor: AIR MAX INC Address : 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone: (949)468-9999 Con State Lie : 1015725 Lie Expire: 07/31/2024 Bus Lie : BT30065145 Bus Lie Expire:11/30/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9170882 W. C. Expire: 12/8/2024 NO Manufacturer: CARRIER Model# : 25VNA860 DECLARATION I hereby affirm under penally 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, after, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for LTG permit to file a signed statement that. he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from If censure 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code' The Contractors' State License haw does not apply to an owner of property who, through employees' ar personal effort, builds or improves the property, provided that the improvements 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 improved 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 apply 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). 11 1 am exempt from licensure under the Contractors' State License Law for the following reason. By 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{ sell 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 Professions Code, is available upon request when this application Is submitted or at the following Web site:http:!/www.leginfo.ca.govlcalaw.html. Sigcature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that f am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 of the Business and Profs - io Co rand my tic •e is' oil force and effect License Class License No �i^/,6,T2 Date Fi' ConVactor Signature NORKERS' COMPENSATION DECLARATION r4ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 3eyiormance 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' 'Prince carrier and policy number are_ Policy Number Expiration Date of Agent ]I certify that. in the performance of the work for which this permit is issued, I . all not employ any person in any manner so as to become subject to the Workers' compensation laws of California, and agre tat, if I should become, b ct to the works comps Ion pr isions of on 3700 of the Labor Code, I shall forthwith comply with those provisions, signature of Applicant___ _ Date 1)rCLARATION REGAR IN ONSTRUCTION LE DING AGENCY hereby affirm under p ,aity of perjury lhatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 it Code). enders Name Lender's Address ly my signature I-Ocv, , I certify to each of the following: I am the prop"t owner or authorized to act on the property owner's behalf. I hAye read'h'e r pplicalion and the information I have provided is correct.. I agree to comply' with all applicable city and couilty ordinances and state laws refa4 to building construction. I authorize representatives of this city or county tQ q(ter th/� the abo denlifie rop for inspection purposes. .inoa.,,ro of PmuPrLv n,vnar or A, dhori>ed Anant ��((( `-'/L- Print Property Owner's or Authorized Aaent's A.0 FE&00 (ANCELLEP FERM1AIT EXTENDED BY 1403 OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AOMD RULE ASBESTOS NOTIFICATION TO P9AM17 F'NAL I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CEef)ltILATEOF Z�Z //,�J PROPOSED DEMOLITION OCCUPANCY155VE0 I /— r SIGNATURE: FOR OFFICE USE ONLY