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Home My WebLink AboutH2023-0482 - PermitsCity of Newport Beach a��WPoR' p i @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 tea.. Permit Counter Phone: (949) 71 B-1888 newportbeachca.gov/civic Cq</GORN'`P III I I I II I III II II II I I I II Mechanical Permit : H2O23-04s2 Plan Check No : 3020-2021 Work Class : Other Issued Date: 07/28/2023 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 : 1700 PORT MANLEIGH CIR Legal Desc : N TR 6938 BLK LOT 51 Description: MECH 2 NEW HEAT PUMPS *TAMPER PROOF CAP REQ* Owner: LLOYD RUCKER Address : 1227 BERKSHIRE LN NEWPORT BEACH, CA 92660 Phone : (949) 463-4509 Applicant: AIR MAX INC Address: 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691 Phone : (626) 468-9999 Owner/Builder : Address: Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Harbor View Hills 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 FUND Policy No: 9170882 W. C. Expire: 8/4/2023 Manufacturer: AC PRO 0 Model# : AULD60W2 p Cr- I OWNER -BUILDER I hereby affirm under penalty 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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ID 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 'rofessions Code) or that he or she is exempt from licensors 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 at more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their Sale compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (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 n roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not pyply 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). J I am exempt from lcensore under the Contractors' State License Law for the following reason:. y my Big naturo below I acknowledge Ilia I, except for my person at residence in which I must have resided for at feast one year prior to completion of the improvements. covered by this permit, I cannot legal[ all a structure that I have built as an owner-buildar if it has not been constructed in itsentirety by licensed contractors. 1 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:/fwww.laginto.ca:gov/calaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (co mencing with Sectlo 7 00) of D isio of the Business and Pr to s Cc ; and my H a is in 1 force no effect. License Class License.No /'O/� Dar' Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS MIKADO). IN ADDITION TO THI DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION =6 OF THE LABOR CODE, INTEREST, ANDATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and wit[ 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 tf q(formance 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 of Agent Dale �I 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 works ' compensation laws of California, and agre mst, it I should becom211--�BlSliiTFRUiETION to th workers' ompens• n rovisions of Section 3700 of the Labor Code, Ishall forthwith comply With those provisions. ignsturs of Applicant BCLARATIONREGA 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 309 ivil Code). enders Name _ _ Lender's Address y my signature bean. I certify to each of the following: I am The property owner or authorized to act on the property owner's behalf, I have reed this application and the information I have provided is correct. I agree to comply with all applicable city and c u11my ordinances and state laws relating to building construction. I authorize representatives of this city or count fo er the ove-ide ad property for inspection purposes. innanmP ITT Prnoariv wnpr nr Aulhnrbad Anent xa n Print Pronartv Owner's or Authorized Aaent's Name' %X ! (/.-5, Date ACTION DATE BY I/ ( DEELARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY Y E REGULATIONS PART El OF TITLE 40 AND AQMD RULE j 1403 °,Nh r EXPIRED I SUBMITTED ASRESTOS NOTIFICATION TO JtFMI r`ANCELLEJ _.. EPA _. rER0T EXTENDED`LJAQMD �03/06/241 PERMITIrMAL UASBEST05 NOTIFICATION IS NOT APPLICABLE TO DLfo, CfHTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED KK SIGNATURE: