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Home My WebLink AboutH2023-0066 - PermitsaEwvoRr City of Newport Beach I I I I I I III III I II II II Community Development Department- Building Division Mechanical Permit: H2O23-0066 iisCenerDri Newport Bach,CA 92660 Plan Check No Permit Phone: e Work Class: Other co- r Inspection Requests Phone: (949) 644-3255 Issued Date : 01/26/2023 "crFonN` newportbeachca.gov/inspections Inspection Area : 1 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 : 3802 RIVER AVE Legal Desc : A TR CANAL SECTION BLK 238 LOT 2 Description: MECH: R/R A/C UNIT @ SIDE AND FURNACE. ***TAMPER RESISTANT CAPS REQUIRED*** Owner: FULLER GARY W TR FULLER FAMILY TR Address : 3802 RIVER AVE NEWPORT BEACH, CA 92663 Phone: (714)329-4876 Applicant: AIR BROTHERS MECH INC Address: 1161 N COSBY WAY, T ANAHEIM, CA 92806 Phone : (714) 329-4876 Owner/Builder : Address Phone : Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: 2022 Front: 4, Front: 20, Side: 3, Side: 3 AE, 8 FT; X PROCESSED BY: V5 Fire Hazard Zone : NO SPECIAL CONDITIONS: HIGH DENSITY ZONE; AE8 FLOOD ZONE; LIQUEFACTION Contractor : AIR BROTHERS MECH INC Address : 1161 N COSBY WAY, T ANAHEIM, CA 92806 Phone: (714)329-4876 Con State Lie : 1034383 Lie Expire : 12/31/2023 Bus Lie: BT30077626 Bus Lie Expire: 01/31/2023 Workers' Compensation Insurance Carrier : FALLS LAKE FIRE AND CASUALTY COMPANY Policy No: FLA01628201 W. C. Expire: 2/9/2023 Manufacturer: AC PRO Model# : AULD60W2/A-D(U) 0 0 ueu oeaaa o N THE 'IngF EKENt : . I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) ieGflon 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 Is 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 $action 7000) of Division 3 of [he 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 applicant to a civil penalty of of more than five hundred dollars ($500). 11. as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 moved for the purpose of sale), ,I I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ly 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 licensure under the Contractors' State 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 legally 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:hhp:llw .leginto.ca.gov/caiaw.htmi. ignature of Property Owner or Authorized Agent Date .IC£NSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 700 ) of vision 3 of the Business and Professio I and 1y license is in full force nd effect. License Class License No Data ` C4 , LL i Contractor Signature VORKERS' COMPENSATION DECLARATION ARNING: FA16URETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: ] I have and will maintain a certificate of consent to selMnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. Policy No. UI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which [his permit is issued. My workers' compensation Isurance carrier and policy number are: is of Agent certify that, in the performance of , if I should become subje oDlicant iature of A Policy Number Expiration Date for which this permit is issued, 1. shall not employ any person in any manner so as to become subject to the workers' compensatton laws of California,, and agree �tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2� 2 O Z J Dale � rreby affirm under pe ` perju�that there Is a construction lending agency for the performance Of the work for which this permit. is issued (Section 3097, Civil Code). Ider's Name !; Lenders Address my signature below, I certify to each of the following: I am the property ov'ner or our to act on the property owner's behalf. I have read thisappliealloo and,the information I have provided is correct. I agree to cornpiy •v%th all applicable city and county ord' ances and state laws relating to building construction. I authorize re, rasertativeM of this city or county toe / property for inspection purposes. Anant'c NaScene S n _N c,G mw � � ACTION DATE BY VIRCPSATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R7r'r"(ULATIONS PART 61 OF TITLF 40 AND AOMD RULE 1503 PERMIT EXPIRED U I sUHvvTTEO ASBESTOS NOTIFICATION TO PERMIT CANCEL ED I EPA _— PERMITEXTENOEi7 i AOMD PERMITFINAL 03/17/23 bLqq'For•' ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO EMOUTION OCCUPANCY ISSUED Rt1 SIGNATURE: