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Home My WebLink AboutH2024-0801 - PermitsrE.w PORE. City of Newport Beach ..aka ry Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 y^. Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic P ry(IGJ Iih III II I III I II II III I III I II Mechanical Check : Permit: H2024-0801 Plan C Work Class : Other Permit Status: Issued Issued Date : 12/1612024 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 IAVORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 2201 VISTA HUERTA Legal Desc : N TR 5798 BLK LOT 42 TR 5798 (L.L.84-245722) PAR 4 Description: MECH - R/R AC CONDENSER. TAMPER RESISTANT CAP REQUIRED Owner: DAVID NORTON Address : 2201 VISTA HUERTA NEWPORT BEACH, CA 92660 Phone: (760)613-8571 Applicant: FOLGER HEATING & AIR INC Address : 8842 LUSS DR HUNTINGTON BEACH, CA 92646 Phone: (714)334-4433 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : - Occupancy Groups : Building Setbacks : Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: ft SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : FOLGER HEATING & AIR INC Address : 8842 LUSS DR HUNTINGTON BEACH, CA 92646 Phone: (714)334-4433 Con State Lic : 763312 Lic Expire : 04/30/2026 Bus Lic : BT30047641 Bus Lic Expire:06/30/2025 Workers' Compensation Insurance Carrier : NORGUARD INS. Policy No : FOWC575169 W. C. Expire: 10/112025 t Manufacturer: AC PRO Model#: AULD36W2/A1-D(U) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 he 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 Irofessions 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 Sot 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 sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effod, builds or improves the property, provided that the mprovements 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 mproved 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). ❑ I am exempt from licensure under the Contractors' Slate 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 legalli 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 sfe:http://www.leginfo ca.gov/calaw.html. Date — Signature of Property Owner or Authorized Agent -- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)^f ivison 3 of the Business and Pro ions Code. and my license _aIs i�tull force and effect. License Class License No Date Contractor Signature T �� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS If 100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 th r�pee,rfo/rrmance of the Work for which this permit is issued. Policy No. 6JYhave 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' compensabo insurance r:amier and policy number are: C,mi r Policy Number Expiration Date le of Agent 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 Califomia, and agre if I should become s3ajezl to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ A C—i of Applicant _ _ Date_.__. �_-1--Z — --- CLARATION REGARDING CONSTRUC I ION LL NUINL. A"ICN .T areby 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 3097. Civil Code) - ider's Name __ Lenders Address —. my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply With all applicable city and county ordinances and stale laws relating to building construction. I authorize representatives of this city or county t e he above -identified property for Inspection purposes. ,,....._.- A A,.�..� Print Property Owners or Authorized Agent's Name DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 1 FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE i 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO ^PERMIT UAII ELLL0 - - — EPA PERMITEX-ENDEn 1AQMD _ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERMIT FINAL CERTIFICATE OF - / PROPOSED DEMOLITION ' ` SIGNATURE: I OCCUPANCYISSUED� !