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HomeMy WebLinkAboutH2024-0434 - PermitsF��WPoRr City of Newport Beach III I I I II I I II II II IIII II II Mechanical Permit: H2O24-0434 o 9 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023.1330 ` S Permit Counter Phone: (949) 718-1888 Work Class: Other >� newportbeachca.gov/civic Permit Status: Issued C,<i FonN�P Issued Date : 07/22/2024 Inspection Area : 2 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 : 119 VIA MENTONE Legal Desc : N TR 907 BILK LOT 596 TR 907 LOT 596(AND NELY1/2 LO Description: MECH - INSTL HEAT PUMPS (2) ON ROOF. TAMPER REISTANT CAP REQUIRED Owner: KIA SHAKOORI Address : 119 VIA MENTONE NEWPORT BEACH, CA 92663 Phone: (949)584-1776 Applicant: BASIC AIR INC Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone : (171) 430-9454 x2 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 4, Front: 10, Side: 4, Side: 4 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: R / SPECIAL CONDITIONS: Fire Hazard Zone : NO Y dF-.� I•�r�p'aw Contractor : BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone : (171) 430-9454 x2 Con State Lic : 909834 Lic Expire : 01/31/2026 Bus Lic: BT30045172 Bus Lic Expire:10/31/2024 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INSURANCE COMPANY Policy No: PSIC1196403 W. C. Expire: 10/22/2024 Manufacturer: DAIKIN Model#: RXTQ48TAVJU OWNER -BUILDER DECLARATION 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 Line 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 Professions 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 Law does not apply to an owner of property who, through employees' or 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). ❑ 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 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 legally sell 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 70" 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.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70004 f isi In 3 of the Business and Professio my license is In full force and effect. License Class License No Date / Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNE)f-S FEES. 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 uerformance 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' rance carrier and policy number are: Policy Number Date to of Agent yr one R 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 , if I should become subject to t2hp workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant�A ^' Date 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 3097, Civil Code) enders Name Lenders Address ly 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 state laws relating to building construction. 1 I authorize representatives of this city or county to ente the above -identified property for inspection purposes. .;,.,,.r,,.o ,.r o..... , rw.,,,o. — A„amnr,vorl An f 1 % Print Prooertv Owner's or Authorized Aaent's Name ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO 1QMD ASBESTOS NOTIFICATION IS NOT APPLICABLE TO 713D/ZS QilV7�J PROPOSED DEMOLITION SIGNATURE: