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Home My WebLink AboutH2024-0660 - Permits0�",, City of Newport Beach III I I I II I I II II II II II II II Mechanical Permit: H2024-0660 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660Pfan C)iecl: No Permit Counter Phone: (949) 718-1888 _ WorkClass : Othernewportbeachca.gov/civic Pei mit States: Isouerl Issued Date : 10/14/2024 Inspection Area : 9 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 : 1233 OUTRIGGER DR Legal Desc : N TR 6634 BILK LOT 42 Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: BIRE II LLC Address : 7202 W COLLEGE DR STE B PALOS HEIGHTS, IL 60463 Phone : (949) 239-2022 Applicant: QUALITY AIR INDUSTRIES INC Address: 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714) 718-2946 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Contractor : QUALITY AIR INDUSTRIES INC Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714) 718-2946 Con State Lic : 1052628 Lic Expire : 04/30/2025 Bus Lic : BT30075259 Bus Lic Expire: 05131 /2025 Workers' Compensation Insurance Carrier: PIE INSURANCE COMP. Policy No : WCP1601270000 W. C. Expire : 11/1/2024 Manufacturer : YORK Model#: HMH72B241S ICES PROHIBITED c) E P OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury lhn' I ere oxEmF! Ilan the Contactors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Ary city or ccunly C1at requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for le permit to file a signed statement that he or she is licensed pureunnt-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 exempl'romilxensLre and the oasis tot 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). 7 I, as owner of the property, or my employees with wages as their sole Compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contrai State License LLw dms riot 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 3alE. If, tiowevAr, 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 nproved for the purpose of sale). 3 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 poly 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). 3 I am exempt from licensure under the Contractors' Stale License Law for the following reason: sy 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 legalll 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:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent __._. Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of vrsp2 o the Business and f scions Code Ice e I I o e nd effect. License Class License No Dale H- Contractor Signatur PORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRRMNAL PENALTIES AND CIVO- FRIES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 o an a of the work for which this permit is issued. Policy No. �I hav nd 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' compensatior tS rice carrier and policy number are: Policy Number Expiration Date of Agent Phone # JI 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 sal, i1 I should become subject to the /woA�Dmpe n ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant V / / Oate V O`!i DECLARATION REGAR CON 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 3097, Civil Code). ender's Name Lender s Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 tqpuilding construction. authorize representatives of this city or counll( tgenter the Alaave-ide pe inspection purposes. of Property Owner or Authorized Agent V /// -� // / Print Property Owner's or ACTION DATE BY DECLARATION OF COMGLIANCEWITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED Ll I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LA PERMITEXTENDED j OMD PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF U OCCUPANCY ISSUED �J PROPOSED DEMOLITION '�/� - SIGNATURE: CCr7.`MA it>