HomeMy WebLinkAboutH2025-0381 - Permits,EwaoRr
City of Newport Beach
Permit: H2O25-0381
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Community Development Department - Building Division
Plan Check No
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
Work Class : Other
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newportbeachca.gov/civic
Permit Status: Issued
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Issued Date : 06/11/2025
Inspection Area : 6
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: 1707 PORT BARMOUTH PL Legal Desc : N TR 6622 BLK LOT 85
Description: MECH -INSTALL (1) OUTDOOR A/C UNIT, (1) FURNACE C/O & DUCT WORK, (1) DISCONNECT "TAMPER RESISTANT CAPS REQUIRED --
Owner: DARRELL WHITE
Address : 1707 PORT BARMOUTH PL NEWPORT BEACH, CA 92660
Phone:
Applicant: BASIC AIR INC
Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626
Phone : (171) 430-9454 x2
Owner/Builder :
Address
Phone:
Code Edition :
2022 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks:
Front: 18, Side: 5, Side: 5, Rear: 10
Flood Zone:
X
Use Zone :
PC - Harbor View Hills
PROCESSED BY:�-
SPECIAL CONDITIONS:
Contractor : BASIC AIR INC
Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626
Phone : (171) 430-9454 x2
Con State Lic : 909834
Lic Expire : 01131/2026
Bus Lic: BT30045172
Bus Lic Expire:10/31/2025
Workers' Compensation Insurance
Carrier : OMAHA NATIONAL CAS.
Policy No: ONCC1196404
W. C. Expire: 10/22/2025
NO Manufacturer: AC PRO
Model#: AULD60W2/A1-D(U)
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
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 Section 7000) of Division 3 of the 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).
I, as owner of the property, or my employees with wages as their sole compensation, Will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
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
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: _
ly 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:http:flwww.leginfo.ca.gov/calaw.html.
lignature 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 0) f ivision 3 of the Business and Profes;:iaRs-hod d my license is In full force
nd effect. License Class License No Date Contractor Signature /�/j
VORKERS' COMPENSATION DECLARATION
IARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'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 the
erformance of the work for which this permit is issued. Policy No.
3luave 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' compensatior
once carrier and policy number are:
:a er Policy Number Expiration Date
dam of Agent Phone #
:1I 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 agree
hat, if I should become subject to the works ' compensation pro sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of Applicant Date)
)ECLARATION REGAR G C ON L AGENCY
hereby affirm under penalty of perjury that the a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.enders Name Lender's Address
3y 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.
I authorize represuI,t..tives of this city or county to r above-identifed property for inspection purposes. I, ,, j,, �! L ii nature of Property 04aer or Authorized Agent
i Print PropertyOwner's or Authorized Agents Name f e' Date W
ACTION DATE BY DECLARATION oFfbmPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PEI•M1 FCANCELLED UEPA
PEPAIIT �" TENDED LlAQMD
PE!'d!IT °fYAL 4 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CEPT,F,ra Tr OF '/i PROPOSED DElvi
OC,.UPANC/ISSUED SIGNATURE: ��