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Home My WebLink AboutH2022-0587 - Permits�jE�'PORT City of Newport Beach III I I I II I II I II IIII I II II Mechanical Permit: H2U22-UJ$7 b4 @ Community Development Department- Building Division t"y 100 Civic Center Drive, Newport Beach, CA 92660 - Plan Check No S Permit Counter Phone: (949) 644-3288 Work Class :Other Cq<�FORN�P Inspection Requests Phone: (949) 644-3255 Issued Date : 1012112022 newportbeachca.gov/inspections rl, 9110 r— .�. �,. Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT do 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 : 309 FERNLEAF AVE, A Legal,Desc : A TR:CORONA '.DEL MAR BILK 232 LOT 9 CORONA DEL MAR LOT 9 BLK 2 32 ALL -INC POR OF fil l GV Description: MECH: R/R FURNACE & INSTALL A/C "TAMPER RESISTANT CAPS REQUIRED" Owner: OCEAN PACIFIC PROPERTIES LLC Contractor.: Address: 309 FERNLEAF AVE CORONA DEL MAR, CA 92625'" Address Phone: (949)874-6040 Phone: Con State Lic Applicant: OCEAN PACIFIC PROPERTIES LLC Lic Expire Address : 309 FERNLEAF AVE CORONA DEL MAR, CA 92625 Bus Lic: Phone: (949) 874-6040 Bus Lic Expire: Workers' Compensation Insurance Owner/Builder: OCEAN PACIFIC PROPERTIES LLC Carrier: Address: 309 FERN LEAF AVE CORONA DEL MAR, CA 92625 Policy. No: Phone: (949) 874-6040 W. C. Expire: Code Edition : 2019 Fire Hazard Zone`: NO Manufacturer Type of Construction : Model# : Occupancy Groups: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 10 Flood Zone: X Use Zone : RM - Multiple Residential AC PRO AULD36W2/A-D(U) a ° °OYGY' O PROCESSED BY: �g p' SPECIAL CONDITIONS: HIGH DENSITY ZONE NO CONSTRUCTION N04SEO N THE WEEKEND ° °JJOO O 0 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors: State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(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 the permit to fife 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 Hcensu€e 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 penally of not more than rive hundred dollars ($500). ❑ L 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, 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 Im roved for the purpose of safe). 1, 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 llcensure under the Contractors' State License Law for the following reason: By my signature below l acknowledge that, except for my personal residence in which 1 must have resided for at least oneyear prior to completion of the Improvements covered by this permit, I cannot iegall: sell a structure that I have built as an ownar-builder if It has not been constructed in its ent rary by licensed contractors. I understand that a copy of theapplicable law, Section 7044 0. the siness and Professions Code, is available upon request when this applic n is Submittedr at the fq ovimg Web site:htip:liww Jeginto.ca.gov/calaw.html. r/ Signature of Property Owner or Authorized Agent rQ,�{.Hv Date B G z�. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is in full force and affect. License Class License No Date Contractor Signature COMPENSATION DECLARATION fARNING: FAILURE TO SECURE wORKEW COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Sf DD,000J, IN AUDITION TO l :DST 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 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for errormance 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' mote carrier and policy number are: is of Agent _ certify that, in the pi , If I should become rature of Applicant _ Policy Number Expiration Date Phone if i 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 ppt//he workers�J' �cj�tos�een/syay%titioon�npppvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I 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). Lenders Name Lenders Address By my sfgnaty0killpa, I certify to each of the following:: • i jam the propeVowner or authorized to act on the property owner's behalf. • • • -]have read MiOvVpllcatfon and the Information I have provided is correct. • I agree to eorli with all applicable city and county rdinances and sir laws re tong to building constrUChOn. • .�•I�uthor'za rppresenlatrves of this city on county rrf�:.}h ppp^ rt (7E � yfor inspection pµrposes-3-__^.. `_. __..___.._.,___ �JL/.dflfkir .l��i i ,1/'��0//T7 AA dJJ// I�CC// FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE • • • I SBESTOS NOTIFICATION IS NOT APPLICABLE TO ••• tt Ii�i PROPOSED DEMOLITION