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Home My WebLink AboutH2022-0549 - Permits�EVVPORT City of Newport Beach III I I I IIu �I I II III I III IIII H2O22-0549 �`r @ Community Development Department - Building Division Mechanical Permit : 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check � Z Permit Counter Phone: (949) 644-3268 Work Class :OtOther « CgGFO FNMA Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections , 4 E $°p4 4"'°' �["�y Issued Date : 10/06/2022 F as ,-7 ;; T R, 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 WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 406 VISTA SUERTE Legal Desc : N TR 7148 BLK LOT 44 Description: MECH: INSTALL A/C UNIT @ SIDE. "'TAMPER RESISTANT CAPS'& TIMER REQUIRED" Owner: LUIS & ADRIANA FARFAN Contractor : David Bravo Address: 406 VISTA SUERTE NEWPORT BEACH CA 92660 Address : -PO Box 16140 Long Beach, CA 90806 Phone: (949)400-9136 Phone: - (562)508-8211 Con State Lie : 938866 -: Applicant : David Bravo Lie Expire : 10/31/2023 Address : PO Box 16140 Long Beach, CA 90806 Bus Lie: BT30079836 Phone: (562) 508-8211 Bus Lie Expire:10/31/2023 Workers' Compensation Insurance Owner/Builder : Carrier : Address : Policy No : EXEMPT: Phone: W. C. Expire.`. Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: RHEEM Type of Construction : Model# : RA1636 Occupancy Groups: Building Setbacks Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: tl� rr pp SPECIAL CONDITIONS: Net rg6. -popie" a'['�Etf TWEft REQUIRED ON EOU PMENr i0 6HUf OFF RE7WEEN V PXAND 7 A.M; a a eaaaa• 0 e eaaa oJoeaJ a aaaam a a a J JJ a aaoa a 9 0 aaaea a a aaJ . .` oases JJJJO J 00 a OV,OJO O i O J J GO 0000� Jp O J OOOJO O J OO OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Anyoity or county that requiresa permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for III permit fettle 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 at more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness and Professions Code: The Contractors' State la••oonse 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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder The Contractors' State License Law does not ply 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: ty 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 legall, all 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 copyof the applicable law, Section 7D44 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the foRovnng Web site:http:/Aw .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date dCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) oFpivision 3 of the Business and Prof ns , a�my license is in full force nd effect. License Class License No Date f�— C, 1. Contractor Signature _ VORKERS' COMPENSATION DECLARATION �c rARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AFl EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PSWI ED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. hereby affirm under penalty of perjury Gne of the following declarations: I 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 erformance, of the work for which this permit is issued. Policy No. 7l 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' compensatioi isurance carrier and policy number are: Policy Number of Agent Date :edify that, in the performance of the work for which this permit is issued, I shag not employ any person in any manner so as to become subject to the workers' compensation laws of California, and if I should becorrar- defect to j rq,"rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date 1G- -i - Z� hereby affirmxsiderpenaity 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 Igignatuj2" I certify to each of the following: I,am the prdold" owner or authorized to act on the property owner's behalf. • 1-Have road 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 uspippentatives of this city or Countg t enfer the _ idengfled property for inspection purposes. • • ...., rr o..,, n..� — n rl.,.a..�.l n.,n..e � Print Prnnamr lt,uner'e nr AutHnrivaA Anwntc Namwe Ociv i r twn f/ • • DATE By I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE •sss PERMITFINAt I'd, 110 ` LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERrIRCATE OF efty PROPOSED DEMOLITION OCCUPANCY 15-5 1 SIGNATURE: