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Home My WebLink AboutH2023-0160 - PermitsA �gWPORT City of Newport Beach p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 C9�rFORN�P newportbeachca.govAnspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 03/03/2023 Inspection Area : 2 H2O23-0160 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 : 320 VIA LIDO NORD, 2 Legal Desc : N TR 8362 BILK LOT 1 UN 1 TR 8362 LOT 1 UNIT 1 OF PROJECT LOC ATED ON AP Description: MECH -R/R FAU IN CLOSET & A/C CONDENSER ON ROOF. TAMPER -RESISTANT CAP REQ'D Owner: GRAY VALERIE J TR V J Contractor : TRITON AIR INC Address : 320 VIA LIDO NORD APT2 NEWPORT BEACH, CA 92663\` Address : 7 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Phone: ii� Phone : 4 492-0290 01�Con State Lie : 74877 Applicant: TRITON AIR INC g +� Lie Expire : 06/30/2024 Address: 1221 PUERTA DEL SOL #300 SAN CLEMEN �,7 2 3�@ Bus Lie: BT30042558 Phone: (949) 492-0290.a Bus Lie Expire:03/31/2023 Workers' Compensation Insurance OwnerlBuilder : Carrier : FALLS LAKE FIRE Address : Policy No: FLA01867400 Phone: W. C. Expire: 4/1/2023 Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks : Front: 0, Front: 4 Flood Zone: X Use Zone: RM - Multiple Residential Fire Hazard Zone : NO PROCESSED BY SPECIAL CONDITIONS.�� C . Manufacturer:ejVKy(l ' Model# : 4AC17 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law for the Peasants) indicated below by the checkmark(s) I have placed next to the applicable items) (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 Me a signed statement thathe 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 axempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fora 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 (_) 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 on owner of property who, through employees' or personal effort, builds or improves the property, provides 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)- 0 I, as owner or 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 licensors under the Contractors' State License Law for the following reason: By my signature below f 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 bythis permit, I cannot Iegall sell a structure that I have built as an owner -builder If it has not been constructed In itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application is submitted or -at -the following Web site:http:l/www.loginfo.ce..govlcalaw,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 7000) Of Division 3 of the Business and Pro ssions Cod , dy1y license is in full force and effect. License Class License No D .Contractor Signal WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADO IKON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, Me ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: 1 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 rmanca of thwork for which this permit is issued. Policy No. have and wilel 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' compensatio ins ranee Barrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I 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 afire( that, If I should become subject to the Workers' comt motion provisio of Section 3700 of the Labor Code, I shall forthwith comply Wth those provisions. Signature of Applic n _ DECLARATION RE AR CO UC N LENDING AGENCY 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 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 reting to building. construction. I authorize representatives of this city or county tGa terteaeidenterty for Inspection purposes. Si nature of Pro ertOwner or AuthorizedA Print Pro a Owner's or Authorized Agent's Na�rIA Date ACTION DATE BY ECLARATION OF COM LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Af1MD RULE 1401 PERMIT EXPIRED I SU8MrTTEO ASBESTOS NOTIFICATION TO PERMIT CANCELLED _.. _. EPA PERMIT EXTENDED qMD PERMIT FINAL """"�Q�'(( ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF jr TT PROPOSED DEMOLITION — OCCUPANCY ISSUED SiGNkTURE: �—