HomeMy WebLinkAboutH2023-0415 - PermitsF��WPoRr City of Newport Beach
p 9 Community Development Department - Building Division
t"y 100 Civic Center Drive, Newport Beach, CA 92660
U,= Permit Counter Phone: (949) 718-1888
a� newportbeachca,gov/civic
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II III III II Mechanical Permit : H2,023-0415
Plan Check No : PC2023-0618
Work Class : Other
Issued Date : 06/27/2023
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: 718 IRIS AVE
Description: ,njfCR REPLACE FURNACE
Owner: Mandana Ziai
Address : 6 Viola Irvine, CA 92620
Phone: (310)936-9405
Applicant : O C REMODELING
Address : 1801 WHITTIER AVE, 7 COSTA MESA, CA 92627
Phone: (949)800-9185
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Legal Desc : A TR CORONA DEL MAR BLK 736 LOT 20
Contractor : O C REMODELING
Address : 1801 WHITTIER AVE, 7 COSTA MESA, CA 92627
Phone: (949)800-9185
Con State Lic : 1031220
Lic Expire : 09/30/2023 "
Bus Lic: BT30080760
Bus Lic Expire:02129/2024
,
Workers' Compensation Insurance '
Carrier : EXEMPT - NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
• �'
Fire Hazard Zone: NO Manufacturer:
Model# :
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that 1 am exempt from the Conlractora' State License Law for the reasons) 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 rile a signed statement thathe or she is licensed pursuantto the provisions of the Contractors' Stale 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 7031.6 by any applicant for a permitsubjects the applicant to a civil penalty of _
not 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 (,) portions of the work., and the structure is not. intended orofferred 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 theproperly, 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
irmyproved for the purpose of sale).
LJ 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 alicensed Contractor pursuant to the Contractors' State License Law).
LI I am exempt from licensure under the Contractors' State License Law for the following reason: 1.,,,.,-
By my signature below t acknowledge that, except for my personal residence in which I must have resided for at [east one year prior to completion of the improvements covered by this permit, I.Cannot legall;.
sell 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 copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web sita:httpi/tv .leginfo.ca.gov/calaw.htmi.
Signature of Property Owner R 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 7.0 ) of ivisidn 3bf the Busi ess and Professions , and my license is in full force
and effect. License Class License NO £ate Contr for Signa
WORKERS' COMPENSATION DECLARATION ,`
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED TX ANO DOLLARS titB0,00d), IN ADDITION TO TXE
COST OF COMPENSATION, OAMAOES AS PROVIDED FOR IN SECTION 3793 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm undE7 p3,-ahy of perjury one of the following declarations:
I have and will maintain a certlFcate 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
'Lr,r,aa.,e of the .vo�h 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' compensa
1 gaora carrier and policy number are:
_ T _ Policy. Number
of Agent /,�Y . „ 7� 4> /F _-�7
Date
Lst:f, that. In ',he performance of the wor r wh6ch this permit Is issued; I shall not employ any parson in any manner so as to become subject to the workers' compensation laws of California, and agre
h if I should become subject to the wor sSc'ompansation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
W
3ignarare r(��iipli�c.K �0�-
DE.:LARAlI�RcGAr2DINGC N LENDING AGENCY
har�Ly Lf:irm unnder penalty at ihera is a cobaWction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_end=s^ Name Lender's Address
3y my signature b�e '� y to each of lha Ioliowing:
i am tn� p pr6 art ner or autnonzed to adl on the propariy owner's behalf.
1 have reatl this application and the informalian F have provided is corre .
1 agree !o comply with all applicable city and county ordinances an eta relating to building construction.
I authorize representatives of this 't or unty to ter (he abo tifled ro nspeclion purposes. I %�
3i nature of Proper Owner or Aulh A ant --Print Property Owner's or Authorized A e ' 'e \ of tl �E r
ACTION DATE BY DECLA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE90LATIONS PART 61 OF TITLE 40 AND AQMD RULE.
SUBMETTED ASRESTOS NOTIFICATION TO
CERTIFICATEOr �rj'j 6(p,'jgj p OPOSE DEMOLITION IFICATION IS NOT APPLICABLE TO
OCCUPANCYISSUED i ��//O/