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Home My WebLink AboutH2023-0212 - Permits (3),a�eW"oRT City of Newport Beach +p� A Community Development Department- Building Division F t:., 100 Civic Center Drive, Newport Beach, CA 92660 - y— " " fn Permit Counter Phone: (949) 644-3288 t�' �y Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections III I I I III II II I II II I II Mechanical Permit : H2023-0212 Plan Check No: Work Class : Other Issued Date : 0312812023 Inspection Area: 1 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 : 3515 SEASHORE DR Legal Desc : A TR NEWPORT BEACH CITY BILK 35 LOT 8 Description : MECH CHANGE OUT (2) FURNACES Owner: CLEMONS NB RENTAL LLC Contractor : COASTAL HEATING & COOLING INC Address : 120 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Address : 2141B SILVER SPUR LN WILDOMAR, CA 92595 Phone: Phone : (949) 482-2599 Con State Lie : 1045446 Applicant : COASTAL HEATING & COOLING INC Lie Expire : 01/31/2025. Address : 21418 SILVER SPUR LN WILDOMAR, CA 92595 Bus Lie: BT30080419 Phone: (949) 482-2599 Bus Lie Expire:01131/2024 Workers' Compensation Insurance Owner/Builder : Carrier : Address : Policy No: WC78187 Phone: W. C. Expire : 7/15/2023 Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Front: 0, Side: 3, Side: 3 Flood Zone : VE, 15 FT; X Use Zone : R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Fire Hazard Zone : NO Manufacturer Model# : OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of parlurythat t am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item a) Secton T031.5.. Business and Professions Cade: Any city or county that requires a permit to construct, after, improve: demolish, or repair any structure, prior W its issuance, also requires the applicant for he 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 iioonsure and the basis for the alleged exemption. Anyvlolatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more then five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do `}all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and ProfeeaiOne 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 mprovements Bra 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 mproved for the purpose of sale), 1 I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Only to an owner of property who bullds or improves thereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Low for the followng reason: ly my signature below € acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I cannot legallf all a Structure that 1 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 Irofessions Code, is available upon request when this. application is submitted or at the following Web site:http:ltw .teginfo.ca.govlcalaw,.htmi, Signature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with- Section 7 f Divisy3of the Business and PGoF,�6sl de, an license is in full force and effect. License Class License. No Date .2`6 _Z,�;Contractor Signatur I VORKERS' COMPENSATION DECLARATION Z DARNING; FAIW RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS MI00.000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following dectaratlons: 3 I have and will maintain a cadifcate of consent to seJf insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th priormance of the work for which this permit is issued, Policy No. 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` carrier and policy number are: Policy Number Expiration Date of Agent Phone # It certify that, in the pe rTrance of the work far which this permit is Issued. I shall not employ any person in any manner so as to become subject to the workers' co pensabon laws of California, and agre tat, 1f i should becam ubject to ih orka�,8provisions at Section 3700 of the Labor lode; I shall fadtawlih comply Wllh thane provisions. upriature of Applican Date - " �,. IECL.ARATION REG RDlNGGENCY 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, ivil Code). enders Name Lenders Address 4y 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 ciunty, ordinBnc s and state laws relating to building construction, i authorize representatives of this city or Con to enter Go HAD tied property for inspection purposes. � � Iltrnature of Property Owner or Authorized Aoon , print Proeerty Owner's or Authorized Anent Name a ACTION DATE BY I j DErARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY �- lREGGU LATIONS PART 61 OF TITLE 4o AND AQMD RULE P£RMT EXpsito I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO I —{ PERMIT £XTENDEt7 AQU MD P£RMFir1NAL �� j-"L AeBESTO£NOT FIiRTdJN IS MO7 A:�PL6ARIE TO CFRrT1`CATF or PROVOS0 TIFFICUTI01 OCCUPANCYISSUED SIGNATURE