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HomeMy WebLinkAboutH2023-0253 - PermitsEWPo?T City of Newport Beach IIIIIIIIIVIIIIIIIIIIIIIIIIIIIfllllllllllllllulllllllllllll Community Development Department -Building Division Mechanical Permit: H2O23-0253 F 100 Civic Center Drive, Newport Beach, CA 92660 u ev i Permit Counter Phone: (949) 644-3288 Plan Check No : 0439-2019 a.. Inspection Requests Phone: (949) 644-3255 Work Class : Other CqC/F00.N�P n ewportbeachca.g ov/inspections Issued Date : 04/1712023 Inspection Area : 5 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 : 436 MENDOZA TER Legal Desc : N TR 1237 BLK LOT 135 Description: MECH - SFR INSTALL (2) A/C UNITS, (2) FURNACE, (6) BATHROOM FANS AND (1) HOOD *PROVIDE TAMPER -PROOF CAPS AS REQ'D Owner: 436 MENDOZA INVESTMENT LLC Address : 436 MENDOZA TER CORONA DEL MAR, CA 92625 Contractor : HUIE MECHANICAL Phone : Address : 11552 ARROYO AVE SANTA ANA, CA 92705 Phone: (714)389-2228 Applicant : HUIE MECHANICAL Can State Lie : 598110 Address : 11552 ARROYO AVE SANTA ANA, CA 92705 Lie Expire : 07/31/2024 Phone : (714) 389-2228 Bus Lie: BT30078617 Bus Lie Expire:04/30/2023 Owner/Builder : Workers' Compensation Insurance ' Address : Carrier : EMPLOYERS PREFERRED INSURANCE COMPANY Phone: Policy No: EIG51276440 W. C. Expire: 1/19/2024 Code Edition : 2022 : Type of Construction : Fire Hazard Zone NO Manufacturer: DAY &NIGHT Occupancy Groups: Model#: N4A5S Building Setbacks : Front: 5, Front: 15, Side: 6, Side: 6 " Flood Zone : X , Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATIONLawnor to its issuance, also requires the applicant for hereby affirm under penally of perjury that I am exempt from the Contractors' a permit to construct salter, Improve, ldemol'lsh4orQepairtany structure, (P ) I have. placed next to then 3 of the items) 1 Y o (commencing with Section 7(300) of Division 3 of the Business and (Section T03t.5. Business and Professions Code: Any city or county that r q tenant for errnit subjects the applicant to a civil penalty of the permit to rile a signed statement that no or she is licensed pursuant to the provisions of the Contractors' Staten Of Se Law (Chapter v ( g Professions Code) or that he or she is exempt from licensure and the basis far the alleged exemption. Ally rotation of Section 7031.E by any applicant P 7044. not more than five hundred dollars ($500).. Property, ! 4o an owner of property who, through employees' or personal effort, builds or improves the property, provided that the ❑ I, as owner of ther my employees with wages as felt sale compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section Business and Professions Code: The Contractors" State License Law does not apply 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 sate). project (Section 7044, Business and professions Code: The 1, as owner of the property, a builds Exclusively CO' Improves thereonlicensed , and who contractsrs forprojects twfeth a licensed Can rector pursuant to the Contrectors' State LicenseLaw). State License Law does no apply to an owner of property __ , "-' ❑ I am exempt from licensure under the Contractors' State License Law for the following reason'. —.— ntracW----------------�d thane copy of the applicable law, Section 7044 of the permit, I a and By my signature below I acknowledge that, except for my personal residence In which I must have resided for at least One year pn d to completion of fie imcablerl ants covered by this permit, I cannot legs sell a structure that I have built as an owner -builder d it has not been constructed in Its entirety by licensed contractors. Data Professions Code, is available upon request when this application is submitted or at the following Web site:htlp:/lwww.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent rifle. and m license is in full force LICENSED CONTRACTQR'5 DECLARATION Date it 1� G7 ' 0 2 3 Contractor Signature Yoh I hereby LICENSED under penalty l peDE that I am licensed underprovisionsiNivons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess i affi and effect. License Class HE COST IN ' FAILURE TTOIO ECURE WoRke PROYOIOED FOR}IN SE ON ov ER AGE IOU THE LA6IL AND SHALL 0R CODE INTERES'rEAN'O ATTOaNEY'S FEES- RIMINAI PENALTIES AND OVAL FINES UP TO ONE HUNORE.D THOUSAND DOLLARS (57D0,0a0j, IN ADDITION TO T WORKERS' COMPENSATION DECLARATION WARNG DAM GES AS I 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 t performance of lhv .rork for which this permit is. issued. Policy No. [n.^vs ar9 will me�rtain 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' compensator insurance carrier and pof,cy number are: Expiration Date Policy Number Phone # Ca lsr_ _ Name of Agent _ _ not r1lE l should became rfbms tD tncre ot the work for which this permit i IS oled f Selcl o013700eof the LaborCode,Code,rI shall forthwith comply with those provisions. onect to s. workers' compensationl � oCalifornia, an agra Data ign3rv�e ^t Applicant " ll '"' ECLARATION REGARDING CONS R CT10N LENDING AGENCY herab} affirm Underpenc.lty of perjury that there Is a coastWction lending agency forLender's Address Add ess of the work for which this permit Is issued (Saciion 3097, CivilCode). enders Name �— ly nay sigi,arue below. I certify to each of the following: .owner's behalf. I am the property owns, or authorized to act on the property I have read this application and the information have provided is corloct. l 1 agree to comply with all applicable City and county ordinances and state laws relating to building. construction. ! C�L ril G I authorize representatives of this city or county to enter thgabQve-ids ed property for InspectionPP Purposes- 7 Owner's or Authorized Agents Name _ am___ -_. BY f DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFF -ICE USE ONLY t REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PER+WIi£XTENDED PEPo'NI7 FINAL„ ASBESTOS NOTIFICATION �15/ NOT APPLICABLE TO CER71FfCArE OF PROPOSED DEM1t0UTl0 I " �- OCCUPANCY ISSUED __ SIGNATURE: __