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HomeMy WebLinkAboutH2023-0254 - Permits�EWPoRT City of Newport Beach III I I II I III II II I II 0� Community Development Department - Building Divisibn Mechanical Permit > H �' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: • ? Permit Counter Phone: (949) 644-3288 �+!. Work Class :Other " `P Inspection Requests Phone: ons 644-3255 Issued Date : 04/17/2023 c9��F0 RH newportbeachca.gov/inspections Inspection Area : 2 H2O23-0254 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: 498 PARK AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 8 LOT 23 Description: MECH -INSTALL (1) A/C UNIT AND (1) FURNACE *PROVIDE TAMPER -PROOF CAP AS REQ'D/TIMER REQUIRED Owner: TODD CHRISTIE Address : 791 MANZANITA DR LAGUNA BEACH, CA 92651 Phone: Applicant Address Phone: Owner/Builder: Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks: Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: ft SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE A/C NOISE AGREEMENT ATTACHED Contractor : HUIE MECHANICAL Address : 11552 ARROYO AVE SANTA ANA, CA 92705 Phone: (714)389-2228 Con State Lic : 598110 , Lic Expire : 07/31/2024 Bus Lic : BT30078617 Bus Lic Expire:04/30/2023 Workers' Compensation Insurance .. ' Carrier : EMPLOYERS PREFERRED INSURANCE COMPANY; , Policy No: EIG51276440 W. C. Expire: 1/19/2024 ' . .... Manufacturer: DAY& NIGHT ' Model# : N4A5S NO CONSTRUCTION NOISE ON THE:.. WEEKENC TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from. the Contractors' State License Law for the reason(s) indicated below -by the checkmark(s) 1 have placed next to the applicable Items) 'Section 7031.5. Business and Professions Code: Any city or county that requiresa. permit to construct, alter, improve; demolish, or repair any structure, prior to 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 arofessons Code) or that he or she is exempt from lieonsure 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 lot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work., and the structure Is not intended or ofeered for sale (Section 7044, 3usiness 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 the property, provided that the mprovements are not intended or offered for safe. 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). ❑ I. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ra�eply 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). Lf 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legally sell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors- 1 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 site:tltip:/Iwww.leginfo.ca.govlcalaw.html, Signature of Property Owner or Authorized Agent Date LICENSED GONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions Of Chapter 9 (commencing with Section 710Q of Division 3 of the Business and Profs s d m license is in full force. and effect. License Class License No Date T^l�•-7.r�7 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, D"AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AITORNEY'S FEES. I hereby aft;rm under penalty of perjury one of the following declarations: © I have and will mehtain 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 Ih� perfcrmar:ce of the worK 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' compensatior 1 swancs carrier ant pY cy number are: nor Policy Number Date to or Agent _ _ -rnone R certify that, in the performance 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' compensation laws of California, and agre i' I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. of areby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ider's Name Lender's Address my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners 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 relating to building construction. I authorize representatives of this city or county to enter the a�b7o>ve-'��-eSrltified property for Inspection purposes. A.I r ek I. of Prooarty Owner or Authorized Anent "�TY�r"/ fVrv4'f_ Print Property Owner's or Authorized Agent's Name �G•( ACTION DATE BY ! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL { FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE I!{ � 14(Y3 PERMIT EXPIREA I SUOMITTFO ASBESTOS NOTI FICATION TO PERMIT EXTENOEV LfARMD PERMIT FINAL / i 7�,q+ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF /Zp' 21 i I't PROPOSED OE �jOLI {BN /JytJ� OCCUPANCY ISSUED51GNATURE. _..._____ _.._..___ ..—...__ ..._._ ....__ — l— Civil Code),. e