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HomeMy WebLinkAboutH2023-0534 - Permits4��WPoRT City of Newport Beach p. A Community Development Department- Building Division is 1 DO Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 a.. newportbeachca.gov/civic C9</F00.N�P III II II MechE nical Permit : H2023-0534 Plan Cl'eck No : 0459-2022 Work CL iss : Other Issued D te: 08/22/2023 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 : 322 IRIS AVE Legal Desc Description: MECH 2 NEW A/C UNITS *TAMPER PROOF CAP REQ* Owner: TLC CONTINUUM LLC Address : 459 PANORAMA DR LAGUNA BEACH, CA 92651 Phone : Applicant : MAR DEVELOPMENT LLC Address : 24952 SUTTER DR LAGUNA HILLS, CA 92653 Phone: (949)412-7516 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 20, Side: 3, Side: 3, Rear: 5 X R-2 - Two -Unit Residential SPECIAL CONDITIONS: A TR CORONA DEL MAR BLK 236 LOT 24 CORONA DEL MAR Contractor : MAR DEVELOPMENT LLC Address : 24952 SUTTER DR LAGUNA HILLS, CA 92653 Phone : (949) 412-7 16 Con State Lic : 1074008 Lic Expire : 03/31/2025 Bus Lic: BT30079455 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier: KINSALE INSURANCE COMPANY Policy No: 0100142497 W. C. Expire : 1/12/2024 Fire Hazard Zone : NO Manufacturer: AC PRO Model#: AUD60W �a V— rq 130 03 DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the. reason(s) Indicated below by the checkmark(s) I have placed next to the applicable item(s) (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 Pile 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 Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penally of not more than five hundred dollars ($S00). ❑ 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 Lew does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 improved for the purpose of sale). ❑ 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 Levi, does not arpYply 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 Levi). LJ I am exempt from licensure under the Contractors' Slate 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. I understand that a 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:http:/iwww.leginfo.ca.govlcalaw.html, Signature of Property Owner or Authorized Agent ._ Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 0 f Divisi n 3 of the Business and Prof ions ode, and my license is in full farce and effect. License Class License No Date 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 )1HOUSAND DOLLARS 1b100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND 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 ih. Ipi���gqfi'f rmence of the work for which this permit is issued. Policy No. y 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 Inev once carrier and policy number are: Policy Number Date me of Agent Phone # 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 agre 1, if I should becon bjacl Io th workers' D ' 'un provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. I nature of Applicant _, _.- Datel/ 7�I�a --L-;7 CLARATiON RE6O NS_ ONSfi UCT10N LENDING, AGENCY �%Ca`� 444111 �reby affirm un r ty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 1 it Code). ides s Name _ Lender's Address my signature baCw, 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.. € agree to comply witb all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or co to to enter thq�abbooie-identifled property for Inspection purposes, nah,rp of Prri oeoner or Aulhnn7ed Anent h 4: - Print Property Owner's or Authorized Anent's Name X V tXrA D `O'(�. �C.S _ Date d PERMIT FXPIREL) DATE (C_AR.AT[6N OF COM P_IAI:Ck AIThI COD- OF FEDERAL FOR OFFICE USE ONLY / REG'IIATI-)NS PART 61 OF T'TLF. 47 ANL nC1MD RULE I SUBMITTED TD PERNiITFINAL �.--��J �� U ASBESTOS N011FICATION IS NOT APPLICABLE 10 CERTIFICATE OF • "'� ? PROPOSEDOEMOLITION OCCUPANCY ISSUED I ! SIGNATURE: