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Home My WebLink AboutH2022-0496 - Permits�aEW'o City of Newport Beach D @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 '7 Permit Counter Phone: (949) 644-3288 U ra Inspection Requests Phone: (949) 644-3255 r,4Foatl�r newportbeachca.gov/inspections III I I II I INII�I Ia ck No Permit : H2O22-0496 Ch. Work Class : Other O Issue Da 09/1912022 �\e O�O� � In ectioni A _a : 2 ,,( �oov PERMITS EXPIRE 180 DAYS AFTER ISSUANCE AST VALID IN i4 ION,� 7 O LATER THAN 3 YEARS FR ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATU Y OR SUNDRY IN H DEbM Y AREAS AND NO WORK ON SUNDA .AND HOLIDAYS IN ALL AREAS Job Address : 400 ORION WAY Description : MECH - C/O FAU & INSTALL Owner: DAVID C FRANKLIN Address : 400 ORION WAY NE Phone: e Applicant : BEN MEDI Address : 31225 L AYA Phone : (818)5-787y Owner/Builder Address : Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : Use Zone: PROCESSED BY: 46 gal Desc : N TR 4692 BLK LOT 73 TR 4692 LOT 73 TOGET ITH AN A/C CO ENSER. TAMPER -RESISTANT CAP REQUIRED 3 - Contractor : AALP,9NDITIONING & CA 9 66 a Address :Iq�T�4 CRUZ ST PPhone (a 9 h Con tarli,67i WE LAKE VILLAGE, CA 91362 Bus Lic : Bus Lic I 'Af kers1 ' Carrier : Policy No: W. C. Exp}t L9 / Fire H ne : NO / X RM - Multiple SPECIAL CONDITIONS: 1/9 8 INT IN NC Manufacturer : LENNOX Model#: EL16XCl-030 �C. f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) i ated below. the ;Secflon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improv amDiish, or reps ho pnrmit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Statc ense Law (Chaplo§,9 -rofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violobn of Section 7034.*k am no€ more than five hundred dollars ($500). I, as owner of the property,or my employees with wages as their sole compensation, will do (_) all ' r (_) portion Business and Professions Code The Contractors' State License Law does not apply to an owner of0biperty W thro mprovements are not intended or offered for sale. If, however, the building or Improvement is s within oi� ar of mproved for the purpose of sale). ��Ii ❑ 1, as owner of the property., am exclusively contracting with licensed Contractors to c truct Ih act (S n 7 apply to an owner of property who builds or Improves thereon, and who contracts for project s�s�ir llcerAipontr ❑ 1 am exempt from licensure under the Contractors' State License Law for the owing reason:�n-y,� By my signature below i acknowledge that, except for my personal residence' h'ich I must have rasig1 for at k sets a structure that have built as an owner -builder if it has not been cons fed In its a rety by licaXsect as Professions Code, is available upon request when this application Is sL !tied or aLt folio g Web site: . 1www. Signature of Property Owner or Authorized Agent __ (s) I have placed next to the applicable Item(s) prior to ifs issuance, also requires the applicant for with Section 7000) of Division 3 of the Business and ra permit subjects the applicant to a civil penalty of oftt�� v7ac, and the s uc\hn eded or offered for sale (Section 7044, i�lyatYt�oyees' or p onaor Improves ilia propeRy, provided that the �tYetion, the er-Buile burden of proving that it was not built or 44, Busi ss and ProfessT IT rectorsStaleLicense Law does not ator uanitotheContrLicense Law). ne year prior to completion of t i Understand that a copy of the LICENSED CONTRACTORS DECLARATION ". I hereby affirm under penalty of perjury that I am licensed u provisions Chapte {c '�Yla with Section 7¢4p t s�q3 of the Bu 1 and effect. License Class Licel N �t Date v` //C/ cat cif AV- IVORKERS' COMPENSATION DECLARATIO �9- na a„ NARNING FAILURE TO SECURE WORk ERS' OOMPENSATI OVER IS LAWFUL A}Ib SHALL SUWECt AN EMPL'b YER To Cf3l MiNAL PENALTIES ANO Ca(jL�i P T4T COST OF COMPENSATION DAMAGES AS PROVIDED FO SECTION 70 F THE LABOR CODE, INTEREST, AND ATTORNEY 5 FEES C hereby affirm under penalty of perjury on the f At declarations: +�8'� have and will maintain a certiy a of eo to self Brie fm NDrkers corm ensation, Issued hY the Director or Indlk,triaLRct€ions as rf ance of the work for which s pemril is' ued. Policy No. h. e and wilt maintain t ors' cone sation i rsnrP as requlr d h7 Section 370G of the Labor Coda for Ilia perfot3a Ce of the vi insur ce carrier and poli umberJ„ Ca ' r �'•"' umber_ : - pbat Is covered by this permit, I cannot Section 7044 of the Business and license Is In full force IN ADD mON TO THE 3700 of the Labor Code, for is issued. My workers' Tame of Agent AV 14,- i Phone :1I certify that, inthe perform ce of for IT this p ..uad, I Shall not employ person in any manner so to taco s of to the warkers' compensation laws of California, and agre hat, If I should become subject the on Dr+s,of;Secllon 3700 of ttiR,`L Code, I shall forthwit ompiy th provisions. f ,'" a / 3Ignature of Applicant�.,r Date DECLARATION REGAR G CONS TION 1 GEN Y hereby affirm under pe _ r}ury t the n lending agenc7(,Nlhe rfanca� f thew for wtii thi a ermlt is issued (Section 3097, Civil Code). -ender's Name L'%nd dress 3y my signature below. I certify to each oft folio I am the property owner or authorized to a on lh propenyown I have read this application and the Informal I have provi is eL 1 agree to comply with all applicable city and c xty or ' at ating I uflding c sir ion. I authorize representatives of this city or county DIET - Ified property r inspec I n Dees. �( 3i nature of Property Owner or Authorized Agent P t P arty Owner's or Authorized Agent's Nama I&M iG Dafe ACTION DATE BY I € '.ON OF COMPLIA E WITH[ FEDERAL FOR OFFICE USE ONLY G TIONS PA Off TITLE 4D D D RULF 1403 i PPRA41T EXPIRED /0-/ $-13 I PA-4- i LJiSUBMVN-A5BF5TOS4ir0T1eATlON TO PERMIT EXTENDED --�-ry LtAQMo -� PERMIT FINAL L ASLFS?OS N lrIVFTOON IS NOT APPLICABLE TO CERTIFICATE Or —, ! PROPOSED DEMOLITION OCCUPANCY ISSUED ( SIGNATURE;