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HomeMy WebLinkAboutH2023-0307 - Permits�6WPORT City of Newport Beach 0 + Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u = tea. Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C �P 9C/FO FN Mechanical Permit Plan Check No: Work Class : Other Issued Date : 05/09/2023 Inspection Area: 5 H2O23-0307 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: 311 HELIOTROPE AVE Legal Desc : Description: MECH -DUPLEX R/R EXIST'G FURNACE INUTILITY CLOSET `LIKE FOR LIKE/NO CHANGE IN LOCATION Owner: STOKES SIDNEY A TR S A & S R STOKES REVOC TR Address: 311 HELIOTROPE AVE CORONA DEL MAR, CA 92625 Phone: Applicant: SIRIUS MECHANICAL INC Address: 16692 MARIPOSA RIVERSIDE, CA 92504 Phone: (951)640-5097 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY SPECIAL CONDITIONS: HIGH -DENSITY ZONE Fire Hazard Zone : NO Contractor : SIRIUS MECHANICAL INC Address : 16692 MARIPOSA RIVERSIDE, CA 92504 Phone: (951)640-5097 Con State Lie : 851512 Lie Expire : 11/30/2023 Bus Lie: BT30078031 Bus Lie Expire:02/28/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9055133 W. C. Expire: 5/1/2024 NO CONSTRUCTION � Oa ..:" : ON THE WFEKF ,1 Manufacturer: Model# : OWNER -BUILDER 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 tb 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 :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 Drofessions Code) or that he or she is exempt from lioensure 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 Tot more than five hundred dollars ($500). ZI I, as owner of the property, or my employees with wages as their sole compensation, will do U ail of or U portions of the work., and the structure is notintended or offered for sale (Section 7044, Business 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 improvements are not Intended or Offered for sale. If, however, the building or improvement is sold within one year of completlon, the Owner -Builder will have the burden of proving that it was not built or �mfproved for the purpose oisale)- iLt 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 Law does ML a ply 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). 1 am exempt from ficensure under the Contractors' Stale 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 improvementscovered by this permit, I.cannot legall, sell a structure that I have built asan owner -bulkier 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://%v .leginto.ca:.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of ion 3 of the Business and Profe I s ode, and my It as is in full force and effect. License Class License No Date Contractor Signature, WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS* COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND D THOUSAND DOLLARS t$100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 2706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: © 1 have and will ma'rlain 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 th performance of the work for which this permit is issued. Policy No. I,uea end will 7v rilrin 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' lance carrier end policy number are: Policy Number is of Agent cerrifv (hat. in the perform. �R a of the work for which this . If I should becc.rae s:: to the workers' Como la.: r- of Applicant _ Date 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 logs olSection 3700 of the Labor Code, I shall . forthwith comply With those. provisions. 14p, Date_ S7— 7 — 2 hereby afirm under `iie,)alty of perjury th5t there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 enders Name Lender's Address _ y my signature below, I certify to each of the following: I am the prcpi•q+ n^•rner 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 w+ith.. all applicable city and count dmances andstate laws relating to building construction. I authorize representatives of this city or county ter the ab dentifk or fly for inspection purposes. /pJ ianature of Prooerty Owner or Authorized Acent. ;= A� — Print Property Owner's or Authorized Agent's Name ACTION DATE 9Y//� DECLARAITON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART El OF TITLE 40 AND AOMD RLI LF 1403 PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED ISNOT Civil Code). V &�cI-U1-Y/6!2