HomeMy WebLinkAboutH2021-0573 - Permits�EWroRr City of Newport Beach ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllllll �� COMB Permit : H2o21-0573
0� @ Community Development Department -Building Division H 2 0 2 1 0 5 7 3
100 Civic Center Drive, Newport Beach, CA 92660 %'Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 10/0412021
o.z newportbeachca.gov/civic Final'pate:
Cq</F00.N`P Combination Type - Permk Status: Expired
Work Class - Other Inew6bei Area: 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID 51NSPE ON, BUT NO L/� �WTHAN 3 Y A FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY H �DENI� ARSE ND NO W K ON UNDAY AND HOLIDAYS IN ALL AREAS
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Job Address : 2372 AZURE AVE Legal D c : N TR 1\5%1 B{ I38
Description: MECH/INSTALL A/C 42dB (GREE; MULT136HP230. 0)
Owner: Contract E NO AIR �O� Architect
Address : Add r s : NG RD Addres
B.E 821 Ajar
Phone: d ho r1446661 PUciA,
Applicant: ECONO AIR
Address: 555VANGUARD
BREA, CA 92821
Phone: (714) 695-6661,0
Owner/Builder
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Sa' CC
s policy No
W. C. Expire
M Fire SP rinlders, NO
t Fire HqZarkc ne : NO
' No nits:g1 .s
oripi:it%
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Building Setbacks : Front: 20, Side: Side: 5, R . q�2 C\,
Flood Zone: X�,
Use Zone: SP-7 -Santa Ana He4c,�hts is Plan /
5220 St t LIc :
ear
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0 �M �°� 5�' ElYidress
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_ fi Insurance ^"`°?�'�'" - r PhoneJ
jLll�CASU Tl INS1�iiNCE
i,E3 E, 13
BNUWC0156 9 ` Designer:
4/7/2024 Address
PROCESSED BY:
SPECIAL CONDITIONS:
Phone:
Construction Valuation :
Added/New/TI sq. ft. Bldg : 0
Alteration sq, ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
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 item(s)
3eclion 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
le 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
'rofessions 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 for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
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 offered for sale (Section 7044,
;usiness 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
nprovements 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
nproved 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 Law does not
poly 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).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legal
all 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
'rofessions Code, is available upon request when this application is submitted or at the following Web sfte:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the ess and Professio Code, and my license is in full force
nd effect. License Class License No Date 1. ntractor Signature
WORKERS' COMPENSATION DECLARATION v is
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN AND CML Fl. rO'UP TO ONE HUNp OUSAND)AOLLARS I$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rd' �a�} VG�G 1
I hereby affirm under penalty of perjury one of the following declarations: .yam ``;; !��.% N\ \ii
❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issue, the Director QN lSdhstria011R"o}fi as provided f Section 00 of the Labor Code, For IN
performance of the work for which this permit is issued. Policy No. $o O
I have and will maintain workers' compensation insurance, as required by Section "of the labor C de'for the per�ance of the rrFFwo� which this permit is issue My workers' compensation
insurance carrier and policy number are: o` .
Cartier Policy Number _ x�::. expiration Date
Name of Agent to ILI Phone #
❑I certify that, in the performance of the work for which th' rmit is iss e I not empl a arson I
I nR`er so as to become subject to the workers' compensation laws f California, and agre
that, if I should become subject to the workerscomp on provio tion 370 f th - a CO I orthwilh comply with those provisions.
Signature of Applicant Date_ e>,
DECLARATION REGARDING CONSTRUCTION LENDI►fG- ENCY
I hereby affirm under penalty of perjury that there is a construction lenito,g a'�enc glyt rmance of I k lu; In mit is issued (Section 30 Ci 'I e .
Lender's Name ?, r Len ers Addre - ter;
By my signature below, I certify to each of the follow
my.::-
1 am the property owner or authorized to act on the propertwner's tYehalf
I have read this application and the information I have provi is correct.i
I agree to comply With all applicable city and county ordmio;1 Its and st%,e laws rel b ing construction.
I authorize representatives of this city or county to enter the ab -Iden{tile =tuope paction purposes. O ��J✓" �;°"-�+'
Signature of Property Owner or Authorized Agent +"" Print Pro a Owner's or ALI ed A ent� Name �� • Date
ACTION DATE BY DECIA I N OMPL CE WITH CODE OF F E %OR OFFICE USE ONLY ��,
REGULATI .,,I?�i;-61 OF TITLE 40 AND AQ11 k 0\1
1403
PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIF 1 N'LO Ti
PERMIT CANCELLED 13EPA —Ul
PERMITEXTENDED LUAQMD - o- ij `-
PERMIT FINAL ASBESTOS N I t(19ATION I J PPLICABLE TO
CERTIFICATEOF PROPOSED DEM LITION
OCCUPANCYISSUED SIGNATURE:
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