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Home My WebLink AboutH2023-0332 - PermitsO��gWPO,gT City of Newport Beach p Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 D Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Cgtl tlO F��P IIII IIII II IIII I I I II Mechanical Permit : H2O23-0332 Plan Check No : 1462-2021 Work Class : Other Issued Date : 05/17/2023 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: 552 SEAWARD RD Legal Desc : N TR 1237 BLK LOT 178 TRACT NO 1237 LOT 178 AND TRACT NO 147 95 LOT 4 Description : MECf NEW , U4 TAMPER -RESISTANT CAP REQUIRED Owner: BRYAN ROGERS CALIFORNIA RESIDENCE TRUST Address : 552 SEAWARD RD CORONA DEL MAR, CA 92625 Phone: Applicant: RED WHITE & BLUE HVAC Address: 1271 DODSON WAY RIVERSIDE, CA 92507 Phone: (714)972-9652 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : YES Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITIONS: Contractor : RED WHITE & BLUE HVAC Address : 1271 DODSON WAY RIVERSIDE, CA 92507 Phone : (714) 972-9652 Con State Lic : 1025542 Lic Expire : 04/30/2025 Bus Lic: BT30081591 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier : INSURANCE COMPANY OF THE WEST Policy No: WSD505909302 W. C. Expire: 1/24/2024 Manufacturer: MITSUBISHI Model# : MXZ-3C24NA3 OWNER -BUILDER DECLARATION I hereby affiml under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I haveplaced next to the applicable iterl >eclion 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 to permit to file a signed statement that he or she is Iiconsed 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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended oroffered for sale (Section 7044, us'Iness 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 theproperty, 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 of nproved for the purpose of sale). 11. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not 9ply 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 1 ant exempt from licensure under life Contractors' State License Law for the following reason: y my signature below l acknowledge that, except for my personal residence in which I must have fesided for at least one year prior to completion of the improvements. covered by this permit, I.cannot legally ell a structure that I have 6ui11 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, lion 7044 of the Business and vofessions Code, is available upon request when this application Is submitted or at the following YVeb site:htip:llwww.leginfo.ce.gov/calaw.html, ignature of Property Owner or Authorized Agent to .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 00 §vis on 3 of the Business and Prof i s y ense is in full torte no effect. License Class License. No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS VNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Ei00,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR. IN SECTION 370E OF THE LABOR CODE., INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury One of the following declarations: I I 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 the erformance of the work. for which this permit is. issued. Policy No, 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' carrier and policy number are: Policy Number Expiration Date no of Agent I Phone H certify that. in the perfor an a of th r 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, t, it 1 should become sub eC th rk r co ensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. nature of Applicant D� Z,3 CLARATION REG CON N L LADING AGENCY J�J Ireby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 C it Code), wens Name _ Lender's Address my signature below, I certify to each of the following: I am the property owner 4r authorized to act on the p ert*r'sbI have read this application andthe In#ormalion 1 hav pmvI agree to comply with. all applicable city and county rdin relating to building construction. I authorize representatives of this City or county ter hroperty for inspection purposes. r Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name c D 7 1 72 ACTION DATE 0Y E TION OF COMPLIA E WITW COD@ OF FEDERAL fOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE. 40 AND AGMI7 RULE 1403 PERMIT EXPIRED ( U SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMiTFINAt y C UASB€STOS NOI' IFICATION IS NOT APPLICABLE TO CERTIFICATE OF l2J �� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: