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Home My WebLink AboutH2022-0677 - Permits�EWPoRT City of Newport Beach III I I I II I II I II II II II II II 4 ,C )� e Community Development Department- Building Division > a y 100 Civic Center Drive, Newport Beach, CA 92660 U m S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �111 e newportbeachca.gov/inspections Mechanical Permit : H2O22-067% Plan Check No : PC2022-2987 Work Class : Other Issued Date: 12/08/2022 Inspection Area : 7 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 : 130 NEWPORT CENTER DR Description: COMM -INSTALL (2) A/C PACKAGE UNITS Owner: MYFORD GATEWAY PORTFOLIO LLC Address : NEWPORT BEACH, CA 92658 Phone: Applicant: BRIAN BUDDINE Address: 265 MCCORMICK AVE COSTA MESA, CA 92626 Phone : Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY PC - North Newport Center SPECIAL CONDITIONS: Legal Desc : P BK 52 PG 37 PAR 5 Fire Hazard Zone : NO Contractor : ACCO ENGINEERED SYSTEMS INC Address : 888 EAST WALNUT ST PASADENA, CA 91101 Phone: (818)244-6571 Con State Lic : 120696 Lic Expire : 12/31/2023 Bus Lic: BT00004502 Bus Lic Expire:12/31/2022 Workers' Compensation Insurance Carrier : LM INSURANCE CO Policy No: WA566DO67353011 W. C. Expire: 10/1/2023 Manufacturer: CARRIER Model#: 50XCA16AAKH6GCH2AE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors Slate 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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate Ltcense 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 ($50D). I, 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 70", lusiness 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). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). 7 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: iy 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 legalll ell 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 site:http:Llwww.leginfo.ca.gov/calaw.htmi. 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 Business and Pr ssl a is in full force nd effect. License Class License No Date o 2z Contractor Signatu PORKERS' COMPENSATION DECLARATION IARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000L IN ADDITION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN BECTON 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 th erfo"ance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number of Agent Date 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 ag , if I should become sub' o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant - - A... 1-1 .ems . ors.. T .. =.I,...., Date areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 lder s Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I :-Ij c read this npplirAtion and the Information I have provided is correct. I agree to comply wrth,all applicable city and county ordinances and state laws relating to building construction. I authu-ize representatives of this city or county_jo-erg6r,Pe above-identlfed property for inspection purposes. of Property Owner or Authorized Agent . �� --Pont Property Owner's or Authorized Agent's Name DATE DECLARATION OF I BY I REGULATIONS PART061 OF TITLE 40 AND QMD RULE CE WITH CODE OF I FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PE.7MIT CF NCELL£D EPA PERMIT EXTENDED QMD PL NITF11 lAL 1-ZEZL ASBE5TOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Civil Code). �L - C - LZ nat. 12)