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HomeMy WebLinkAboutH2023-0169 - PermitsO��EWPOR@ Cirty oTyNDewport Bea mhnt- Building Division III II I II III II III II II Mechanical Permit : H2O23-0169 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No C ¢ Permit Counter Phone: (949) 644-3288 Work Class : Other ,. Inspection Requests Phone: (949) 644-3255 r�'" "`�'�� Cq��FO RN�P newportbeachca.gov/inspections 1 Q'�, s^'+i , �`"" Issued Date : 03/09/2023 - (y 't a.-- Inspection Area : 2 Y R Wt, 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: 321 DIAMOND AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 13 LOT 20 Description: MECH INSTALL 2 ROOF MOUNTED A/C UNITS '"`TIMERS & TAMPER RESISTANT CAPS REQUIRED— (XR2023-0479) Owner: JOHN BLACK Address : 321 DIAMOND AVE NEWPORT BEACH, CA Phone: (704)895-8755 Applicant: MLCD INC Address: 1510 S FIFTH AVE ARCADIA, CA 91006 Phone : (562) 857-9023 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: r3 -5 SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor: MLCD INC Address : 1510 S FIFTH AVE ARCADIA, CA 91006 Phone : (562) 857-9023 Con State Lie : 983290 Lie Expire : 04/30/2023 Bus Lie: BT30080782 Bus Lie Expire:02/29/2024 Workers' Compensation Insurance Carrier: EXEMPT - NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Manufacturer : AC PRO Model# : 4AC16L24P-50 TINIER REQUIRED ON EQUIPM@N r TO SHUT OFF BETWEEN 10 P.M. A116 7 A.M. sa�� 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) I have placed next to the applicable Itern(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, poor to its issuance, also requires the applicant for the 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 Professions 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 ..not more than five hundred dollars ($500). ID I, as owner of the property, or my employees with wages as their sole compensation, Will do L) all of or U portions of the work, and the structure is not intended 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 completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). ❑ I, 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 ,a.EPly 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). Li I am exempt from licensure under the Contractors' State 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 improvements covered by this permit, I cannot legall, sell 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 Professions Code, Is available upon request when this application Is submitted or at the following Web site:http:l/vuvnv.leginio.ca.gov/calavthtml. Signature of Property Owner or Authorized Agent Bate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of QIvvii`siioon'33oof the Business and Professigns- de, and. my I' se is in full force and effect. License Class License No Date .5 / Contractor Signature WORKERS' COMPENSATION DECLARATION / Ll WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I 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 performance of the work for which this permit Is issued. Policy No. ©t 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' compensafio Insurance carrier and policy number are: e of Agent certify that, in the pi . if I should become 0 Policy Number Date 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 agrer he workers' con Sensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rJ Date,i�� hereby 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, Civil Code). enders Name Lender's Address y my signature bs'o'v, I certify to each of the following: I am the pre,t^riy owner or authorized to act on the property owner's behalf. I hive rear' this application and the information I have provided is correct. I agree to cQniply with all applicable city and county ordinances and stale laws relating to building construction. I authorize representatives of this city or county t n abov, -ide . fifjed properly for inspection purposes. _ I-,- . f Pr a rTAIOFr Or AI Ilhn6,E 1 Anent 4 a"% r-�r-- Print Property Owner's or Authorized Agent's Name Z-r/v` DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OFTITLE 40 AND AOMD RULE 140E EXPIRED` j ,Ll5UBMITTED ASBE5TOS NOTIFICATION TO PERAA'T EX7EN?ED tj7a I A4MQ> TFIPAL 511,5(Zt1 A58E5TO5 NOTIFICATION 15 NOT APPLICABLE TO CE4 7FtCATE O` PROPOSED DEMOLITION OCCUPANCY 15o SIGNATURE: