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H2023-0270 - Permits
4 �EWPORT City of Newport Beach Community Development Department - Building Division F :... 100 Civic Center Drive, Newport Beach, CA 92660 > S Permit Counter Phone: (949) 644-3288 .e.� Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Mechanical Permit : H2023-0270 Plan Check No : 2841-2021 Work Class : Other Issued Date : 04/25/2023 Inspection Area : 6 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: 3 OCEAN RIDGE DR Legal Desc : N TR 14038 BLK LOT 49 TRACT NO 14038 LOT 49 POR OF LOT AND P OR LOT 50 Description: MECH INSTALL (N) A/C UNIT AT SIDE** TAMPER RESISTANT CAPS REQUIRED*** (X2021-3279) Owner: STEPHENSON SCOTT D TR Address : 3 OCEAN RIDGE DR NEWPORT COAST, CA 92657 Phone: Applicant: HUIE MECHANICAL Address: 11552 ARROYO AVE SANTA ANA, CA 92705 Phone : (714) 389-2228 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: g7 SPECIAL CONDITIONS: Fire Hazard Zone : YES Contractor: HUIE MECHANICAL Address : 11552 ARROYO AVE SANTA ANA, CA 92705 Phone: (714) 389-2228 Con State Lic : 598110 Lic Expire : 07/31/2024 Bus Lic: BT30078617 Bus Lic Expire:04/30/2023 Workers' Compensation Insurance Carrier : EMPLOYERS PREFERRED INSURANCE COMPANY Policy No: EIG51276440 W. C. Expire: 1/19/2024 Manufacturer: DAY & NIGHT Model# : N4A5S-30 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 to the applicable hearts) (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 t , 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' Stale 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). ❑ I as owner of the property., or my employees with wages as their sole compensation, will do U all of or L) 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 theproperty, 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 improved for the purpose of sale). 1. as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 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). Era-pf 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-bulldor If it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7C44 of the Business and Professions Code, is available uponrequest when this application is submitted or at the following Web site:http:ltwww.leginfo.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 7000) of Division 3 of the Business and ProfessioAl�C ode,�dmy^icense Is in full force and effect. License Class License No Date «7.-2©2 Contractor Signature ",/l ��" WORKERS' COMPENSATION DECLARATfON. WARNING: FAILURE TO SECURE WONXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: El 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 in Iperformance 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' ranee carrier and policy number are: IS of Agent certify that, in the performance of the work U I should become subject to tbig workers,' of Policy Number Date which this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and egret tion provisions of Section 3700 of the Labor Code., Ishall forthwith comply With those provisions. Dater CLARATION REGARDING CONSTRUCTION LENDING AGENCY 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, Civil Code). lders 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 have read this application and the information I have provided is correct. I agree to comply with.. all applicable city and county ordinances and state laws relating to building construction. I authorize representatives or this city or county to enter t `Bbo a-ide opery for Inspection purposes. yy /✓ Print Pronary Owner's or Authorized Aaent's Name n .,�,, ,.n ..r o.,,..e.l., n,..,,o..., n„u,..ri,:on n„o„r �i1 i/n-n DATE I BY DECLARATION OF COMPLIANCE \VITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RUIE PERMIT EXPWD I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL /30/Z4 DL Coy RL LI ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERPRCATF OF PROPOSED DEMOUTION OCCUPANCY I55UED SIGNATURE: -25-