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Home My WebLink AboutH2023-0529 - Permitso o"r City of Newport Beach d Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 o- newportbeachca.gov/civic P 4C, FORS Mechanical Permit : H2O23-0529 Plan Check No : 0401-2022 Work Class : Other Issued Date: 09/01/2023 Inspection Area: 1 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: 6211 SEASHORE DR Legal Desc : A TR SEASHORE COLONY TR BLK B LOT 7 SEASHORE COLON Description: MECH -NEW HEAT PUMP (2). TAMPER -RESISTANT CAP REQUIRED & TIMERS PROHIBITED" (XR2023-1449) Owner: GWENDOLYN RITCHIE Address : 5 PHILLIPSBURG Irvine, CA 92620 Phone: (949)842-7678 Applicant: GWENDOLYN RITCHIE Address : 5 PHILLIPSBURG Irvine, CA 92620 Phone : (949) 842-7678 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 3, Rear: 10 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: Contractor: Bravo Mechanical Inc Address : PO Box 16140 Long Beach, CA 90806 Phone : (562) 508-8211 Con State Lie : 938866 Lie Expire : 10/31/2023 Bus Lie: BT30079836 Bus Lie Expire:10/31/2023 Workers' Compensation Insurance Carrier : EXEMPT - NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Manufacturer : FUJITSU Model# : 18RLXFZ/36RLXFZI SPECIAL CONDITIONS: HIGH DENSITY & LIQUEFACTION ZONE tIMERS PROHIBITED ON HEAT PULP NO CONSTRUCTION WORK ON SATURDAYS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city of county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for io 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 Divlslon 3 of the Business and 'rotessions 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). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of or U portions of the work, and the structure is net 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 nprovernents 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 n1roved 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 ContractorsState 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason y 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 lagall, Fit a structure that I have built as an owner builder !fit has not been constructed in itsentirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rotessions Code, is available upon request when this application is submitted or at the following Web site:http:/fwvvw feginfo.ca.govlcalaw.html. �Igralum of Property Owneror 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 Prof Ions Cod qd my license is in WII force nd effect. License Class License. No Date 3�5� —�—Z Contractor Signalua& JORK.ERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000t, IN ADDITION TO THE Os r OF COMPENSATION, DAMAGES ASP RGVIDEO FOR IN SECTION 1700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 7 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 affirmance 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: Policy Number of Agent Date Edify 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 If I should become subject. to [he workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of 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, Civil Code). orders Name _ _ - Lender's Address _ my signature below, I certify to edcfl of the following: I am the pmpehl „wnur or authorized to act On the property owner's behalf. I have read this app:i.:alimr snd'he 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 of ,his cly or county/lp�enter thela�b7o��ce Identified property for Inspection purposes. j 7J :nature of Property Owner or ; LIIhcrized Agent /_f�-�✓lJ-�--� Print Pmoerty Owner's or Authorized Aaent's Name )/ 1 ✓..l" i>.%Glyd ACTION _ DA, E BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL l RE40LATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PEPoWf EXPIRED {U I SUBMITTED ASBESTOS NOTIFICATION TO PFRMITCA� E1EPA - PeR,vnrtxrENDeD _. __. PCRMITFINAL ��J%Lt� p(-.�'O i„ i �ASB€STOS NOI IFICATION 15 NOT APPLICABLE 10 CERTIFICATEOF E cM5 I PROPOSED DEMOLITION OCCUPANCYiSSUED ( t SIGNATURE: Date Cr -/ - 2-3