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Home My WebLink AboutH2024-0112 - Permits (3)�EWPORT City of Newport Beach II IIIIII III II I II II I II I III II II III IIIII II COMB Permit : H2O24-0112 04 @ Community Development Department - -Building Division H 2 0 2 4 0 1 1 2 ey 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Y = Permit Counter Phone: (949) 718-1888 Issued Date: 02/28/2024 c. newporbeachca.gov/civic Final Date: 10/2212024 C��/FORN`P Combination Type - Permit Status: Final Work Class - Other 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 �i1,LQuor1T' Job Address : 5 VIA AMANTI Legal Desc : N TR 16266 BLK LOT 2 UN 11 TRACT 16266, LOT 2 OF P Description: MECH - R/R HEATPUMP & AIR HANDLER. TAMPER REISTANT CAP REQUIRED Owner: AURELIADONGO Contractor: TRITON AIR INC Architect: Address: 1 COASTAL CANYON DR Address : 1221 PUERTA DEL SOL #300 Address NEWPORT COAST, CA 92657 SAN CLEMENTE, CA 92673 Phone: (949)413-0553 Phone: (949)492-0290 Phone: Con State Lie : 774877 State Lie Lie Expire: 06130/2026 Applicant: BEN MEDINA Bus Lie: BT30042558 Engineer: Address: 31225 LA BAYA DR, 213 Bus Lie Expire: 04/30/2025 Address WESTLAKE VILLAGE, CA 91362 Phone: (818) 735-7876 Workers' Compensation Insurance Phone: Carrier: A I U INSURANCE COMPANY Owner/Builder : Policy No: WCO20396019 Designer: Address : W. C. Expire : 4/1/2025 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers: NO Construction Valuation : $0.00 Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : No of Units : Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Use Zone: PC - Newport Ridge PROCESSED BY SPECIAL CONDITIONS: 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 items) 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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License taw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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 lot 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 U portions of the work, and the structure is not Intended or offered for sale (Section 7044, tuslness 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). 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 Ipply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: ty 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 entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and lrofessions Code, Is available upon request when this application is submitted or at the following Web sde:http://www.leginfo.ca.gov/calaw.html. 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 Professions Code. and my license is in full force and effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION ARMING: 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 (11100,000), IN AODm ON TO THE DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 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 'ormance 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' compensal Trance carder and policy number are: vier Policy Number Expirabon Date of Agent certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and L if 1 should become subject to the Workers' compensation provisions of Section 37DO of the Labor Code, I shall forthwith comply with those provisions, nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY meby 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). Iders 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 of this city or county to enter the above -identified property for Inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE 8Y DECLARATION OF COMPLIANCE WITH CODE OF II REGULATIONS PART 610 TITLE 40 AN AQMD RULEFEDERAL FOR OFFICE USE ONLY PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL SIGNATURE: U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF O 22, /d/ PROPOSED DEMOLITION OCCUPANCYISSUED '�/