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HomeMy WebLinkAboutH2024-0520 - PermitsaEWPO�.T City of Newport Beach III I I I II I I I II III I I II II Mechanical Permit: H2024-0520 Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1460 yn. Permit Counter Phone: (949) 718-1888 - - r-,, F=..,, Work Class : Other c d r newportbeachca.gov/civic Permit Status: Issued Issued Date : 08/20/2024 Inspection Area : 4 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 : 1963 PORT EDWARD PL Legal Desc : N TR 7030 BLK LOT 23 Description: MECH INSTALL A/C UNIT "TAMPER RESISTANT CAPS REQUIRED" (XR2023-1642) Owner: GENE KU Address : 1963 PORT EDWARD PL NEWPORT BEACH, CA 92660 Phone: (310)386-6933 Applicant: SALCEDOS CONSTRUCTION INC Address: 14234 GAGER ST ARLETA, CA 91331 Phone: (818)521-8657 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups : Building Setbacks : Front: 25, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone: PC - Harbor View Hills PROCESSED BY: 0.5 SPECIAL CONDITIONS: Contractor : SALCEDOS CONSTRUCTION INC Address : 14234 GAGER ST ARLETA, CA 91331 Phone: (818)521-8657 Con State Lic : 1107753 Lic Expire : 01/31/2026 Bus Lic: BT30084064 Bus Lic Expire: 04/30/2025 Workers' Compensation Insurance Carrier : CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No : CWCO2797700 W. C. Expire: 1/20/2025 Manufacturer: AC PRO Model#: AULD60W2/A-D(U) 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 items) (Section 7031.5, Business and Professions Cade: 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to Construct the project (Section 71344, Business and Professions Code: The Contractors' State License Law does not apply 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). ❑ 1 am exempt from licensure under the ContractorsSlate License Law for the following reason: By my signature below 1 acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll 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://www.leginfo.ca.govic law.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 70 ) OyDivisi 3 of the Business and Profess' rs`Code, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMIN '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: Al. PENALTIES AND CIVIL FINES UP TO ONE HUND THOUSAND DOL3.ARS (6100,0001, m A 0MMN -TO 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 �Pance 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 compensa Trance 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 Calffomia, and agrE `if should become subje -to the workers' compensation provisions o1 Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant �`� _. Date_ 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 Lenders Address ly 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 /1ne above identified property for inspection purposes. Innaerra of PrunpAv Owner nr Authnrzed Anent /d //G r-. /C Y3'>2 a:'/ -I'— Print ProoeM Owners or Authorized ADent s Nam DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIREC I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT RMIT CANCECEC UEPA PERM.7EXTENCED UAQMD PERMIT FINAL 09rZW24 O` 4`or ASBL_J E5TOS NOTIFICATION IS NOT APPLICABLE TO CERTl9G47 OF PROPOSED DEMOLITION OCC14ANCY6SUEL KK SIGNATURE: