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H2022-0382 - Permits
-e O`T City of Newport Beach p Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t'- tp 2 Permit Counter Phone: (949) 644-3288 c'04Fonr`P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections II I II IIII ( I I I I Mechanical Permit: H2022-0382 Plan Check No : 2588-2018 Work Class : Other Issued Date : 07/27/2022 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 ROCKY POINT RD Legal Desc : Description: MECH (6) HEAT PUMPS & (1) A/C UNIT *TAMPER PROOF CAP REQ* Owner: GEORGEJEWAYEL Address : 3 ROCKY POINT RD NEWPORT BEACH, CA Phone: Applicant: HUGO'S CUSTOM SHEET METAL INC Phone: (714)835-5958 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Flood Zone: X Use Zone: PC - Harbor View Hills, �� PROCESSED BY: Fire Sprinklers : NO Fire Hazard Zone : Y Contractor : HUGO'S CUSTOM SHEET METAL INC Address : 650 S GRAND AVE UNIT 112 SANTA ANA, CA 92701 Phone: (714)835-5958 Con State Lic : 749916 Lic Expire : 07/31/2024 Bus Lic Expire: 03131 /2023 't[\gf!� Workers' Compensation Insurance VV =,,� �5 Carrier : v ! Policy No W. C. Expire: Z Manufacturer: loi1� X Model# : m %n OWNER -BUILDER DECLARATION 1 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 item(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, prior to Its issuance, also requires the applicant for the POTPut to Ife 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, w'III do (_) 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 improved for the purpose of sale). ❑ 1, 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 ra-pyply 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). l.J I am exempt from licensee 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 legally sell a structure that 1 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:httpalwww.leginfo.ca.gov/calaw.html. Date, Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 O) of Division 3 of the Business and Profa s , de, and ;ens full force and effect License Class License No Dan �iDOOtraCtOr Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO tlNE HUNDRED TH USAND DOLLARS (6100,000). IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: © 1 have and will maintain a certificate of Consent to self -insure for workers' compensation, issued by the Director of Industrial Reia6ons as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. tZ 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' compensatioi carrier and policy number are: Policy Number Date IameofAgent 1I certiy that, m the pert ante of he 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 agree Tat if !should been a leer to e workers' co ansatlo rovlsions of Section 3700 of the Labor Code, I shall forthwith comply with Those provisions. Ilgnalure fApp6uan IECLARATION REG ING Coll ION L ... tN AGENCY _ hereby affirm under penalty of perfury th there Is a construchon landing agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tinder's 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 properly owner's behalf. I have.{cad this application and the information I have provided is correct. I agree to comply with all applicable city and cou rty ordin trees and state laws relating to building construction. I authorize representatives of this city, or coup t enter above-i fled property for Inspection purposes. / ;innalurR of Prooeriv Owner or Authorized Agent Print PropertyOwner's or Authorized Agent s Narna- V D S h� y" DatL'_2?"2 EXPIRED PERMIT EXTENDED PERMIT FINK CERTIf1CATE OF OCCUPANCYISSUEO BY V ? DECLARAT& OF C09*t 11RNCE WITH CODE OF FEDEf RFGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 14W 1 5UBMITTFD ASRFSTOS NOTIFICATION TO Crr. rnrfy` ID BL IVJs, IIFlCATIO. IS NOT APP BLE TO PROPOSED OLITlON ......__ SIGNATURE; FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/Spa & shall remain in place & be maintained for the life of the pool.