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Home My WebLink AboutH2023-0094 - Permits��EwPoRr City of Newport Beach D @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 a., Inspection Requests Phone: (949) 644-3255 �qC/Fepr'�P newportbeachca.gov/inspections Mechanical Permit : H2023-0094 Plan Work Class k Other 501-2018 Issued Date : 02/08/2023 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: 3811 RIVER AVE Legal Desc : A TR RIVER SECTION BLK 138 LOT 8 Description: MECH/INSTALL (1) A/C UNIT 46.5E (MITSUBISH; MXZ-5C42NA2) *RENEW EXPIRED PERMIT* Owner: JEFFBARRETT Address : 12230 CIRCULA PANORAMA SANTA ANA, CA 92705 Phone : Applicant: DECLARK CONSTRUCTION Address: 206 NORTH BLUEROCK STREET ANAHEIM, CA 92807 Phone: (714)815-0293 Owner/Builder : Address Phone: Contractor : DECLARK CONSTRUCTION Address : 206 NORTH BLUEROCK STREET ANAHEIM, CA 92807 Phone: (714)815-0293 Con State Lie : 1009871 Lie Expire : 12/31/2023 Bus Lie: BT30069812 Bus Lie Expire:06/30/2023 Workers' Compensation Insurance Carrier: PREFERRED PROFESSIONAL Policy No: ON1171801 W. C. Expire: 9/1/2023 Code Edition : 2019 Fire Hazard Zone : NO Manufacturer Type of Construction : Model# Occupancy Groups: Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: t ! 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 item(s) Sectlon 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 IS 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 vofesslons Code) or that he or she is exempt from licensure andthe 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, usiness 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 theproperly, provided that the nprovemenis are not intended or offered for sale. If, however. the building or improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of Sale)- 1 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 9ply to an owner of property %fie builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), J 1 am exempt from licensors under the Contractors' State License Law for the following reason. T �y my signature below I acknowledge that, except for my personal residence in which I must have fesided for at least one year prior to completion of the Improvements covered by this permit, I.cannot legalll eN a structure that I have built as an owner -builder If it has not been constructed in itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and rofessions Code., is available upon request when this application is submitted or at the following Web site:tlitp://www.leginfo.ca.gov)calaw.html. ignature 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 Sectio 7,'p\f/\. o�dv�PSmrR�bf the Business and Pr si l od no effect License Class License No De l[� LDS Contractor Signature' VOR}(ERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES AND CIYiL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION e706 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, forth formance 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' compensatior lral.rSeI carrier and policy number are: Tier Policy Number Expiration Date ne of Agent Phone #. _ certify that, in the e r c ermi Is issued, shall not employ any person in any manner so as in became subject 4o the work 'compensation laws of California, and agree t, t! I should bete a of t the rk ' co p saki n o ions of Section 3700 of the Labor Code, 6shail forthwith comply With those provisions. nature of Applicant. D to 2-8-23 CLARATION Ru3A. DI CONSTRUCTION LENOt. CY !reby affirm unc'e-:)^nasty of perjury that there is a construction tending agency for the performance of the. work for which this permit is issued (Section 3097, Civil Code). ,0-'-, ^lame Lender's Address _ my signature.'aeloaw, I certify to each of the following: I anI the property owner orauthortzed to act on thq property owner's behalf. I Lave read this application and the informatioqYLTf0JMr ct I agree to ormply wi;h all applicable city and cto building construction. . �1 i �thorize representatives of this city or countinspection purposes. Q yry , A %�(1 / .t 11(�( L[ L' brae), Z; na ere of Proner,v Oamer or Authadzed Agent Print Prooartv Owner's or Authorized Acent's Name Da REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE -PEA.v;h-CANCELLZD yT PERMITEXTENDED PERMITMAL 't CERTIFICATE OF OCCUPANCYISSUED FOR OFFICE USE ONLY