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Home My WebLink AboutH2023-0166 - Permits��EwaoRr City of Newport Beach @� Community Development Department - Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 » m Permit Counter Phone: (949) 644-3288 .�.. Inspection Requests Phone: (949) 644-3255 cy«FOAe+`r newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 03/0812023 Inspection Area : 6 H2O23-0166 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 : 710 MARIGOLD AVE Legal Desc : CORONA DEL MAR, BLK 740, LOT 12 AND A FOR OF LOT 14 OF PROJE CT 939-82LOCATE D ON AP 459-071-25 TOGETHER WITH AN UND 1/2 Description: MECH CHANGE OUT FURNACE AND NEW A/C UNIT *TAMPER PROOF CAP REQ* Owner: BRAHM GARY Address : 710 MARIGOLD AVE CORONA DEL MAR, CA 92625 Phone : Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: saler— SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : J.L. QUALITY HEATING & AIR Address : 2 VIA COMPANIA RANCHO SANTA MARGARITA, CA 92688 Phone : (714) 640-4853 Con State Lie : 1042371 Lie Expire : 07/31/2024 Bus Lie: BT30077769 Bus Lie Expire: 01/31/2024 Workers' Compensation Insurance Carrier: HARTFORD+FIRE+INSURANCE+COMPANY Policy No : 76WEGAG4RB4 W. C. Expire: 7/2/2023 Manufacturer: AC PRO Model# : AULD60W2 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 applicableiterni (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 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 lieensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fora 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 (_) all of or (_) 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 Im roved for the purpose of sale). Lt L 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 apply to an owner of property wh..e builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from ( censure under the Contractors' Skate 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 improvementscovered by this permit, I.cannot legall 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 uponrequest when this application Is submitted or at the following Web site:http.iiwww.leginfo.ca:govlcalawhunt, Signature of Property Owner or Authorized Agent {late LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section }gf kiis of the Business and ions Code my license is in full force.. and effect. License Class License No Dat C% d Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10 ,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -11 have and will maintain a. certificate of consent to se4- nsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for it Zerformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date :1I certify that. in the performance of the work for which this permit is issued: I shall not so as to become subject to the workers' compens tlon laws of California, and agre hat, if I should become ub'ect to the ration prov sio. n 700 of the Labor Code, I shall forthwith comply with those provisions. yam/ 31Dnature of Applicant , _ D%0W �-�(y/ )Z3:_ArLATION REGAR sT LENDING AGENCY fff hereby arm undo: peraf at there is a construction lending agency for the performance of the work for which permit is issued (Section 3097, ode). _^nder's Name Lenders Address 3y my :.ignature below, I certify to each of the following: I aia the pro,mrty owner or authorized to act on the property owner's behalf. I lave read this application and the information I have provided is correct I agree to cnluol/ Mill all applicable city and county ordinances and state laws relating to butldin alstron. I zuhonze re resantatives of this city or countyR�.tr enter enhfie p peclion purposes. ,( j,�/ .uPre of Property Owner or Authorized Agent ',) \ pro art phnt Property Owner's or Authorized Agent's Name L�t� Dat! 40 ACTION DATE BY ' DECIAFAT COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V I RE IONS PART 61 of TITLE 40 AND ADMIT RULE �4D3 PEHMrT £XP1NfJ SUBMITTED ASBESTOS NOTIFICATION TO PF.RMITC.ANCELt£0 CPA... _. PERMITEXTENOEDMD -- _—_ PERMITFINAL ��f s'2� ASBESTOS NOTIFICATION 15 NOT APPLICABLE 10 pti+` CERTIFICATE OF PROPOSED DEMOUTION OCCUPANCY ISSUED clru An 10c.