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Home My WebLink AboutH2022-0523 - Permits"�Wpc", City of Newport Beach I I I I I II I II I II III I I III II C� -� 4 Community Development Department - Building Division Mechanical Permit 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No S Permit Counter Phone: (949) 644-3288 Work Class :Other Inspection Requests Phone: (949) 644-3255 Cg4pp0.N�P newportbeachca.gov/inspections Issued Date: Inspection Area : 6 H2O22-0523 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 : 716 ORCHID AVE Legal Desc : A TR CORONA DEL MAR BLK 742 LOT 18 Description: MECH -INSTALL (2) NEW AC UNITS Owner: 716 ORCHID DEVELOPMENT LLC Address : 521 MARGUERITE AVE CORONA DEL MAR, CA 92625 Phone : (949) 977-6719 Applicant: 716 ORCHID DEVELOPMENT LLC Address; 521 MARGUERITE AVE CORONA DEL MAR, CA 92625 Phone: (949) 977-6719 Owner/Builder: Address Phone: Code Edition : 2019 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: 0 SPECIAL CONDITIONS: Contractor : PETRA AIR SYSTEM Address : 2830 W BALL RD #P52 ANAHEIM, CA 92804 Phone : y (714) 310-1103 Con State Lie : 973814 Lie Expire : 06/30/2024 _ Bus Lie: BT30079793 ; Bus Lie Expire:09/30/2023 '. Workers' Compensation Insurance Carrier Policy No: EXEMPT W. C. Expire: - - - Manufacturer: SAMSUNG - -. Model# : AM048TXMDCH/AA 8 AMJ.036TXMGCIi..A NO CONSTRUCTION NOISE ON THE WEEKEND I Sa Uri 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 703t5. Business and Professions Code: Any city or county that requires a. permit to construct, after, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to fie 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 Iicensure 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 () portions of the work.; and the structure is notintended 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 Ilmyproved for the purpose of sale). Ll L as owner of the property, am exCtus vely contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ply 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), E9I am exempt from Iicensure 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 feast one year prior to completion of the improvements covered by this permit, I cannot legal 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 Coda, is available upon request when this application is submitted or at the following Web site:httpafwww.leginfo.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o Div' ion 3 of the Business and Profes o s Code, and my license is in full force and effect. License Class License. No Date J� 1 141— Contractor Signature WORKERS' aOMrENSATION DECLARATION WARNIN :: FAILURE TO SE^URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE T SAND DOLLARS 1$100.000), IN ADDITION TO TH C ]3. 01- 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: I. have and will mwulam 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, he worm for which this permit is issued. Policy No. hate 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 rrprce came, ono policy number are: ieuify that, in t�id per 'f ; .;.i,ould bec-)me b ature of Applicant I Policy Number Date the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workerscompensation laws of California, and agre workers mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ran I, cr.inr-.'I'n enecrry hereby affirm under penalt¢6(perjury thatfhere is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code) enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to Oct on the property Owner's behalf. I have read this application and the information I hay Ided is correct. I agree to comply with all applicable city and county I Ina ices and state laws relating to building construction. I authorize representatives or this city or county to e th above -identified property for inspection purposes. of Property Owner r Owner's or Authorized Anent's Name ACTION DATE BY `DFCIARATrON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND ACME RULE 1403 PERmfi-EXPIRED j I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL 56ESTOS N ICAFION 15 NOT APPLICABLE TO CERLIFiCAI Or ICI-2.1 ROPOSED OE LI' ION OCCUPANCYISSUED I SIGNATU ' _