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Home My WebLink AboutH2023-0078 - Permits (3)�� WPORT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 G s Inspection Requests Phone: (949) 644-3255 C,Crc�0.H�T newportbeachca.gov/inspections III I I II I III II II II III I II Mechanical Permit : H2O23-007s Plan Check O he PC2022-2246 WC Issued Date : 02/02/2023 Inspection Area : 3 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 : 370 VISTA BAYA Legal Desc : N TR 2609 BLK LOT 6 Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: RICHARD MEEKER Address : 370 VISTA BAYA NEWPORT BEACH, CA 92660 Phone : Applicant: HARRY MARK CONSTRUCTION Address : 3949 ALADDIN HUNTINGTON BEACH, CA 92649 Phone : (949) 322-6727 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups : Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone : X Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) PROCESSED BY: --- SPECIAL CONDITIONS: IMERS PROHIBITED ON HEAT PUMPS Contractor : HARRY MARK CONSTRUCTION Address: 3949 ALADDIN HUNTINGTON BEACH, CA 92649 Phone : (949) 322-6727 Con State Lic : 815146 Lic Expire : 04/30/2024 Bus Lic: BT30048921e� Bus Lic Expire: 10/31/2ez'12-- ji0Zi3 Workers' Compensation Insurance Carrier: SIRIUS+AMERICA+INSURANCE+COMPANY Policy No: 87553 W. C. Expire: 1/10/2023 p ,. Manufacturer: TRANE Model# : 4TWL9060A 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) 3ecdon 7031.5, Business add 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 to 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 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703t.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 the property, provided that the nprovements 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 nproved for the purpose of sale). 11. as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: y 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 thispermit, I cannot legal 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:http:/fwww.leginfo.ca.:gov/calaw.html. ignature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION 1 / hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of 3of the Business and Prof nd my license is in full force no effect. License Class License.. No Date Contractor Signature VORKERS' COMPENSATION DECLARATION ✓ 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH0 SAND DOLLARS ($100,000), IN ADDITION TO THE OST 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: I 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 the arformance of the work for which this permit is. issued. Policy No. 'gkbave 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' compensation Isurance carrier and policy number are: amer Policy Number Expiration Date ame, of Agent Phone N ]I certify that, in Ile pe ormance 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 worke s' c mpensation laws of California, and agree let, If I should beco a ubject to the works s' co pensation provisions of Seal 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dale Z Z� ,ECLARATION REGA ONSTRU LENDING AG hereby affirm under p alty of perjury th th re is a construction lending ag. or the performance of the work for which this permitls issued (Section 3097, ivil ode). ander s Name Lender's Address y my signature be:c A.: certify to each of the following: I am the propery caner or authorized to act on the property owner's behalf. I lave read thil app5.atiori and the information I have provided is correct.. / I agree to comp) wlt'i all applicable city and county ordinances and state laws relating to building construction. /�%�/ I authorize repre entatives of this city or coun eni ve identified property far inspection purposes. 'I�nature of Prope-t ,vner or Authorized A ent Print Property Owner's or Authorized Agent's Name Data' 1LTIJN. DATE BY ECLARATtON OF COMPLIANCE WITH CODE, OF FEDERAL FOR OFFICE USE ONLY I R.GUTATIONS PART 61 Of TITLE 40 AND AgMQ RULE. 1403 'FRMii EXPiREi}I UISUBMITTEC)ASRE-,TOSNC)TIF[CATIC)NTO I ' ti' PROPOSEDSIGNATURE: DEMOLIT ION 15 NOT APPLICABLE TO CERTIFICATE OF OCCUPANCY ISSUED ��