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Home My WebLink AboutH2023-0750 - Permits�EwaoRT City of Newport Beach III I I I II II II II II I II II C� @ Community Development Department- Building Division Mechanical Permit: H2U23-U75U 4„ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No >� ? Permit Counter Phone: (949) 718-1888 Work Class : Other +ram newportbeachca.gov/civic q�/FOAN�P Issued Date : 11/29/2023 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 : 5219 RIVER AVE, 1/2 Description : MECH REPLACE FURNACE Owner: MLADINICH PHILIP C TR Address : PO BOX 7754 LAGUNA NIGUEL, CA 92607 Phone: Legal Desc : A TR RIVER SECTION BLK 52 LOT 8 RIVER SECTION LOT 5 i a • r^ ' Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone: X Use Zone: R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITION Contractor : TRITON AIR INC Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Phone: (949)492-0290 Con State Lic : 774877 ' Lic Expire : 06/30/2024 ' Bus Lic: BT30042558 Bus Lic Expire:03131/2024 , Workers' Compensation Insurance „ Carrier : LIBERTY MUTUAL FIRE INSURANCE CO Policy No : 292549 W. C. Expire: 4/1/2024 Manufacturer: Model# : 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 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 rho permit to filea signed slalemont that he or she is licensed pursuant to the provisions of the Contractors` Stale License Law (Chapter 9 (commencing with Section 700D) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption.. Any violation of Section 7031,5 by any applicant fora permit subjects the applicant to a civil paealty 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 U portions of the work, and thestructure is notintended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply Jo 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 EIm roved for the purpose of sale). 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 a pfy 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). 1 ant exempt from Ircensure under the Contractors' State License Law for the following reason ,.,_______T_,____,,.,__v,,.,,� __„_•____��.,_,_.____. __._.._----_._-_._ 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 legail 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 upon request when this application is submitted or at the following Web site.http:flwww.leginfo.ca..gov/calaw.html. Signature of Property Owner or Authorized Agent _ _ Date -- LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec n 7 Iv 3 of the Bu ss and Pro ' s Code,. and my license Is in full force and effect. Lluenoe .3;ass License. No D I ZAT Contra Sig rrti WORKERS' COMPENSATION DECLARATION 'YARNING. FAILi rO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINER P TO ONE HUNDRED THOUSAND DOLLARS ($100,000), M ADDITION TO THE COST OF COMPENSATION, DAMADESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S PEES. '.: hereby affirm under penalty of perjury one of the following declarations: PIve 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 th -G 0, once of the work for which this pernill is. issued. Policy No, y.0 e and will mnfntafn 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' compensafio ns�rr'Te carrier and policy number are: Policy Number Expiration Dale Nnme of Agent _ Phone P iEli cert,f,• that, it the parformance 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 work rs' compensation laws of California, and agre that, f ;should On•e subject to the workars pens''It' Isfons of Section 3700 of the Labor Code, I shalt forthwith comply u�tn those provisions. Signature of AppODe t DECLARATION i2E G CONST T N LENDING AGENCY I hereby affirm penalty of iry t ere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civi ode), Lender's Name Lenders Address _ By my signature below, I certify, to each of the follovving: I am the property owner or authorized to act On the property owner's behalf, I have read this application and the information 1 have provided is correct. — - I agree to comply with all applicable city lid county orrfinane and state laws rel I ding construction. I authonze representatives of t s or county to an t above-i property for Inspection purposes.log 14 Si nature of Propart Owner or Aulh 'i ed A enl Print PropertyOwner's or Authorize A e 's Name WLJ"" O ACTION DATE B .RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403 PERM1 rExp7NED LJ I SURMITTFD ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAO M D _ PERMITFINAL i ❑AS6ESIDS NOTIFICATION 15 NOT APPLICABLE 1'0 CERTIFICATE OF /L PROPOSED DEMOLITION OCCUPANCYISSUED E SIGNATUREa