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Home My WebLink AboutH2023-0617 - PermitsaEwP",,r City of Newport Beach II I I II I III II II II DA 9' 6 Communt Development Department - BuildingDivision Mechanical Permit: H2023-0617 b" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Work Class : Other u e: newportbeachca.gov/civic Issued Date : 09/20/2023 ��/F00.N�P 9t`'�`''.�`4`'"��":'"' ""'•• Inspection Area :5 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 : 506 DAHLIA AVE, 1/2 Legal Desc : P BK 290 PG 29 PAR 1 UN 1 P.M. 290-29, PAR. 1 OF P Description: MECH R/R FURNACE AND ROOFTOP A/C UNIT. "TAMPER RESISTANT CAPS REQUIRED" Owner: GURBAXANI VIJAY TR V Address : 506 DAHLIA AVE APTB CORONA DEL MAR, CA 92625 Phone: (714)293-8445 Applicant: SEAN VAN WYK Address : 44904 Linalou Ranch Rd Temecula, CA 92592 Phone: (951)837-0288 Owner/Builder: Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: S Fire Hazard Zone : NO SPECIAL CONDITIONS: HIGH DENSITY ZONE / REPLACE H2O23-0401 Contractor : BEST SERVICE COMPANY Address : 44904 LINALOU RANCH ROAD TEMECULA, CA 92592 Phone: (760)438-3989 Con State Lic: 445222 Lic Expire : 08/31/2025 Bus Lic: BT30081908 Bus Lic Explre:06/30/2024 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01278700 W. C. Expire: 10/21/2023 Manufacturer: INNOVAIRE Model#: SEV36H2R19 NO CON&RUCT10014 .WORFC ON SATURDAYS I hereby affirm under penally 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) 3ectlon 7031.5. Business and Professions Code: Any city or county that requires a permit to construct. alter, improve. demolfsh, or repair any structure, prior to its issuance, also requires the applicant for s 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 Ilcensure 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 of more than five hundred dollars ($500). D 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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 n roved for the purpose of sale). I, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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). I I am exempt fmm icensure under the Contractors' Slate License Law for the following reason: ly my signature below 1 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 this permit, I cannot legally ell a structure that I have built as an owner -builder if i1 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 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:lfwww.leginfo.ca.gov/calow.htmi. ilgnature 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 Section 7000 Di sion 3 of the Business and Profes r e, and my license Is In full force no effect License Class License No Date `J,IZ3 Contractor Signature WORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f100.000), IN ADDITION TO THE Car OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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, for 'ormance 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' compensa Trance carrier and policy number are: PDAcy Number of Agent Date certify that in the performance 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 workers' compa satlon laws of California, and agree , If I should become sub' .t-tr a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of ApplicanDate -1 AO ATInM O CTCI IrTIMM I 91,111FMr ArCMTY hereby affirm under penalty ofof perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cade). onder's Name Lenders Address ly my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read this appli, atlon and the information I have provided is correct. I agree to comply AA) all applicable city and county ordm.and state laws relating to building construction. 1 su'.t.a, ize represenlaL'Ves of this city or county to er the above -identified property for inspection purposes. ilonalure of ProoenJ Cr.ner or Authorized Agent Print Procertv Owner's or Authorized Anent s Name AC,'ION I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CA,JCELLED PERMITExrENDED.. __.. ........_._._ ..._.—_____—._— PEr?MiTFiNA1 7 TtTT.OMD Vi/ NOTIFICATION IS Nor APPLICABLE TO W r(/ 2 Lt..�AS�BBE51'OS > T CERTlFir.ATE OF I ( PROPOSED DEMOLITION OCCUPANC/iSSUEC I SIGNATURE: Date