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Home My WebLink AboutH2022-0458 - PermitsD a�wPoar City of Newport Beach Community Development Department- Building Division F �" 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u x Inspection Requests Phone: (949) 644-3255 c4G/F[)PN�P newportbeachca.gov/inspections Mechanical Permit : H2O22-0458 Plan Work Class k Other 0533.2019 Issued Date: 09102/2022 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 : 2201 WATERFRONT DR Legal Desc : N TR 682 BLK LOT 42 TR 682 LOT 42 FOR OF LOT Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: IRVING BUDLONG Address : 2201 WATERFRONT DR NEWPORT BEACH, CA Phone: (949)230-0601 Applicant: IRVING BUDLONG Address : 2201 WATERFRONT DR NEWPORT BEACH, CA Phone: (949)230-0601 Owner/Builder: IRVING BUDLONG Address: 2201 WATERFRONT DR NEWPORT BEACH, CA Phone: (949)230-0601 Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Front: 15, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY Fire Hazard Zone : N Contractor Address Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire: Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Manufacturer : FUJITSU Model#: 24RLXFZ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the sheckmark(s) I have placed next to the applicable I+^m(s) (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 lioensure 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail 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 R was not built or A; for the purpose of sale). 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 who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from lioensure under the Contractors' Stale License Lawfor 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, Sec n 7044 of the Business and Professions Code, Is available upon request wh t is a Ilcation is sutr ed or at the following Web site:http:!lwww.leginfo.ca..govlcalaw.htmi. Signature of Property Owner or Authorized Agen LICENSED CONTRACTOR'S DECLARAT I hereby affirm under penally of perjury that I am icensed under pr. isions of Chapter commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. License Class Lice e No Date Contractor Signature COMPENSATION DECLARATION RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000), IN ADORION TO THE NSATION, DAMAGES AS PROVIDED FOR IN SECTION 470E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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: Policy Number of Agent Date ❑I 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' compensation laws of California. and agre that, if I should beco ub'Bcl to the workers' compensation provisions of Sect' n 3700 of the Labor Code, I shall. forthwith comply with those provisions. Signature of Applicann di �GG' G r 'C' � Date_ Xt --a2 Z DECLARATION REG RDINO ONSTR CTION LE NG AGENCY ` v hereby affirm under penalty of perjury that there is a consiructicn lending genoy for fh performance of the work For which This permit is issued (Section 3097, Civil Code). Lender's Name L oar's Address By my signature below. I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct.. I agree to comply with. all applicable city and c un ordinances and state laws relating to building. construction. I authorize representatives of this city or coup y ter like above-i entified proRerty for inspection purposes. G� . Signature of Pro art Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �' at 1 �Z RCTION DATE BY DECLAR.ATf. N OF COMP CE NgTN CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATI NS PART Bl TITLE 4OA14DAQMD RULE 1 Ana PERMIT CANCELLED 7l-_JEPA .___.❑ .—_.ECU ✓ID_-- p� ❑ ASLES,OS NM FICATIUN b MDT APPG:ABLE TO PERMIT£XTENDED PERMITFINAL (��(- CERTIFfCATEOF Y" l PROPOSCDDEN,CLIT10N OCCUPANCY ISSUED SIGNATURE: