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Home My WebLink AboutH2022-0083 - Permits (3)City of Newport Beach ��EWPpRT Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (049) 718-1888 newportbeachca.gov/civic cq<ICOM1N�� Mechanical Permit : H2O22-oo83 Plan Work Class k Other 0276-2021 Issued Date : 02/16/2022 Inspection Area : 2 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 : 105 VIA QUITO Legal Desc : N TR 907 BILK LOT 137 Description: SFR MECH *CHANGE OF CONTRCTR TO O/B* ADD A/C UNIT AT SIDE YARD. REPLACE FURNACE AND DUCTS. (X2021-0253) TAMPER RESISTANT CAPS REQUIRED. Owner: MICHAEL GRAY Address : 105 VIA QUITO NEWPORT BEACH, CA 92663 Phone : (877) 742-4624 Applicant : MICHAEL GRAY Address : 105 VIA QUITO NEWPORT BEACH, CA 92663 Phone : (877) 742-4624 Owner/Builder: MICHAEL GRAY Address: 105 VIA QUITO NEWPORT BEACH, CA 92663 Phone : (877) 742-4624 Code Edition : Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Front: 4, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential ,{sr PROCESSED BY gg��®� SPECIAL CONDITIONS: O/B AUTH SiRANNED Contractor Address : Phone: Sr-�.T,,._... Con State Lic Lic Expire Bus Lic: Bus Lic Expire: Workers' Compensation Insurance Carrier : Policy No W. C. Expire: , Fire Hazard Zone : NO Manufacturer Model# : OWNER -BUILDER DECLARATION I hereby affirrn 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 703L5. 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 licensure and the basis for the alleged exemption. Any violation or 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 sale compensation, will do (_) all of or L) portions of the work, and the structure is not intended proffered for sale (Section 7044, Business and Professions Codes 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 tf kle"f pose of sale). owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not a ply to an owner of property ",he builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am Exempt from licensure 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 least one year prior to completion of the improvements covered by this permit, I.cannot legally sell a structure that I have built as an owner-bulldar if it has -not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Seel If 7044 of the Business and Professions Code, Is available upon rag st when in agpleation is submitted or at the following Website:http:/Jwww,leginfo.ca.gov/calaw.htm[. D e 1 j Z Signature of Property Owner or Authorize e LICENSED CONTRACTOR'S DEC ION 1 hereby affirm under penalty of perjury that I am licensed under pr ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions de, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORAERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100.000), IN ADDITION TO THE :DST 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 fallowing 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 M �arformance 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' rance carrier and policy number are: Policy Number Date r%rtify�tl at. in .ha performance of the work for which this permit. is issued, I shall not employ any person in any manner so as to become subject tD the work rs' compensation laws of California, and agre her, it I shoulo b erne subject 1 B w e pensation provisions of Section 3700 of the Labor Code, I shall Forthwith comply with tfiose provisions. �7 Signature or Ao�t' i��r/ D te,_,_,_ L t DECLARATION RE AR ING ONST'RUCTION ING AGENCY I hereby affirm under penalty of perjury thatih is a construction lending agency for the performance of the. work for which this permit is issued: (Section 3097, Civil Code). Lenders Name _ Lenders Address By my signaiLri below, I certify to each of the following; 'T I am tee property owner or authorized to act on the property owner's behalf. I :iave r_rd this application and the information I have provided is correct. I agesi to comply withall applicable city and county ordinances and state laws relating to building construction, ai rthcrize representatives of this city "ounty to ent th owe -identified erty for inspection purposes. Si naWra of Pro ert Oevner or Auihon Agent Print Property Owner's or Authorized enf Name /L1'lr_ jz/zIk Yate ACTION DATE BY DECLARATION O OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RF.GUTATIONS PART 61 OFTITLEQAI DA(1MD RULE PERMIT kXV',RED LJ I SUSDAITTFD ASBE6TO5 NOTIFICATION TO PERMIT CANCELLED CPA PERMIT EXTENDED QAgMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED J 1 ASBESTOS NOI IHCATION IS NOT APPLICABLE TO P' PROPOSED DEMOLITION SIGNATURE;