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Home My WebLink AboutH2024-0249 - PermitsCity of Newport Beach �EWPogrY 0 e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Mechanical Permit Plan Check No: Work Class : Other Permit Status: Issued Issued Date : 05103/2024 Inspection Area : 6 H2O24-0249 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: 712 ORCHID AVE, 1/2 Description: MECH R/R FAU AT ATTIC Legal Dose : P BK 356 PG 26 PAR 1 UN 1 PM 356-26 PARCEL 1 OF PR Owner: BUTTON SALLY A TR SAB TR Address : 712 1/2 ORCHID AVE CORONA DEL MAR, CA 92625 Phone: 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: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-222 - Two -Unit Residential I PROCESSED BY: r SPECIAL CONDITIONS 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: 03/31/2025 Workers' Compensation Insurance Carrier : A I U INSURANCE COMPANY Policy No: WCO20396019 W. C. Expire: 4/1/2025 Manufacturer: Model# : 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 checkmark(s) I have placed next to the applicable itern(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 sle errant that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or the is exempt from ficensure 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation,. will do L) all of or L) portions of the work, and the structure is not intended 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 or proving that It was not built or rm-�proved for the purpose of sale). LJ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State Licensee 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), ❑ I am exempt from licensure under the CDntracters' Slate 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 -builder if it has not been constructed in its entirely 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://www.leginfo.ca.govicalaw.htmi. Signature of Property Owner or Authorized Agent .._..__...._._...___.._....... ......._._......_---.--- ..... _— _Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70gB} of the Business and Pr ade, and my license is In full farce and effect. License Class License No Date r7 Contractor Sign ure NORKERS' COMPENSATION DECLARATION NARNINGI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUDJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE OUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. hereby affirm ender penalty of perjury one of the following declarations: 1 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 th ;Iprformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: ie of Agent certify that, in the performance of the it I should become subject to tfre %. lature of Applicant Policy Number Expiration Date Phone N which this ,shall not employ any person in any manner so as to become subject to the workers' compensatn laws of California, and agre of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. eeuy uurnn unuei yrer+�r wq'vr puilury mar inure is a wnsuuuuun tunny agelmy lur me peuuruiancu u, Vie wurA lu, wnwn uus punun Is Iasueu kouuuun auaf, i.wn � UUUi_ ides s Name !/ Lender's Address my signature below. I certify to each of the following: I am the Diapvny owner or authorized to act on the property owner's behalf. I have reaC :".s application and the information I have provided is correct. I agree tc roan ly with all applicable city and county ord nart d state laws relating to building construction. I authorive rer'rasentatives of this city or county to enjbiel5a above-identifiedoopertyy—for inspection purposes. (� of Property Owner Or Authorized Print PART 61 OF TITLE 40 ANT) AQK RULE A5RESTOS NOTIFICATION TO Pt rfMIT EXTENr7E0 LIAQMD PERMIT FINAL �„(b •Z `(� ' Q A56E5105 NQIIHLA i0N I N0T' APPUCA8LE TQ C ,,,IRCATE OF r/ PROPOSED DEMOLITION -CC=UPANCY ISSUES SIGNATURE: Owner's or Authorized Anent Name {�iiE;'HiyL'llit+�ie[i7.Irc1 Date F a0 Z Lo x o W N °) Z o o N d Z Z W mm OO E H A p OM Z~ a CD O Z 00A4 co CD co F- V LL j � z : z w o W W A m m V Q) Z Woo OLLO OA�a3 Vwo F > 2; w N y Z ° W o C U w U o o O U 0 g p V% C Q N cn O 'c -00 cnn ,-. 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