HomeMy WebLinkAboutH2024-0209 - Permits�EWR>
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
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Mechanical Permit: H2024-o209
WClass Other
Plan
Check
0820-2022
Issued Date : 04/11/2024
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: 327 MARIGOLD AVE Legal Desc : A TR CORONA DEL MAR BLK 239 LOT 27
Description: MECH CHANGE OUT A.0 UNIT *TAMPER PROOF CAP REQ*
Owner: IRA & NIKKI VIDOR
Address : 327 MARIGOLD AVE NEWPORT BEACH, CA 92625
Phone: (773)301-5572
Applicant: NEW CENTURY BUILDERS
Address : PO BOX 4652 PALOS VERDES, CA 90274
Phone: (310)753-2249
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-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : NEW CENTURY BUILDERS
Address : PO BOX 4652 PALOS VERDES, CA 90274
Phone:
(310)753-2249
Con State Lic
: 345207
Lic Expire :
09/30/2024
Bus Lic:
BT30080117
Bus Lic Expire:11/30/2024
Workers' Compensation
Insurance
Carrier :
CLEAR SPRING
Policy No:
CWC01369901
W. C. Expire:
12/8/2024
Manufacturer: STAR AIR
Model#: SAK60ADN2-M18M
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicatedbelow by the checkmark(s) I have placed next to the applicable item(s)
3ection 7031.5.. Business and Professions Code: Any city or county that requires a permit to construe(, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
to 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
'rofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7034.E by any applicant for a permit subjects the applicant to a civil Density of
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or C_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
'.usiness and Professicns 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
nproved for the purpose of sale).
11. 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
pply to an owner of property w1ho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
am exempt from licensure under the Contractors'State License Law for the follotvinq reason
y 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 legalll
all a structure trial I have built asan owner -builder if it has not beenconstructed in itsentirely 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 sits:htlp:flwaw.leginfo.ca..govfcalaw.htmi,
ignature. 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 0 f Di isic di Business and Pro signs C E/and my lice .iR-ta{+foras
no effect. License Class License. No Date cntractor Signatur
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS (6100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a. certificate of consent to self -insure for workerg compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
rmance 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:
Policy Number Exp ratic
of Agent Phone #
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
t, if I should becom r4ubject tcIU4 workers' compensation provisions of Section 3700 of the Labor Code., I shallforthwith comply with those provisions, �n , _-'•.
stature Of Applicant Date
Date L�
CLARATION REG Dk Ott UC N LEN�IN�fi AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ct it Code).
ides s Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf,
I have read this application and the information t have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to budding construction.
I authorize representatives of this city or county- `a above-identthe party for inspection purposes./�^j}�
nature of Prooertv Owner or Authorized Agent / Print Prooertv Owner's or Authorized Agent's Namey V t/l.'L
ACTION DATE BY V 1 DEC-WATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART Et OF TITLE AO AND AQMD RULE
PER,V1FLXP1NEp 11 U I SUBMITTED ASBESTOS NOTIFICATION TO
PF.RMrT CAA'CELL£D EPA
PERT01T EXTENDED QM D
PERMITONAL �i-g. Jr"7r'l - ASBESTOS NOI IFiCATION 15 NOT APPLICABLE TO
CERTIFICATE OF o r` PROPOSED DEMOLITION
OCCUPANCYISSUED § SIGNATURE-
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