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HomeMy WebLinkAboutH2023-0666 - PermitsCity of Newport Beach ��EWPo�r Q ° @ ;�" Community Development Department- Building Division >+ , ��`` 100 Civic Center Drive, Newport Beach, CA 92660 H) ' Permit Counter Phone: (949) 718-1888 u`4,,� newportbeachca.gov/civic Mechanical Permit Plan Check No : Work Class : Other Issued Date : 1011612023 Inspection Area : 2 H2O23-0666 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: 1912 KEWAMEE DR Legal Dose: N TR 2813 BILK LOT 35 Description: MECH -NEW A/C UNITS (4) TAMPER RESISTANT CAP REQUIRED Address: 175 Monarch Bay Dr Dana Point, CA 92629 Phone : (949) 409-6060 Applicant : J P 3 CUSTOM HOMES INC Address : 1232 STARLIT DR LAGUNA BEACH, CA 92651 Phone: (949)813-3797 Owner/Builder: Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: -t— SPECIAL CONDITIONS: Address : 1232 STARLIT DR LAGUNA BEACH, CA 92651 Phone: (949)813-3797 Con State Lie : 907971 Lie Expire : 12/31/2023 Bus Lie: BT30082241 Bus Lie Expire:07/31/2024 Workers' Compensation Insurance Carrier: EXEMPT - NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Manufacturer: AMERICAN STANDARD Model# : 4A6H6024N (2) / 4ABH6036N / 4A6H6060 OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable. items) (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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant io a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) 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 me 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 improved for the purpose of sale) El I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ra�ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to (he Contractors State License Law). LI I am exempt from licensure under the Contractors' Stale License Law for the following reason By my signature below I ncknowledgo that, except for my personal residence in which I must have resided total least one year prior to completion of the Improvements covered by this permit I cannot legally sail a structure that I have built as on owner -builder if it 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 Professions Code, is available upon request when this application Is submitted or at the following Web site:http:ilwww.leginfo.ca.gov/calaw.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 7 00 f D Stan 3 of the Business and Proles de, ar my license is In full force and effect. License Class License No Date l7 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR OLLA S ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: © I h e and VAL maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3 00 of the Labor Code, for th pert mane of the work for which this permit is issued. Policy No. I 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 issu d. My workers' componsabol insurance carrier and policy number are: Carrier Policy Number Expiration Dale Name of Agent Phone k ©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, it I should becorn jeci to tow rkefs compensation provisions of Section 3700 of the Labor Code I shall forthwith Comply with those provisions. Signature of Applicant _. _fa Date DECLARATION REGA ING CON CTION LENDING AGENCY I hereby affirm under pe erjury t at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). Lenders Name _ Lender's Address By my signature below, I certify to each f the fotlowirl9: I am the property owner ar aulhoriz tl to act on the property Owner's behalf. I have read this application and the nformation I have provided is correct.. I agree to comply with all applicable ity and county ordinances and state laws relating to building construction. I authorize representatives of this cil o only to enter the abov fentified property for inspection purposes. Signature of Property Owner or Authorized A end Print Property Owner's or Authorized Agent's Name < - —L-- Date Z ACTION DATE BY ( __�­DECI_MkATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGUTA IONS ART 61 OF TITLE 40 AND AQMD RULE q PERMIT FXPIREO LJ I SUBMITTE. ASBESTOS NOTIFICATION TO _ .___.—_.__.._ PERYIIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUEO M L.CPA DAOM1 PROPOSED DEMOLITION SIGNATURE: IS NOT APPLICABLE TO