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Home My WebLink AboutH2023-0311 - PermitsW Raw City of Newport Beach Community Development Department- Building Division r n100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 71 B-1 B88 aCs. s newportbeachca.gov/civic `C9vy�aO0.N`P Mechanical Permit : H2023-0311 Plan Check No : 0209-2021 Work Class : Other Issued Date : 0510912023 Inspection Area : 6 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: 516 MARIGOLD AVE Legal Desc : A TR CORONA DEL MAR BLK 540 LOT 18 Description: MECH 2 NEW A/C UNITS ON ROOF *TAMPER PROOF CAP REQ* Address : 783 PROMONTORY DR W NEWPORT BEACH, CA 92660 Address Phone : (760) 495-2887 Phone : Con State Lie: Applicant : JOSEPH ETOCH Lie Expire Address : 783 PROMONTORY DR W NEWPORT BEACH, CA 92660 Bus Lie : Phone : (760) 495-2887 Bus Lie Expire: Workers' Compensation Insurance Owner/Builder: JOSEPHETOCH Carrier: Address: 783 PROMONTORY DR W NEWPORT BEACH, CA 92660 Policy No: Phone: (760) 495-2887 W. C. Expire: Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AC PRO Type of Construction : Model# : AULD36W2 Occupancy Groups: ` Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-22 - Two -Unit Residential PROCESSED BY: Iu u SPECIAL CONDITIONS: O/B FORM W/X2021-0198 0 I I hereby affirm under penally 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 item(s) Section 7031.5, Business and Professions Coda: 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 is 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_,) all of or (._,) portions of the work, and the structure is notintended or offered for sale (Section 7044, lusiness 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 theproperty, 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 fved for the purpose of sale). I as 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 plyato an owner of property who bulks or improves thereon, and who contracts for the projects with a licensed Contraclar pursuant to the Contractors' State License Law). I m exempt from licensure under the Contractors' State License Law for the following reason. _ ___ .______ _. _. ...._._� ry 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 lagall, oil a structure that I have built as an owner-buildar if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Sect'. 7044 of the Business and Rrofessions Code, 1s available upon request wh sap ' -I I OratLthe following Web site:hRp:!lwww.leginfo.ca-gov)calaw.himl. signature of Property Owner or Authorized Age Dat� ,ICENSED CONTRACTOR'S DECLARAT hereby affirm under penalty of perjury that I am license under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force nd effect License Class License No Date Contractor Signature COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 175E OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to selNnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 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' ranee carrier and policy number are: of Agent Policy. Number Expiration Date Phone N 1, certify ,hat, 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 ia:, if I should be -are ye' c the workers' compensation provisions of Section 3700 Of the Labor Code, I shall forthwith comply with those provisions. N ga'ure of Applican r _ r Da J � ECLARAT10N REG CONSTRUCTI GENCY h iaby affirm under pen of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, w'1 Code). enders Name Lender's Address y my signature below. 1 t_ed'fy to each of the following: I am ine property uwner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I ogre.✓ to Comply WJ. all applicable city and c my nrd'nances and state laws relating to building construction. I authorize repr enlL6ves of this city or cou to r ea ve-Identified property for inspection purposes. iuneture pf Propsrty O.vner or Authorized Acent Print Proper Owner's or Authorized ALSO FOR OFFICE USE ONLY RECOLATIONS PART 61 OF TITLE 40 AND AOMD ROLE 1403 PERMITk'"WED I I j ❑I SURMITIED ASBESTOS NOTIFICATION TO PERMIt EkTENOEO I I I UAOMD PERMITFINAL 07/2'9/z9 DL.Q0 UAsEiEsTos NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED RL 1 SICNATI111Ea s-y-z3