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HomeMy WebLinkAboutH2023-0451 - Permits�tWPo?T City of Newport Beach III I I I II f ��I II III I I I II O� @ Community Development Department- Building Division Mechanical Permit > a ;,_� Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 yw = Work Class :Other newportbeachca.gov/civic Issued Date : 0711212023 9{(FOAN\ Inspection Area : 6 H2O23-0451 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 : 605 NARCISSUS AVE Legal Desc : A TR CORONA DEL MAR BILK 640 LOT 5 Description: MECH NEW A/C CONDENSER AND FURANCE; TAMPER RESISTANT CAP REQ'D Owner: ELIZABETH WINKELMAN Address : 605 NARCISSUS AVE CORONA DEL MAR, CA 92625 Phone : Applicant: JERMAINE MAEWEATHER Address: 3675 RUFFIN RD. SAN DIEGO, CA 92123 Phone : (619) 677-8487 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: 1, SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor: KLONDIKE AIR INC Address : 1308 LOGAN STE E COSTA MESA, CA 92626 Phone : (714) 979-2070 Con State Lic : 754456 ^ Lic Expire : 09/30/2024 " Bus Lic : BT30080447 _ Bus Lic Expire: 01/31/2024 Workers' Compensation Insurance Carrier : FALLS LAKE FIRE & CASUALTY CO Policy No : FLA01974800 W. C. Expire: 10/10/2023 Manufacturer: AC PRO Model# : AULD60W2/A-D(U) NO CONSTRUCTION WORK 6173JECT TO FIELD FVSPECTOP'q RE VIEW <9ND APPRO Vt1i ON SATURDAYS A N I r" �"t y ss i" L� I I A tl �% 1� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicatedbelow by the checkmark(s) I have placed next to the applicableltemts) (Section 7031.5. Business and Professions C.OdI 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 To permit to file a signed statement thathe 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 hoensure 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 ponafy of not 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 1L) 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 of proving that it was not built or El for the purpose of sale). 4J I, 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 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 Iicensure 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 pormit I cannel legalh 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:htip:flwww.leglnfo.ca.govlcalaw,html. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION e I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Profes ifs ajys Code, amy license is in full force and effect. License Class License No Date Contractor Signature �' /1 WORKERS' COMpPNSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' GOMPENSAT ION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000), IN AMMON TO THE CL 3T OF CCN[PENSATION, DAMAGES A3 PRQVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h'ta�reby affirm under penalty of perjury one of the following declarations: y1'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 pe,fornt:.nce of the work for which this permit is issued. Policy No. end will mainiont 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 in at Agent _ certify that, in t:1e performance of the Work for which this permit is issued, t shall not employ if I should becmria s'Ibjecl,to the workers' compensation provueons of Section 3700 of the of RE W manner so as to become subject to the workers' compensation laws of California, and agre forthwith comply with those provisions. Date •C Z' hereby 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, Civil Code). endefs Name _ __ __ Lendoes Address. ly my signature below, certify to each of the following: I am the property owner or authorized to act on the property owner's bahzff. I have read this application and the information I have provided is c act:. I agree to comply with all applicable city and county ordinances an state laws relating to building construction. I authorize representatives of this city or country JU enter the abov en" party far inspection purposes. f liunature of Prooertv Owner Or Authorized Anent `f' Print Property Owner's or Authorized Arient's Nam© -\J _._'f %�L ACTION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGUTATIQN:S PART 61 OF TITLE 40 AND AQMD RULE PERMI I f)(0110) I I i U I SUBMITTED ASBESTOS PERMIT FINAL 75/Z ILL+6v-UK lJ Ash€STOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I + PROPOSED DEMOLITION OCCUPA14CY ISSUED SIGNATURE: