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HomeMy WebLinkAboutH2023-0407 - Permits�EWPoRr City of Newport Beach III I I I II I III II II II II II II Mechanical Permit : H2023-040% D� +�Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 _ Plan Check No 4�' n Permit Counter Phone: (949) 718-1888 Work Class :Other u fie'. newportbeachca.gov/civic - - - Issued Date : 06122/2023 C94 F00.N�o- Inspection Area : 1 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 : 404 62ND ST Legal Desc : N TR 772 BLK 21 LOT 2 TR 772 LOT 2 BILK 21 ALL (EX SLY 9 FT) THEREOF AND Description: MECH INSTALL MINI -SPLIT HEAT PUMP **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: KENNIE & JOSEPH RIZZO Contractor : ABSOLUTE AIRFLOW INC Address : 14122 WILLOW LN WESTMINSTER, CA 92683 Address : 404 62ND ST NEWPORT BEACH, CA 92663 Phone: (909)273-0213 Phone: (833)482-2626 Con State Lie : 1049023 Applicant: SAUL MARTINEZ Lie Expire : 01/31/2025 Address : 2075 N SHAFFER ST ORANGE, CA 92865 Bus Lie : BT30079754 Phone: (714) 998-7879 Bus Lie Expire:09130/2023 Workers' Compensation Insurance Owner/Builder : Carrier : A I U INSURANCE COMPANY Address : Policy No : WC053417721 Phone: W. C. Expire: 7/1/2023 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: CARRIER Model# : 38MGHBQ30DA3 Type of Construction : Occupancy Groups : Building Setbacks : Front: 5, Front: 5, Side: 3, Side: 3 Flood Zone : X Use Zone: R-1 - Single -Unit Residential II ERS PROHIBITED PROCESSED BY: R-7 ebq�, H A¢¢ UI`sy'CF)"S �"�, N `re SPECIAL CONDITIONS: LIQUEFACTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.6, 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 end (Professions 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 not more than five hundred dollars ($500). I© I, as owner of the property, or my employees with wages as their sole compensation, Will do L) all of or U 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 Im roved for the purpose of sale). LJ 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 ra•'p'tply 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). u I am exempt from licensure under the Contractors' 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 legall, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and Professions Code, Is available upon request when this application Is submitted or at the following Web sfte:tittp://www.teginfo.n.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 (commencing with Section TO 0 f 'visiosy3 of the Business and Professions Cod , and my license is in full force and effect. License Class License No Date << CC '9 Contractor Signature i �i WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS i1100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury oneof the following declarations: 14Rpbr 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 the formance 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' rance carrier and policy number are: Policy Number of Agent Date 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 if I should become subje to the rkers - mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant Date Z hereby affirm under penalty of perjury that theta is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature befov, , certffy to each of the following: I am the proparly uwner or authorized to act on the property owner's behalf. , have read this oppAcation and the Information I have provided is correct. I agree to comply sai:h all applicable city and county ordinan and state laws relating to building conshucgon. / I duth�rize reprec entatives of this city or county to enter abo ntifed property for inspection purposes, gProper nature of y O,r,,er or Authorized Agent Print Property Owner's or Authorized Anent'c Name AI TION I DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE _ 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PFRM/TFXTENDED i j_jAQVID ter-_�..—__.__.� ._ PERMIT FINAC I•('1-'Lf []ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: