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HomeMy WebLinkAboutH2023-0373 - Permits�EWPoRr City of Newport Beach III I I I II Mechanical Permit I III II III IIII II D� @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 6 T Permit Counter Phone: (949) 718-1888 Work Class : Other C9</FOR�`P newportbeachca.gov/civic Issued Date : 06/07/2023 Inspection Area : 1 H2O23-0373 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 : 121 BAY AVE E Legal Desc : A TR EAST NEWPORT BILK 1 LOT 5 Description: MECH NEW A/C CONDENSER; TAMPER RESISTANT CAP REQUIRED Owner: PEARSON JEFFRY K / PEARSON KARIN L Address : �1 1 E BAY AVE NEWPORT BEACH, CA 92661 Phone: (44.,qr-94o-1 Applicant: LUKE VUJNOVICH Address : 311 COLLEEN PL COSTA MESA, CA 92627 Phone: (q4q�?j. rj09V Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : ABC HEATING AND A/C Address : 306 COLLEN PL COSTA MESA, CA 92627 Phone: (949)756-0064 Con State Lie : 940181 Lie Expire : 11130/2023 >> Bus Lie: BT30043258 >> > Bus Lie Expire:03/31/2024 •, Workers' Compensation Insurance Carrier : STATE FARM FIRE & CASUALTY CO .>>, Policy No: 92GOG2871 W. C. Expire: 9/24/2023 • • , , , , , Fire Hazard Zone : NO Manufacturer: AC PRO Model# : AULD36W2/A-D(U) „ NO CONSTRUCTION NOISE ON THE WEEKEND 7'JIFIF:LDTNSFECTOXi @ REVIEWANDAPP1,0VAL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) 1 have placed next to the applicableitem(s) 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 he permit to rile a signed statement thathe or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section7031.6 by any applicant for a permit subjects the applicant to a civil penalty of lot more then five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (, all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property. provided that the r provements are not intended or offered for sale. If, however, the building or improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or ,n roved for the purpose of sale).. I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly 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). d I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided fur at least one year prior to completion of the Improvements covered by this permit, I.cannot legallt ell a structure that I have built as an owner -Wilder if It has not been constructed 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 whenthis application Is submitted or at the following Web site:httpalwww.leginfo.ce.gov/calaw.html. Signature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of D iston 3 of the Business and P fe's ns de, ayd'my I}hgnse i 'n full force and effect. License Class License. No Date 6— z7 Contractor Signature itlil PORKERS' COMPENSATION DECLARATION tARNING: FAILURE TV ak(.URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5780,096), IN ADDITION To THE AST OF COMPENSATION. nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nPr4hy Pffirm uncle• rtAnalty of perjury one of the following declarations: .� I have and v.Iil n.afitaln a certificate of consent to selfdnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tin a,ftnriance of the ciork for which this permit is issued. Policy No, and will malnfpin 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 ILiJ policy number are: Policy Number of Agent _ Date - II c91f;• 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 iet, if I snouid become PubI'ec( to th works ' ensati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /' Iiq,mtale of Applicant, /J Datey`� b--T 23 _ IE,^.:..VIATION rEGAR3ING CONSTRUCTIOICLENDING AGENCY / hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code) ender's Name Lender's Address ly 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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to jirlte�pe a Itlfied property for inspection purposes. / - •�e �� Name XJ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIREO V I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 13EPA P€RMIr EXTENDED LIAQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED G ZU ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: