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HomeMy WebLinkAboutH2023-0656 - Permits¢a�WeoRr City of Newport Beach D @ Community Development Department - Building Division u 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone. (949) 718-1888 M S newportbeachca.gov/civic C �P 9<1Fp NN Mechanical Permit : H2023-0656 Plan Check No : PC2023-2473 � +�'„q �„ Work Class : Other LD �+ �� `'S Issued Date : 1011012023 Inspection Area : 7 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 : 888 SAN CLEMENTE DR Legal Desc : A TR IRVINE SUB BLK 55 IRVINE SUB., FOR OF BLOCK 5 Description : COMM MECH R/R 4 FANS (>3HP) Owner: THE IRVINE COMPANY Address : 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: (949)720-2372 Applicant: BRODY SMITH Address: 265 MCCORMICK AVE COSTA MESA, CA 92626 Phone: (714)352-2226 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY X PC - North Newport Center SPECIAL CONDITIONS: Fire Hazard Zone Contractor : ACCO ENGINEERED SYSTEMS INC Address: 888 EAST WALNUT ST PASADENA, CA 91101 Phone : (818) 244-6571 Con State Lie : 120696 Lie Expire : 12/31/2023 Bus Lie : BT00004502 Bus Lie Expire:12131/2023 Workers' Compensation Insurance Carrier : LM INSURANCE CORPORATION Policy No: WA566DO67353011 W. C. Expire: 10/1/2024 NO Manufacturer Model# : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' Slate License Law for the reason(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 tho provisions of the ContractorsState 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 i#censure and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty 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 I all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Businoss and Professions Code: The Contractors' State License Law does not apply to an owner of properly 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 -Subtler will have the burden of proving that it was not built or roved for the purpose of Sala). Li 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 doss not a Tply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors" State License Law). LJ I an exempt from licensure 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 havo resided for at least one year prior to completion of the Improvements covered by this permit, I cannot iegall) sell a structure that I have built as an owner -builder if it has not boon 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 applicationis submitted or at the following Web site:httpJAYw w,leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent ,. _ , Date LICENSED CONTRACTOR'S DECLARATION q I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ff the Business and Professio d my license in full force and effect. License Class License No Date r0 /a lox Contractor Signature WORKERS' COMPENSATION DECLARATION NARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIM FINES UP TO ONE HUNDRED THOUSA OL IT 900), IN ADameN TO THE COST OF COMPENSATION, DAMAO€S AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undar penalty of perjury one of the following declarations: ❑ 1 have and will maintain a cadiflcate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance 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: er G/✓f /n "emu AJE, C. r ocwll`� Policy Number Expiration Date of Agent certify that, in the performance of the . if I should become subject to the we mime of Aoolicam which this p Fruit is issued, I shall not amploy any person in any manner so as to became subject to the workers' compensation laws of California, and mpensafld rovisions of Section 3700 of the Labor DOLE, I shall forihwitn Comply with those provisions, Data /o ro 2D2� hereby affirm under penalty of p jury thalthar 1 atruction Vending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name _ Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to art on the property owner's behalf, I have read this application and the information I have provided is correct, agree to comply with all applicable city and county ordinances an sting to building construction. I authorize representatives of this city or county to ente -Identified prop rty for inspection purposesAgent's .� 3lgnatura of Props, tw Ow.nar or Authorized A ant - Print Proport Owner's or Authorized A ent`s Name ACTION DATE By DEELARATI MP LIA WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUL ION$ P LE AO ANt] AQMD RULE P R,%3TE VIPEO I SUBMITTFO ASBESTOS NOTIFICATION TO .._ -6 PFRMYTCANCElt E(X -__...... C r�- LJCAA P RNNT rn TENDED DAQMD PIP nrttr ulNAL I�_/2„J91 ❑ASorSt vsNO11HCA I ION lS NOt APPLICABLE rO CCRTP`ICAfE OF 11ROP05f17 D1,,V01 ITUN OCCUPANCY ISSUED_ s SIGNATURE: to110