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HomeMy WebLinkAboutH2022-0281 - Permits��'WPo City of Newport Beach III I I III II I II III II II RT 04 ' ) ' p Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 o- newportbeachca.gov/civic Mechanical Permit : H2O22-0281 Plan Check No : 1478-2017 Work Class : Other Issued Date : 06103/2022 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 : 602 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 636 LOT 4 Description: MECH: INSTALL (3) A/C UNITS AT SIDES. **TAMPER RESISTANT CAPS & TIMER REQUIRED** Owner: WOLVERTON RICHARD TR R & D WOLVERTON FAMILY TR Address : 704 ACACIA AVE CORONA DEL MAR, CA 92625 Phone: (714)493-0434 Applicant : JJJ BUILDERS Address: 1312 DOVER DRIVE NEWPORT BEACH, CA 92660 Phone: (949)307-9309 Owner/Builder : Address Phone : Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY Front: 20, Side: 3, Side: 3, Rear: 5 X R-2 - Two -Unit Residential SPECIAL CONDITIONS: Contractor: JJJ BUILDERS Address : 1312 DOVER DRIVE NEWPORT BEACH, CA 92660 Phone: (949)307-9309 Con State Lic : 877052 Lic Expire : 04/30/2024 Bus Lic: BT30066129 Bus Lic Expire:02/28/2023 Workers' Compensation Insurance Carrier: NATIONAL LIABILITY AND FIRE INS CO Policy No: V9WC390293 W. C. Expire: 1/1/2024 Fire Hazard Zone : NO Manufacturer Model# : 406A VV 1e 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 7031.5. 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 is permit to file a signed statement thatho 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 rofessions Code) or that he or she is exempt from licensors 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 (8500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Nosiness and Professions Code: The Corti motors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the properly, 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 nlproved for the purpose of sale). J 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 ply 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 licensure under the Contractors' State License Law for the following reason: ly my signature below: acknowledge that, except for my personal residence in which I must have residod for at leastone year prior to completion of the Improvementscovered by this permit, I cannot legally all 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 7044 of the Business and "rofessions Code, is available upon request when this application is submitted or at the following Web site:htlp:fl%hww.leginfo.ca..govlcalaw.html. iignature of Property Owner or Authorized Agent _,_ Date .ICENSED CONTRACTOR'S DECLARATION hereby afirmunder penalty of perjury that I am licensed 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 .rid effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL Mass UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION To THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3798 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 ormance 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' compensa Trance 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 t, it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. nature of Applicant Date—_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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). iders Name _ Lender's Address my signature below, I cerlify to each of the following: I am the properly owner or nulhofted 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 arty and -county ordinances and state laws relating to building construction. I authorize representatives of this city ui county to enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Aoent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXWRPD rI �SUBMITTED ASBESTOS NOTIFICATION TO EPLI A p ASBESTOS NOl'IFICA PON IS NO APPLICABLE 10 PERMIT CANCELLED PERMIT fMfNOED PERMIT FINAL iSWJ,� CERTIFICATE OF '. PROPOSED DEMOLITION OCCUPANCY 155UED SIGNATURE: