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Home My WebLink AboutH2023-0690 - Permits (2)SEW PORT City of Newport Beach o Community Development Department- Building Division y y 100 Civic Center Drive, Newport Beach, CA 92660 = y�. Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Mechanical Permit Plan Check No : Work Class : Other Issued Date : 10/26/2023 Inspection Area : 5 H2O23-0690 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 : 303 LARKSPUR AVE Legal Desc : A TR CORONA DEL MAR BILK 237 LOT 3 CORONA DEL MAR L Description: MECH -NEW A/C COMPRESSER. TAMPER RESISTANT CAP REQUIRED Owner: BLOOD LAURA J TR Address : 386 E 15TH ST #C COSTA MESA, CA 92627 Phone: (949)645-9948 Applicant: BLOOD LAURA J TR Address : 386 E 15TH ST #C COSTA MESA, CA 92627 Phone: (949)645-9948 Owner/Builder : BLOOD LAURA J TR Address : 386 E 15TH ST #C COSTA MESA, CA 92627 Phone: (949)645-9948 Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone: Use Zone: PROCESSED BY: 2022 Front: 20, Side: 3, Side: 3, Rear: 5 X SPECIAL CONDITIONS: Contractor Address Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire: Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Fire Hazard Zone : NO Manufacturer: AC PRO Model# : AULD60W2/A-D(U) OWNER -BUILDER DECLARATION I hereby affirm under penally 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 item(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 is 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 rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U ail of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 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 nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not poly 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 licensors under the Contractors' State License Law for the following reason: y 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 legal: ell 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:http://www.leginfo.ca.gov/calaw.html. ignalure of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under 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 nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.0001, IN ADDITION TO THE OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 armance 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 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 . if 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 !reby 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). Ider's Name Lender's Address 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. 1 authorize representatives of this city or county to enter the above -identified property for inspection purposes. of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXTENDED UAOMD PERMITFINAL 1-61-.ZY Jft IJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIRCATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: