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HomeMy WebLinkAboutH2022-0517 - PermitsCity of Newport BeAch Community Development Depnrtment- Bwidiny D'As:c.1 100 Civic Center Drive, Newport Br ac:i, CA 32060 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Mechanical Permit Plan Check No : Work Class : Alteration Issued Date : 12/22/2023 Inspection Area : 5 H2O22-0517 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: 3004 OCEAN BLVD Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 136 LOT 7 Description: MECH (3) ROOFTOP A/C UNITS* TAMPER RESISTANT CAPS REQUIRED Owner: EMMI CATHERINE TR EMMI FAMILY TR A Address : 3004 OCEAN BLVD CORONA DEL MAR, CA 92625 Phone: Applicant: CENTRAL AIR INC. Address : 19800 MACARTHUR BLVD., 300 IRVINE, CA 92612 Phone: (949)800-0808 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: ©/ SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : CENTRAL AIR INC Address : 19800 MACARTHUR BLVD., 300 IRVINE, CA 92612 Phone: (949)800-0808 Con State Lie : 1077359 Lie Expire : 06/30/2024 Bus Lie: BT30079775 Bus Lie Expire:09/30/2024 Workers' Compensation Insurance Carrier: EXEMPT Policy No : EXEMPT W. C. Expire: Manufacturer: AC PRO Model# : AULD36W2/A-D(U) & AU OWNER -BUILDER DECLARATION hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicaleo nelow by the chec„marks ) I +lave placed next to the applicable items) (Section 7031.5. Business and Professions Cade: Any city or county that requires permit to construct, alter, improve, demolish. or repair ary s'ructul prior :o its issuanpe, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Confractors' State License Lan) (Chapter 9 (ctimmnncinr WIT Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from iicansure and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicanito a civil penalty of not more than five hundred dollars ($500). 111, As owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work., and the E:ructu, a 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, bL1lds or f nproves the property, provided that the improvements are not Intended or uttered for sale. If, however, the building or Improvement is sold within one year of completion, tho OwneT-Ui will have'he b-Jrden of proving that it was not built or improved for the purpose of sale)_ ❑ 1, 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�ptply 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). — LJ I am 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 have resided for at [east one year prior to completion of the improvements covered by thispermit, I.cannot tegalll 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, $action 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site http:liwww.leg'info.ca..gov/calaw.htmL Signature of Property Owner or Authorized Agent __ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of periury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DivisionA of the Business and Professions Code, {1 is nis in full force and effect. License Class License. No Date% Contractor Signature WORKERS' COMPENSATION DECLARATION Z WARNING: FAILURE TO SECURE WORX.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVrL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100,003), IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST., Me ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided four by Section 3700 of the Labor Code, forth performance of the work for which this permit is issued. Policy No. ❑I 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' compensaAoi insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of A Phone N ce fy that, in the performance of the ork 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 agra that, should become subject th w �'rs' cD ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. igfeture of Applicant- - Dale�O 7 DECLARATION REGAADING CONSTRUCTION LENDING AGENCY c I hereby affirm under penalty of perjury that ihere is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code), Lenders Name Lender's Address By my signature below, I partly to each of the following: I am the property" owner or au0tonzed 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 Orrtfnance n laws relating to building.. construction. I authorize representatives of this city or County to enter lh -i tifie arty for inspection purposes. Si nature of Property Owner or Authorized AMU' t Pdnt Pro art Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE'NITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGUTATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403 PERMIT EXPIRED I SIMMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA RERMIT EXTENDED FA D FiMMI FINAL I I � ❑ ASBESTOS INC IFICATION 15 NOT APPLICABLE 70 CERTIRCATE OF l,�ZL(Z ' PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: 3