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Home My WebLink AboutH2023-0310 - Permits4a�WPoRr City of Newport Beach p „ 6 Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 yam. Permit Counter Phone: (949) 718-1888 newportbeachca.govlcivic C9</FO RN�P III II I II I III II illl I I II II Mechanical Permit : H2O23-0310 Plan Check No : PC2022-2990 Work Class : Other --.. Issued Date: 0510912023 Inspection Area : 2 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: 741 AVOCADO AVE Legal Desc : N TR 10274 BLK LOT 1 UN 101 TR 10274 LOT 1 UNIT 101 OF PROJE CT LOCATED ON AP Description: MECH NEW HEAT PUMP *TAMPER PROOF CAP REQ* Owner: IRVING BUDLONG Address : 741 AVOCADO AVE CORONA DEL MAR, CA 92625 Phone: (949)230-0601 Applicant: ANTONIO MARCELO CONSTRUCTION INC Address: 1907 E PALMYRA AVE ORANGE, CA 92866 Phone: (714)206-0083 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone: X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : ANTONIO MARCELO CONSTRUCTION INC Address: 1907 E PALMYRA AVE ORANGE, CA 92866 Phone: (714)206-0083 Con State Lie : 1055091 Lie Expire : 06/30/2025 Bus Lie: BT30079820 Bus Lie Expire:10/31/2023 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9311117 W. C. Expire: 1/8/2024 Manufacturer: FUJITSU Model# : 45RLXFZ 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 placednext 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 the provisions of the Contractors' State 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500). Ell, as owner of the property, or my employees with wages as their sole compensation,will do L) all of of U portions of the work, and the structure is not intended preferred for sale (Section 7044, Business and Professions Curie: The Contractors' State License Law does not apply to an owner of property who,through employees' or personal effort, builds or improves the properly, 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 -Builder will have the burden 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 Licensee. Law does not apply 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 Iicensure 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 least one year prior to completion of the improvements. Covered by this permit, I cannot legally 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, Section 7044 of the Business and Professions Code, Is available upon request when this application is submitted or at the following Vii site:http:ftw w.leginfo.ca.gov/calaw.hlml. Signature of Property Owner or Authorized Agent - Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter9 (commencing with Section 700 } of DBvi ion 3 of the Business and Professions Caf airy license is in full force and effect. License Class License No Date ( 2 Z Contractor Signature (�-'-� WORKERS' COMPENSATION DECLARATION WARNING: 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 (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 of THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a ce'rtlficate, 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 th ,prerrfformance of the work for which this permit is issued. Policy No. 14�11 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' compensatiol insurance canter and policy number are: re of Agent certify that. In the performance , if I should become subject to lalure of Applicant Policy Number Date 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 sensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. rare /I / 2rg / Z3 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work far which this permit Is issued (Section 3097, Civil Code) enders Name Lenders Address _,_-_--v_ y 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 rar,retentatives of this city or county to enier,NI�tr V,�identihed property for inspection purposes. A t L n or Authorized Aaent 1,-4� Print Property Owner's or Authorized Agent's Name ACiI)N DATE aY ', DECLARATION OF COMPLIANCE WITH CODE OF FEDFRAL FOR OFFICE USE ONLY RFGUI ATIONS PART 61 OF TITLE 40 AND AQMD RlunF L 1403 PERMIT EXPMED SUBMITTED ASBESTOS NOTIFICATION TO FRX:ITCANCE,ii MEPA PERMIT £XTFNLED _f AGM D ION IS N07 APPLICABLE 70 CERT0CATEDF PROPOSED DEMOLITION j 7 WRANCY 65VED_ SIGNATURE: rfe Dale 0