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HomeMy WebLinkAboutH2023-0286 - PermitsaeWPoRT City of Newport Beach III I I I III III II III II I II II Mechanical Permit : H2023-0286 0� @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 05/01/2023 C9f.�r�pla�P newportbeachca.gov/inspections Inspection Area :4 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 : 324 VISTA TRUCHA Legal Desc : N TR 6885 BLK LOT 22 Description: MECH NEW A/C UNIT; TAMPER PROOF CAP REQ'D Owner: WESLEY HOCKINSON Address : 324 VISTA TRUCHA NEWPORT BEACH, CA Phone : (949) 310-1177 Applicant: WESLEY HOCKINSON Address : 324 VISTA TRUCHA NEWPORT BEACH, CA Phone : (949) 310-1177 Owner/Builder : WESLEY HOCKINSON Address: 324 VISTA TRUCHA NEWPORT BEACH, CA Phone: (949)310-1177 Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone : ��—Rom---117�"- Single -Unit Residential PROCESSED BY: 121 SPECIAL CONDITIONS: Contractor Address Phone : Con State Lie Lie Expire Bus Lie: Bus Lie Expire: Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Fire Hazard Zone : NO Manufacturer: BOSCH Model# : BOVB'*.18 �. r "-6 .' s-I OWNER -BUILDER DECLARATION -- I hereby affirm under penally of perjury that I am exempt from the Contractors` State License Law for the reBsCria) 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, orrepair 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 applicant to a civil penalty of not morethan five hundred dollars ($500). Cl I, as owner of the property, or my employees with wages as their sole compensation, will do ( ) all of or (_) portions of the work, and the structure Is notintended or offered for sale (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to an owner of property who, through employees or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sate. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or 9im ved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property Who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' State Li C nsa Law for the following reason: By my signature t� ci, I acknowledge that, except for my person ni residence in which I most have resided for at least one year prior to completion of the improvements Covered by this permit, I.cannot legall, sell a structure thF I I Ir' ve built as an ovIner builder if it has not b en constructed in itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the use as$ and Frofesswns Code Is available upon request when t..' appllca' is submltte or at the following Web site:http:/hn�ww.Ieginfo.ca.govicalaw,htmi. Signaturc of Pro,ier:y O+,ner or Authorized Agent _ LICENSED CONTRACTOR'S DECI-ARATI �- 1 nereFr, affirm.. under penalty of perjury that I am licensed under rovLai ns of hapte commencing with Section 7000) of Division 3 of the Business and Professions Code,. and my license is in full force and effect, License Mass Lic So N Date Contractor Signature IhORKERS' COPAPIENSATION DECLARATION NARNING' FAILURE TD 9FCVRE 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 ADDRION TO THE COST OF COMPENSATION, Dr MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm unde- penalty of perjury one of the following declarations: LJ I have and wil, ma,maln 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 th )erformance of the work nor which this permit is. issued. Policy No, _J1 havp and wit wirsein 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` compensatior nsurance carrier 6,id pulley number are: farrier Policy Number Expiration Date Vame. of Agent Phone # -11 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 agree hat, it I should become subject to the workers' compensation provisions ofSeclion 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant 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). ides s Name Lender's Address my signature below, I certify t eeach 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 prot'dad is correct., I agree to comply with all applicable city and county ordina cos and st a laws relating to building construction. I authorize representatives of this city or coun t enter above-iden'fied property for inspection purposes. y�.�' \ nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �� {,L.� '�—Ir`%��7 pat TION DATE BY I D[CLA TION OF COM i!AN ITW [ODE OF FEDERAL FOR OFFICE USE ONLY I REGU TION. PART 51 OFTITLF. 40 AND AQMD RULE renrorrl tAeieeu ill SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED QM D PER1AiT FJNAL j ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF '7 PROPOSED DEMOLITION OCCUPANCY ISSUED 1 d cirxl An,nc. I LO rn H 00 x z °° ° Ud7 a W � @M W m F^ at �z5;� O W Z —o 0. 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