HomeMy WebLinkAboutH2022-0706 - Permits�eWPoRT City of Newport Beach
p� @ Community Development Department- Building Division
> r 100 Civic Center Drive, Newport Beach, CA 92660
z Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
CqC/pQ pN�P n_,wportbeachca.govhnspections
III I I I II I II I �I II III II II II Mechanical Permit : H2O22-0706
Plan Check No:
Work Class : Other
Issued Date : 12/14/2022
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 : 1005 GRANVILLE DR L
Description: 'RENEW EXPIRED PERMIT*** MECH (1) A/C
Owner: KATHLEEN MCINTOSH
Address : 1005 GRANVILLE DR NEWPORT
Phone:
Applicant: KATHLEENMCINTOSH
Address: 1005 GRANVILLE DR NEWPORT
Phone:
Contractor
Address
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire:
WorkersCompensation Insurance
Owner/Builder: KATHLEENMCINTOSH Carrier:
Address : 1005 GRANVILLE DR NEWPORT BEACH, CA 92660 Policy No:
Phone : ;.W. C. Expire:
Code Edition : 2019 Fire Hazard Zone : NO Manufacturer
Type of Construction : Model# :
Occupancy Groups:
Building Setbacks : Front: 15, Front: 3
Flood Zone: X '
Use Zone: RM - Multiple Residential
PROCESSED BY: Y d
SPECIAL CONDITIONS: RENEW EXPIRED PERMIT H2O20-0466
TRANE
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I. hereby affirm under pen
ciion 7033,5, Business or
I; as owner of the property, or my
f, as owner of the property, am exclusively contracting with licensed Contractors. to construct the prc
Ay to an owner of property who builds or improves thereon, and who contracts for the projects with a
I am exempt from licensure under the Contractors' State License Lawfor the following reason: _
COMPENSATION DECLARATION
(Section 7044, Business and: Professions Code: The. Contractors` State LicenseLowdoes not.
Ssed Contractor pursuant to the Contractors' State License Law).
under provisions of Chapter 9 (commencing with Section7000) of Division 3:bfthe Business and Professions Code, and my license is in (oil force:
License No: Date. Contractor Signature
CIVIL. P94M UP TO OM HUNDRED THOUSAND DOLLAR:
affirm under penalty of perjury one of the following declarations:
e and will maintain a:certiflcate, 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 I
mce of the work for which this permit: is issued. PolicyNc.
s and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performanceof the work for which this permit is issued, My workers' compensatio
a tarsier and policy number are:
Policy Number. Expiration Date.
Agent Phone #
'y that, in the perform nca of the work for which this permit -Is issued, !shall not employ any person inany .manner sa as to become subjec#io the workars`compansation laws of California, and ogre.
should become su t tD the workers' cD nsation pr visions of Section of the Lobar Code, I shall forthwith comply with those provisions.
a of Applicant. Date„T. %Z
tATIONREGA D C4NSFRUCTION LENDING AGENCY
affirm under penalty of perjury thatthere is a construction lending agency forthe performance of the work for which this permitis.. issued (Section 3097, Civil Code).
f am the proflftp.4sr oraulhorized to act on tha property owner's behalf.
f havg read this applibehon and the information I he" provided is correct
-[Was to cos�pty AV all applicable city. and county ordlnancas and _state Is
E'RM7FEXP(RED
ERMI7.CANCELLED
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