HomeMy WebLinkAboutH2022-0540 - Permits�EWPOQT City of Newport Beach III I I I II I II I II III I II II II
p� d Community Development Department- Building Division Mechanical Permit: H2O22-0540
s y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
? Permit Counter Phone: (949) 644-3288
N+ Work Class :Simple
o- Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections Qa@,, Issued Date : 10/06/2022
�,,�_a _ Inspection Area
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 : 406 VISTA SUERTE Legal Desc :
Description : Relocate heater and replace ducting.
Owner:
Contractor :- David Bravo
Address :
Address : PO Box 16140 Long Beach, CA 90806
Phone:
Phone: (562)508-8211
Con State Lie : 938866
Applicant: David Bravo
Lie Expire : 10/31/2023
Address: PO Box 16140 Long Beach, CA 90806
Bus Lie: '. BT30079936
Phone: (562) 508-8211
Bus Lie Expire:10/31/2023
Workers' Compensation Insurance
Owner/Builder : LUIS & ADRIANA FARFAN
Carrier :
Address: 406 VISTA SUERTE NEWPORT BEACH, CA 92660
Policy No: EXEMPT
Phone: (949) 400-9136
W. C.,Expire
Code Edition : Fire Hazard Zone : . NO
Manufacturer
Type of Construction :
Model# :
Occupancy Groups:
Building Setbacks:
Flood Zone
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Use Zone:
PROCESSED BY:
ooaoa
SPECIAL CONDITIONS:
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I hereby affirm sander penalty Of perjury that I am exempt from.. the Contractors''State.License Law for: the reason(s). indicatedbelow by the checkmark(s) I have placed next to the applicable item(s)
ction 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chaptof 9 (commencing with Section 7000) of Division 3. of the Business and
fessions Code) or that he or she is exempt from iicensure and the basis for the alleged exemption. Anyvlolation of Section 703i.5 by any applicant for a permit. subjects the appSicantto a civil penalty of
more than five hundred dollars ($500).:
I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions of: the work;and the structure is not intended oroffered 'for sale. (Section 7044,
;mass and Professions Code: The Contractors' State License Law does not.. apply to anowner of property who, through employees' or personal effort, builds or improves theproperty, provided that the
�rovements 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
'roved 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 Gods: The Contractors' State LicenseLawdoes not
)Eyto 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 License Law for the following reason:
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
a structure that I have built: as an owner:lbuilder if R has not been constructed in its entirotyby licensed' contractors. I understand that copy of theapplicable. law, Section 7044 of the: Business and
fessions Code, is available upon request when this application is submitted or the following Web site:http.11www.leginfo.ca.govlcalaw.html.
nature of Property Owner or Authorized Agent. -Date.
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 ProtessLom; Code, my license is in full force
nd effect. License Class. License. NO .Date j��- ff_ 71Z Contractor Signature I 1 j(
WORKERS' COMPENSATION DECLARATION
'ARMING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t5i0Q000i, IN ADDITION TO THE
OST OF COMPENSATION'.: DAMAGES AS PROVIDED FORIN SECTION 37%OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penaltyof perjury one of the following declarations:
] I 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, forth(
erformance of the work for which this permit is issued. Policy No.
11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of thework fo€ which this: permit is issued. My workers' compensatior
isurence carrier and policy number, are:
:arrter Policy Number. Expiration Date
lame of Agent Phone If
certify that, in the performance of the wink 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 agrw
if I should become subject to the workers' compensation provisions. of Section 3700,of the Labor Code,: I -.shall forthwith comply with: those provisions.
4gnature of Applicant
erebyaffirm under penaty of perjurythat there is a construction tending agency for the
it a .F MFI -Lenr
'hmy sigRatute beLor a I certify to each of the. following:
T gm-fp property. owner or authorized to act on the property owner's behalf.
• I hLva read this applica ion and the information t have provided is correct.
t agree 10 corraply with all applicable city county ordinances and state laws relatin
• • •_
• i aegiottze represengalives of this oily or couRtp-tQ enter thntrffqeadBntified:property
DATE I BY
•e•ee•
CERTIFICATE OF
OCCUPANCY ISSUED
work for which this permit is issued (Section 3097, Civil Code).
construction.
40 AND AOMD RULE
S U ASBESTOS NOTIFICATION 13 NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY