HomeMy WebLinkAboutH2022-0438 - PermitsCity of Newport Beach
p� @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
CgL)Fp0.N�P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 08/23/2022
Inspection Area : 2
H2O22-0438
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 : 723 SANTANA DR Legal. Desc : N TR-1700 BLK'. LOT 87
Description: MECH HEAT PUMP/ FURNACE CHANGE OUT -TIMERS PROHIBITED ON HEAT PUMPS.*
Owner: JOHNSTON ERIC/GRANT-JOHNSTON JUDI
Contractor : K KALKA;HTG PLUMBING & A/C
Address : 723 SANTANA DR CORONA DEL MAR, CA 92625 -
Address ::: 15550 ROCKFIELD #A110 IRVINE, CA 92618
Phone:
Phone: (949),.837-1776
+°°'°
3
Con State iLie : 677889
Applicant: SAUL MARTINEZ
Lie Expire:: 1013112022
Address :
Bus Lie: i. BT30074347
Phone: (714) 878-0259
'.Bus Lie Expire:05/31/2022
Workers' Compensation Insurance
a '
Owner/Builder.
Carrier: NORGUARD INSURANCE COMPANY
Address :
_ Policy No: KKWC252994
Phone:
W. C. Expire: 12/23/2022
Code Edition : 2019 Fire Hazard Zone : N
Manufacturer: ACPRO
° • °
Type of Construction :
Model# : AUD60W/A-D(U)
° ®
Occupancy Groups:
Building Setbacks : Front: 18, Side: 4, Side: 4, Rear: 10
Flood Zone ; X
Use Zone: R-1 - Single -Unit Residential
1 IIVIERS PROHIBITED
PROCESSED BY : ON HEAT Pu Ple J
un
GCiGi
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SUBJECT TQ PIELD INSPECTOR'S
RIEV [EW ANDAPPROVAL
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I hereby affirm under penalty of perjury that € am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmark(s) I have pieced next to the applicable Items)
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 fife a signed statement that hexer she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3 pf the Business and
fesslons Code) or that he or she is exempt from licensors and thebasis for the Alleged exemption, Any violation of Section 7031.5 by applicant for a permit: subjects the applicant to a civil panatty of
more than five hundred dollars ($500):-
:1 i;.as owner of the property. or my employees with wages as their sole compensation, will do L) all of or t_) portions: of the work-; and the structure Is not intended or offered for sale (Section 7044,
lusiness 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
nprovements are not intended or offered for sale. If, however, the building or improvement issoldwithin one year of completion, the Owner -Builder will have the burden of proving that it was not built or
N roved for the purpose of sate).
.1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the: project (Section 7044, Business and Professions Cade; The Contractors' State License Law does not
P,ply 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)..
J I am exempt from licensure under the Contractors'.State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the improvements covered by this. permit, I cannot legal,
ell a structure that I have built as an Owner -builder if it has not been donstmcted in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and
'rofesslons Code., is available upon request when this application is, submitted or at the following Web site:httpJAaww.leginfo.ca.gov/calaw.html,
Signature of Property Owner or Authorized Agent Date
.10ENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that am licensed under provisions of Chapter (commencing. with Sectio 70 0 of Division 3 of the Business and Professions "aa landmy license is in full force
Ind effect. License Class License No DaXIS Contractor. Signature t,Ls� ✓/
VORKERS' Cpfi?ENSATION DECLARATION
IARNING: FAFLUM TO SECURE WORNSFIT COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL FINES UP TOONE-HUNDRED THOUSAND DOLLARS (sia0,0001; IN AOornow TO THE
'OSTO .COMPENSEAQIOi7 DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
TANtl affirm VI`i4iVjvnalty of perjury one of the following declarations:
I kav .*'d`nd wi11 malnhain 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
BftQ-€ nce of the work for which this permit is issued. Policy No.
e ve and *jl,pSaitftam 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' compensate
isutence carrier and poiicynumber are:
;esri-- Policy,Number Expiration Date
Jam -of Agent Phonelf
3L6dlft t'y that,. in the"rermance of the work for which this permit is issued, ishall not employ any person in any manner so asto become subject to the workers` compensation taws of California, and agre
hat. if I%houfd t9WI ndsublect i�/ a Wrorkers compensa'tj/p❑ provisions of Section 3700 of. the Labor Code I shall forthwith comply With those provisions. 1
v�gpaiute of Appitcap? // A// �� : ` Da Ee �i �-.: L
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Irebyaffirm 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)
Ider's Name ` Lender's Address -
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; have provided. incorrect.
I agree to comply with all applicable city and county ordinances and state laws relating to building Construction.
I authorize representatives of this city or county Co ante1tf3E�7�. ove-identified property for Inspection purposes �/ l
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ACTION j DATE. I BY ( I DECLARATION OFCDMPLIANCEWITH CODE .OFFEDERAL I FOR. OFFICE USE ONLY
PERMIT EXPIRED Ui suRmrrtFD A5BE5TOS NOTIFICATION Tb
PERMIT CANCELLED LJEPA. All required alarms, latches gates and fenceswhich serve as part of a poollspa barrier, shall
PERMIT EXPENDED LJAQMD be in place prior to approval tofill pool{spa & shall remain inplace & be maintained for the
PERMITRNAL 1y,.T Y " ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool.
CERTIRCATE C(F�" iy� yJ,yt� PROPOSEDDEMtOLMON