HomeMy WebLinkAboutH2022-0504 - PermitsCity of Newport Beach '
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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-Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
III II I II I II I II IIII II II II Mechanical Permit : H2022-0504
Plan Check No: 1007-2022
Work Class: Other
Issued Date : 02/23/2023
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 : 204 PEARL AVE
Description: MECH CHANGE OUT A/C UNIT *TAMPER
Owner:
SHELLEY STARR DESIGN
Address :
204 PEARL AVE NEWPORT BEACH, CA 92662
Phone:
(310)409-7577
Applicant:
SHELLEY STARR DESIGN
Address :
204 PEARL AVE NEWPORT BEACH, CA 92662
Phone:
(310)409-7577
Owner/Builder : SHELLEY STARR DESIGN el
Address: 204 PEARL AVE NEWPORT BEACH, CA 92662.;;
Phone: (310) 409-7577
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks: Front: 6, Side: 3, Side: 3, Rear: 5
Flood Zone: X; AO 1
Use Zone: R-BI - Two -Unit Residential, Balboa
PROCESSED BY:+�
SPECIAL CONDITIONS:
Contractor':
Address:'r
Phone:
Cori State lic :
1 BLK 8 LOT 26
Manufacturer: goodman
Model#: GSXN404810
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ovemems are not mtanceo or Orered tor, sale. It, however, the building or improvement is sold within one year of comple ion, the Owner -Builder will have the burden of proving that it was not built of
oved for the purpose of safe)..
L a$ Omer of the property, am exclusively contracting with licensed Contractors to construct the project (Seution 7044, B sfness and: Professions Code: The Contractors' State License Law does not:
y to an owner of property who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant 1e the CGntractors'SYate License Law),
t am exempt from licensure under the Contractors' State. License Lawfur the following reason: I
ay signature below acknowledge that, except for my parsonal residence In which I must have rosided for at least one ye prior to completion at the improvements covered. y this permit I cannot IegE
a structure that I Nava built as an ownervbuil it has Act been oonstruoted in its.entirety by licensed contractors. I undo stand that a copy of the. applicable law,: Sactlo 7 44 of the Business and
esaions Code, is available upon request when is applica' Ise m" j�tad or at;U,ia stowing Web seta:hifp:ltwww.teglnfo.pa gov/calaw html. I
latura of Property Owner or Authorized Rgarst (/
ENSER CONTRACTOR'S OECLARATI N
vby affirm[ under penalty of perjury that I am Acense'tf under provisions of Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and Professions Code, and my license Is In foil force:
affect. License Class. License No: Date Contractor5ignature
RKERS` COMPENSATION DECLARATION'
AND: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL: AND MALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE� AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COLLARS ($100,000), IN: ADDITION TO TI
"OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR COVE. INTEREST, AND ATTORNEYBFEE4,
Eby affirm under penalty of perjury one of the following declamGons:
P' y Industrial Relations as provided for by Section 37GO of the Labor Code, for
have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of
tnnance of the work for which this it is issued. PoRc NG:
have and will maintain workers' compensation insurance, as required by Section 3700 of the'Labor Coded for the perf mtance of the work for which this permit is issued.,. My workers` compensate
ranee carrier and policy number are: _ �.
!or Policy Number Expiration Date
is of Agent. Phone ff
serBfy that, in theperformanceof the work for which this permit is Issued, I shalt not emp€oy any person In any manner so as to became sub}act to the workers' compensation laws of California, and agl
If (should become, u 'act work `compens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
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