HomeMy WebLinkAboutH2023-0236 - Permits�rEWPOa City of Newport Beach III I I III
A Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
aD >� Permit Counter Phone: (949) 644-3288
e.� Inspection Requests Phone: (949) 644-3255
'tigc,Foa±�P newportbeachca.gov/inspections
Mechanical Permit : H2O23-0236
Plan Check No : 0450-2022
Work Class: Other
Issued Date : 04/05/2023
Inspection Area : 1
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 : 305 WALNUT ST Legal Desc : N TR 772 BLK 15 LOT 1 TR 772 LOT 1 BLK 15 NELY 16 FT THEREOF AND ALL
Description: MECH R/R A/C UNIT AT SIDE*** TAMPER RESISTANT CAPS & TIMER REQUIRED*** (X2022-0503)
Owner: CHUCK CARLSON
Address : 305 WALNUT ST NEWPORT BEACH, CA 92663
Phone: (562)658-7341
Applicant:
MIGUELANGELO DESIGNS
Address:
11724 MONTEVISTA DR WHITTIER, CA 90601
Phone:
(562)658-7341
Owner/Builder
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups :
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: 19.1
Contractor : MIGUELANGELO DESIGNS
Address :
11724 MONTEVISTA DR WHITTIER, CA 90601
Phone:
(562)658-7341
Con State Lie
: 960403
Lie Expire :
04/30/2023
Bus Lie:
BT30076039
Bus Lie Expire:07/31/2023
Workers' Compensation
Insurance
Carrier :
STATE COMPENSATION INSURANCE FUND
Policy No:
9283791
W. C. Expire:
9/21/2023
Fire Hazard Zone : NO Manufacturer: TRANE
Model#: 4TTL6036A1
TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
SPECIAL CONDITIONS: FIRE HAZARD SEVERITY ZONE; LANDSLIDE ZONE; IRWD (X2022-0503)
OYVNER-BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the CDotractors' Slate License Law for the reasons) 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, or repair any structure, prior to its issuance, also requires the applicant for
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Conbactors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Tolessions Code) or that he or she is exempt from licensors 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
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended 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
nprovements 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
nproved for the purpose of safe).
3 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
ly 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 Lew)..
I am exempt from licensors under the Contractors' State License Law for the following reason:
•y 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 legall
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
rofassions Code, is available upon request when this application is submitted or at the following Web site:http://www.Ieginto.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Rivision 3 of the Business and Professlo e u e in full farce
nd effect. License Class License No Date 2 Contractor Signature
VORKERS' COMPENSATIONDECLARATION
'ARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (F100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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, for the
erformance of the work for which this permit Is issued. Policy No.
and will maintain 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
carrier and policy number are:
a of Agent
:ertify that, in the performance
If I should become subject t0J
of
Policy Number Expiration Date
elmit 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
provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
Date ��_29
IECLARATION REGAR09F0, 0NSTRUCTION LENQM0 AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency forthe performance of the Work for which this permitis issued (Section 3097
enders Name Lenders Address
y 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 I have provided is correct.
I agree to comply with all applicable city and county ordinanggeand stata layrs relating to building construction.
I authorize representatives of this city or county to enter a ve-id l property for Inspection purposes.
Owner's
ACTION DATE BY I DWXARATION OF C&V-FrLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT FINAL (f �l ��j L� UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF 111 CIj F+ PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
Civil Code).