HomeMy WebLinkAboutH2023-0028 - Permitse`�wroR� City of Newport Beach
p r @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
a Permit Counter Phone: (949) 544-3288
Inspection Requests Phone: (949) 644-3255
CqC/FepN�P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 0111212023
Inspection Area :3
H2O23-0028
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 : 1612 IRVINE AVE Legal Desc : N TR.3082 BLK LOT 1
Description : MECH CHANGE OUT FURNACE
Owner:
Address
Phone:
BRETT BAILEY Contractor : RIGHTIME HOME SERVICES
1612 IRVINE AVE NEWPORT BEACH, CA 92660 - Address : 1821 MCGAW AVE IRVINE, CA 92614
Applicant: RIGHTIME HOME SERVICES
Address: 1821 MCGAW AVE IRVINE, CA 92614
Phone : (714) 998-4300
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Phone: (714)998-4300
Con State Lic :-765074
Lic Expire : 06/30/2023
Bus Lic: BT30078653
Bus Lic Expire:05/31/2023
Workers' Compensation Insurance
Carrier: - LIBERTY INS CO
Policy No : - WA763D508631011
W. C. Expire: 10/1/2023
Fire Hazard Zone : NO - Manufacturer
Model# :
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X - -
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lotarea)
PROCESSED BY:
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SPECIAL CONDITIONS:
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I hereby anirm under penalty of perjury that I am exempt from.. the Contractors` State License Law for:the reason(s) indicated below by the checkmark(s) I have placed next: to theapplicableItem(s)
(Section 7031.5, Business and Proressions Code: Any city or county that requires a permit to construct, alter, Improve, demolish: or repair any structure, prior io its Issuance, also requires the applicant for
the permit to, file a signed statement that he or she.is licensed pursuant to the provisions of" Contractore' Stats License Law (Chapter 9 (commencing with Section 7000) of Division 3.of the Business and
Professions Code) or that he.or she is exempt from ficensure and the basis for theallegedexemption. Any violation of Sectlon 703f,5 by any applicant for a. permit subjects the applicant too civil penalty of -
I, BE owner of the property, or my employees with wages a'stheltsole:compensation, will do U all -Ofar(_) portions cfthe work;. and the structure Is not intended oroffered for agile (Section 7044,,
Ilness and Professions Code: The Contractors'. State LIcahse Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the.property, provided that the
�ravements are notintendedor offered for sale. - If,however, the building or improvement is sold within one year of completion, the Owner-Bullderwill have the burden of proving that It was not built or
,roved for the -purpose of sale),
h as owner of the property, am exclusively Contracting withlicensed-Contractors-to construct the project ($action 7044, Business :and Professions Code: The Contractors` State License Law does not
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).
.I am exempt from Ifeensure under the Contractors' Slate License Lawfor the following reason:
my signaturebelow 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 thisrpermit, I cannot lags%
-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.
fessions Code, isavailable upon request when this, application Is submitted -or at the following Web sita:http:llwww.leginfo.ca.govlCalaw.html,
nature of Property Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
Ireby affirm under penalty of perjury that I ant licensed under provisions of Chapter 9.(Commencing _with Soction 0 f Divi on ;of the Business and. Pro a e ttd-m [Cane is In fullforce
I effect. License Class Licenso.No Do IE 2 Contractor Slgn
1RKERS' COMPENSATION DECLARATION I
WING: FAILURE Ta'SECURE WORKERS' COMPENSATION COVERAGE, IS UNLAWFUL, AND SHALL- SUBJECT AN EMPLOYER: TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE He nREnT ODOLLARS(11100.50(g), INADDmiON TD THE
IT OF COMPENSATIDNi DAMAGES AS PROVIDED FOR IN SECTION 1171I6OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES.
�reby affirm _under penalty of perjury one of the following declarations:
I have and will maintain a. certificate of consent to self fnsure'for workers' Compensation, Issued by the Director of Industrial -Relations as provided for by Section 3700 of the Libor Coda, for Ili
tarmance of the work for which this permit is Issued. Policy No,
`eve and wilt maintain workers' compensation insurance, asp required by Section 3700:of the Labor Code, for the performanceof the, work for which this permit is issued. My workers' compensating
trance carrier and policy number. are:
Tier. PolicyNumbar: Expiration Date
net of Agent.. Phone ff
in
this permit is Issued, t shall
)reby affirm .unde1'5rr01F"of per u ere IS a construction fending agencyfo
iders Name
mysignsture below, I certify to each of the following:
I am the property owner or authonted to act on the property owners behalf:
I have read this application and the Information) have provided Is correct.
I agree to comply with all applicable city and county ordinances and sulle-lawsn
1 authorize representatives of this city or county tpvanter the .above- ntfffed prod
arson Inanymanner so as to become Subject to the workers` compensation laws of California, and agre
Cade; I-shalf forthwith comply with those provisions. 1 --
Date k 272
of the, work for which this permit-tsissued(Section 3097, .ivC llCpdeJ,
to building construction.
.ACTION ( DATE dy � J—D-C Ri-81 �I Lr WITH 44 ANDODE OF FEDERAL
E RAL I FOR OFFICE U$E ONLY
—L�AQr.tu
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION