HomeMy WebLinkAboutH2023-0246 - PermitsD��EwPoRr City of Newport Beach
@ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
n
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9</cUAN`P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No
Work Class : Other
Issued Date : 04/1212023
Inspection Area : 5
H2O23-0246
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 : 5 ATLANTIS COVE Legal Desc : N TR 15851 BLK LOT 27
Description: RENEW EXPIRED PERMIT (H2O21-0212) FOR: MECH REPLACE (2) HEAT PUMPS @ THE SIDE YARD "TAMPER RESISTANT CAP RED", (2) AIR HANDLERS
AND DUCT WORK
Owner: Cathy and John Gue
Address : 5 ATLANTIS COVE NEWPORT BEACH, CA
Phone : (909) 851-3882
Applicant: Cathy and John Gue
Address : 5 ATLANTIS COVE NEWPORT BEACH, CA
Phone : (909) 851-3882
Owner/Builder : Cathy and John Gue
Address: 5 ATLANTIS COVE NEWPORT BEACH, CA
Phone : (909) 851-3882
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone: X
Use Zone : PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone
Contractor
Address:
Phone:
Con State Lie
Lie Expire: ,
Bus Lie
Bus Lie Expire:
Workers' Compensation Insurance
Carrier
Policy No:
W. C. Expire:
NO Manufacturer
Model# : „
NO CONSTRUCTION NOISE
CAN THE WEEKEND
TIMERS PROHIBITED
ON HEAT PUMPS ?A
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Items)
Section 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior td its issuance, also requires the applicant for
he permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
3rofesslons Code) or that he or she is exempt from licensure 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
ict more than five hundred dollars ($50D).
1, as owner of the property,or my employees with wages as their sole compensation, will do U all of or L) portions of the work., and the structure is not intended or offered for sale (Section 7044,
3usiness 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
Ti ants 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 bunt or
mpr Did for the purpose of Sala)
I, as owner of the property, am exclusively contracting with licensed Contractors to construct time project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ip I[y 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 licensure under the Contractors' State License Law for the following reason. _
3y my signature below t acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I.cannot legall',
ell a structure that. I have built asan owner-buildar if it has not beenconstructed in Itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
3rofesslons Code, is available upon request when hi ppli fionris I of the following Web siteihttp://www.leginfo.ca.govYcalaw.htmi.
3igrlalufe of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECI-ARATI94d v
hereby affirmunder penalty of perjury that I am it ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C9de, and my license is in full force
Ind effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
lARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA09 IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS PAIi 00), IN ADDITION TO THE
:DST OF COMPENSAT7CN, DAMAGESAS PROVIDED FOR IN SECTION 37e6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm undo- �cnalty of perjury one of the following declarations:
J I have and wil, 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 th
orformance of the Murk for which this permit is. issued. Policy No.
hev9 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'
range carrier, a-ld.onbcy number are:
Policy Number
of Agent
Date
ca,Vy that, inthe performance of the work 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
It I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, Ishall. forthwith comply with those provisions.
ignature of Applreant,�Date
ICi;;..; IGJION REGARDING CONSTRUCTION LENDING AGENCY
he: L ty affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Dinners Name Lender's 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county toe pnier the above -identified property for inspection purposes p
icnature of Property Owner or Authorized Anent �i" �TJ--��" p.l,,.l n..,,.an., n,., .,, n,.el.....-,.,,, n,.�,.,. u.....,,� r n'�.JA n . 19:�.,
ACTION
DATE
BY /� DFCLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART bl OF TITLE 40 AND AQMD RULE
1403
PE'RMITEXPfRfP
(L I ISUBMIITTED ASBESTOS NOTIFICATION TO
PERMITCANCEUED
k EPA
PER0T EXTENDED
JPAI
PERIWTFINAL
A TIFICATtON IS NOT APPLICABLE TO
fERLIFICATEOF
r
POSED DEMOLITION
OCCUPANCY fSSUED
l'J
SIGNATURE: