HomeMy WebLinkAboutH2022-0629 - PermitsaE,WPORT City of Newport Beach III I I I II I II I II II II I it l II
o� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Ua� r Inspection Requests Phone: (949) 644-3255
ob<rFOA�`�. newportbeachca.gov/inspections
Mechanical Permit : H2O22-0629
Plan Check No: 1934-2021
Work Class : Other
Issued Date : 11/07/2022
Inspection Area : 4
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 : 1980 PORT RAMSGATE PL Legal Dose : N TR 6624 BILK LOT 72
Description: MECH (1) NEW HEAT PUMP & (1) A/C UNIT, C/O FURNACE, AIR HANDLER AND DUCT WORK *TAMPER PROOF CAP REO*
Owner: RHODES PAUL MICHAEL TR -
Address : 1980 PORT RAMSGATE PL NEWPORT BEACH, CA 92660
Phone:
Applicant: BEN MEDINA
Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone: (818)735-7876
Owner/Builder :
Address
Phone :
Code Edition :
Type of Construction r
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
2019
Front: 18, Side: 5, Side: 5, Rear: 10
X
PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Contractor : TRUE HOME HEATING A/C
Address : 4 FARADAY IRVINE, CA 92618
Phone:
(949) 382-6337
Con State Lie
Lie Expire :
: 1025397
04/30/2023
Bus Lie:
BT30064629
Bus Lie Expire:10/31/2022
Workers' Compensation
Insurance
Carrier :
TRAVELERS PROPERTY CASUALTY CO OF AMERICA
Policy No:
UB9S6828382126G
W. C. Expire:
12/1/2022
Manufacturer
Model# :
TIMERS PROHIBITED
ON HEAT pUMPs
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the cheolimark(s) I have placed next to the applicable items)
;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
:he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or sheis exempt from iicensure and the basiss for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
Lot morethan five hundred dollars ($500).
I, as ariner of the property, or my employees with wages as their sale compensation, Will do U all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044,
3usiness and professions Code: The Contractom' State License Law does not apply to an owner of property who, through employers' or personal effort, builds or Improves the property, provided that the
mprovements 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
5m roved for the purpose of sale).
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
5ly 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),
1 am exempt from licensure under the Contractors' State License Law for the following reason _
3y 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 legalh
Zell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and
Jrofessions Code, is available upon request when this application Is submitted or at the following Web site:http:/Iw .leglnfo.ca.:gov/calaw.htmi.
3ignaftraof 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 Sect o 00) of iv1 Ion 3 of the Business and Pr o. ode, and in full force
ind effect. License Class License No Date (( �2— Contractor Sign re.
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TD THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the toflowing declarations:
-1 1 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 th,
5ormance of the work for which this permit is issued. Policy ND
and will maintain workers' compansation 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:
Policy Number Expiration Date
of Agent
phnnn k
i certify that, in the performance of the wcr which this permit is issued; I shall not employ any person in any manner so as to become subject 4o the workers' ompensatfon Taws of CBlifomia., and ogre
Tat, li I should become su eat to this Wallkills' compensat' ens of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions.
ignature of APPlicanl,_ ..,L/ Date In ? ZZ
,ECLARATION REGAR N yt It; R ON SENDING AGENCY
hereby affirm under Per aY a� that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
anders Name Lender's Address
ing:
y my signature beG v, I Certify to each of the follow
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 cou ordhtance9-and-* �..�aws relating to building construction. � y/' p
I authorize representatives of this clty or county t filar the identified property for inspection
purposes. �'el ^ r,�/„ / a /1 r r/ n��
.,.fin. . Cl..�.�..a ......._ n -,_ ., .. _. _.
DATE
PERMIT CANCELLED
PERMIT Ek7EN0ED
PERMYICATEOE
CER7LKICA7E
OCCUPANCY ISSUED
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE. 40 AND A[1JviD RULE
TO
ASBESTOS NCITIFICATIGN 15 NOT APPLICABLE TO
PROPOSED DEMOLITION