HomeMy WebLinkAboutH2023-0420 - PermitsEWPo? City of Newport Beach
Community Development Department- Building Division
"jy 100 Civic Center Drive, Newport Beach, CA 92660
f dD Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Mechanical Permit
Plan Check No :
Work Class: New
Issued Date : 06/28/2023
Inspection Area : 4
H2O23-0420
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 : 2252 VISTA HUERTA Legal Desc : N TR 5798 BLK LOT 49 TR 5798 (L.L.84-245722) PAR 49
Description: MECH NEW A/C CONDENSER -TAMPER RESISTANT CAP REO'D; NEW FURNACE
Owner: SEARLES LUCINDA B TR
Address : 2252 VISTA HUERTA NEWPORT BEACH, CA 92660
Phone: (714)745-1307
Applicant: JOE EMETT
Address: 1180 N FOUNTAIN WAY, F ANAHEIM, CA 92806
Phone: (714)630-6330
Owner/Builder :
Address
Phone:
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : WEST COAST ENERGY
Address :
1180 NORTH FOUNTAIN WAY #F ANAHEIM, CA 52806
Phone:
(714)630-6330 '
Con State Lie :
685478
.
Lie Expire :
03/31/2024 '
Bus Lie:
BT30082020
Bus Lie Expire:
06/30/2024
•
Workers' Compensation Insurance
••,
Carrier:
NORGUARD+INSURANCE+COMPANY
••••
Policy No :
HOWC348034
W. C. Expire:
4/1/2024
Manufacturer: GOODMAN
Model# : GSXN4 02410A
SUBJECT TO FIFLD !NSP F.CTOP.'S
RFVIEW ANDAPPROVAt,
i hi h,,..� f .••: k.�. r� I ��r B 1
OWNER -BUILDER DECLARATION
I hereby affirm 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 the applicableitem(s)
;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve; demolish, or repair any structure, prior to its Issuance; also requires the applicant for
;he permit to file a signed statement thathe or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licansure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
To€ more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions ofthe 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
Improvements 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
rmyproved for the purpose of sale)_
Ll 1, 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
apply to an owner of properly 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:
By 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 legal
sell 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 copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:lVwww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 6 D) f DI sio the Business and Professi n Code,. and my lfc is in full force
D and effect. License Class License. No ata Contractor Signature
VBORKERS' COPAPENSATION DECLARATION
ING- FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS ($150,05$), IN ADDITION TO THE
OFCOrtPENSATION OANSGES AS PROVIDED FOR IN SECTION 37SS OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hemby zffirm under penalty of perjury one of the following declarations:
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
p of the wor': fcr which this permit is issued. Policy No.
Viand will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the Work for which this permlt is issued. My workers'
carrier and policy number are:
1a of ALIent
certify that, in th3, pednrmance
, it I snnuld berome subject to
iature of Applicant V
Policy Number
Date
work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomta, and agre
,kern eompensatiOn rdvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
/ Date 2-3
i .TtON I FNniNG Gr:FNCV
areby affirm under penalty of psrj that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code).
ider'x Name Lender's Address
my signature below, 1 certify to each of the following:
I am the property Owner or authorized to act on the properly owner's behalf.
I have read this application and the information l have rovided is correct.
I agree to comply With all applicable city and county or naneasand state laws relating to building construction.
I authorize representatives of this city or county Sp ent As above-ldentifleq,property for Inspection purposes.
OF COMPLIANCE WITH CODE OF FEDERAL 9 FOR OFFICE USE ONLY
PART6I OFTITl.E 40 AND AQMD RULE 3
PENMIT 401RE6 I I I LJ I SUBMITTFO ASnFSTOS NOTIFICATION TO
PERTWfCATAI ��— - �ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CEROCCUPANCY
OF F80FOSED TlEMOLRION
OfCUPANCy ISSUED SlGNATORE: