HomeMy WebLinkAboutH2023-0318 - Permits��aEWPO,gT City of Newport Beach
p A Community Development Department - Building Division
> 100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit : H2O23-0318
Plan Check No : 1753-2021
Work Class : Alteration
Issued Date: 0511112023
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 : 329 LINDO AVE Legal Desc : A TR EAST NEWPORT BLK A BLK LOT 142 EAST NEWPORT BLK A LOT 1 42(AND LOT 143
Description: MECH CHANGE OUT A/C; TAMPER PROOF CAP REO'D
Owner: WHITAKER LISETTE ANN TR
Address : 8200 STOCKDALE HWY STEM10 BAKERSFIELD, CA 93311
Phone :
Applicant: EPIC CUSTOM HOMES INC
Address: 2781 BLUEBIRD CIRCLE COSTA MESA, CA 92626
Phone: (949)2BO-7006
Owner/Builder :
Address
Phone:
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 5
Flood Zone: X; AO 1
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : EPIC CUSTOM HOMES INC
Address :
2781 BLUEBIRD CIRCLE COSTA MESA, CA 92626
Phone:
(949)280-7006
Con State Lic
: 1015708.
Lic Expire :
07/31 /2024
Bus Lic :
BT30042675 „
Bus Lic Expire:11/30/2023 '
Workers' Compensation
Insurance
Carrier:
EVEREST+PREMIER+INSURANCE+COMPANY, '
Policy No:
7600018178211
W. C. Expire:
9/29/2023
Manufacturer: AC PRO
Model# : AWHD(24)ND3GO ;
NO CONSTRUCTION WORK
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) 1 have placed next to the applicable hams)
>ection 7031.5. Business and Professions Cade: 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3. of the Business and
rotassions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Anyviolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work; and the structure Is not intended or offered for sale (Section 7044,
usiness and Professions Crate. The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
1, as owner of the property, am exclusively contracting With licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law)..
I am exempt from licensure under the Contractors' State License Law for the follovving reason.
y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legally
ell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors-1 understand that a copy of the applicable law, Section 7044 of the Bustr ess and
Tofessions Code, Is available upon request when this application Is submitted or at the following Web site:hap.ltwww.leginfo,ca.govlcalaw.hmii.
iignalure of Property Owner or Authorized Agent, D tB
.iCENSED CONTRACTOR'$ DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000).of ITf the Business and Professions e, an y li is in F e
nd effect. License Class License No Date $Contractor Signature
VORKERS' COMPENSATION DECLARATION
!ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TOONE HUNDRED THOUSAND DOLLARS ($100.000), rN. ADDITION TO THE
DST OF COMPENSATION, 04MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty at perjury one of the following declarations:
-. 'e and wal raal:it tin 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 IN
grform ice of €hv ", Tor which this permit its issued. Policy No.
a 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` compensatior
rance carrier and poll „y number are:
€rria r Policy Number Expiration Date
lama of Agent ------ Phone If
!1 .,rti*y that, In the ponormanca f the Work for which is ermit is issued, i shall not employ any person in any manner so as to become subject to the workers`compensatlon laws of California, and afire
int if I should become subject to t arkers camper �a n prov ns of Section 3700 of Labor Code, I shall forthwith comply with those provisions.
;iqt ature of Ap l;a _ . ` _ .. `.`�.. R . Date
tfPdy affrm under penalty of perfury that there Is a construction lending agency for the performance of the. work for Which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 came
I agree to comply with all applicable city and county areas ends to s relating to building construction.
I authorize representatives of this city or coo ti y he above-i ied Fir rty for inspection purposes.
ature nof Procertv Owner or Authorized Auon[ I F Print Property Owner's or Authorized Agent's Name o
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU[AUON5 PART fit. OF IPTL E 40 AND AQMD RULE
2403
PERN.rf LXPIRED I I I U I SUBMITTFO ASBESTOS NOTIFICATION TO
PERAAITFINAL 110 l-73 j I?) ' V ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF I PROPOSED DEMOLITION