HomeMy WebLinkAboutH2023-0554 - Permits4 �WPORT City of Newport Beach
O Community Development Department - Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
U Z Permit Counter Phone: (949) 718-1888
.5.newportbeachca.gov/civic
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Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 08/25/2023
Inspection Area: 4
H2O23-0554
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: 1970 SAN BRUNO
Description : MECH R/R FAU IN CLOSET
Owner: BRADY SIH
Address : 1970 SAN BRUNO NEWPORT BEACH, CA 92660
Phone :
Legal Desc : N TR 6227 BILK LOT 11 TR 6227 (L.L.84-214032) PAR 1
Applicant: BEN MEDINA
Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone: (818)735-7876
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
1105
Fire Hazard Zone : NO
Contractor : RIGHTIME HOME SERVICES
Address :
1821 MCGAW AVE IRVINE, CA 92614
Phone:
(714)998-4300
Con State Lic :
765074
Lic Expire :
06/30/2025
Bus Lic :
BT30078653
Bus Lic Expire:05/31/2024
Workers' Compensation Insurance
Carrier :
LIBERTY INS CO
Policy No :
WA763D508631011
W. C. Expire:
10/1/2023
Manufacturer
Model# :
I hereby affirm under penalty of perjury that t am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(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, 8160 requires the applicant for
the permit to tide 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
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property., or my employees with wages as their sole compensation, will do (_) all or (_) portions of the 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 theproperty, provided that the
Improvements are not intended or offered for sale. If, however, file 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
Improved 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
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).
L.I I am exempt from licensure under the Contractors' State License Law for the fallowing 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 legall)
sell a structure that 1 have built as an owner -builder If it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available uponrequest when this application is submitted or at the following Web site:htp:l/www.feginfo.ca.govlcalaw.htrnl,
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 70 f i}rrs f the Business rofessi ode, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
wARNMG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU13JECI AN EMPLOYER TO CRIMINAL PENA TIES AN 0 CIVIL FINES UP TO QNESIUNOtl DOLLARS (E700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IIhnhereby affirm under penalty of perjury one of the following declarations:
El I have and will maintain a certificate of consent In self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for in
performance of the work for which this permit Is issuad. Policy No.
,�ava and will maintain workers' compensation insurance, as requ led by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers` compensatiol
surance Carrier and policy number are:
paler Policy Number Expiration Date
Tama of Agent Phone #
71 certify that, In the performance of the or which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers` compensation laws fCallfomia, and agre
tat, If I should become subject to t Drkers compensation provisions cdon 3700 of the Labor Code, I shall forthwith comply with those provistons.
signature of Applicant _ Date_____.
IECLARATCON REGAROING CONST ENDI'.NG AGENCY
hereby affirm under penalty of re is a construction lending agency for the performance of the work for which this permit is issued(Section 3097, Civil Code).
enders Name Lender's Address
ly my signature be[o , certify to each of the following=
I am the property owner or authorized to art on the On
I have read this application and the Information I have
I agree to comply with all applicable city Rod can ry'.II
I authorize representatives of this city or county to en
owners behalf.
ed-is correct.
:as and state laws relating to
purposes.
it :nature of Property Owner or A ch a zed Arent Pant E'r0
ACTION i DATE DY errLARATION OF COMPLIANCE WITH CODE OF FED1I
i REGULATIONS PART 61 OF TITI F 40 AND AQMO RULE
1403
PERMIT Exp RED I i I SUSMITTED ASBESTOS NOTIFICATION TO
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R£RMJTfXTFNDEP T _ _ rI-1QMB _
RERMIT FINAL F� r <� t_I ASBESTOS NOTIFICATION IS NOt APPLICABLE TO
Ckaril`irArE OF Jr3 `-' ! PROPOSED DEMOLITION
OCCUPANCY ISSU£'J It SIGNATURE:
FOR OFFICE USE ONLY
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