HomeMy WebLinkAboutH2023-0162 - Permits��EwP RT City of Newport Beach
0 @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
S Inspection Requests Phone: (949) 644-3255
CqC/FORN�P newportbeachca.gov/inspections
Mechanical Permit : H2O23-0162
Plan
Class Other
PC2023-0143
W
Issued Date : 03/03/2023
Inspection Area : 8
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 : 1805 CLIFF DR Legal Desc : N TR 1221 BLK LOT.23
Description: SFR -INSTALL (1) HEAT PUMP *TAMPER -PROOF CAPS AS REQ'D/TIMER PROHIBITED
Owner: NICOLE MARTIN
Address : 1805 CLIFF DR NEWPORT BEACH, CA
Phone : (949) 400-4101
Applicant : NICOLE MARTIN
Address : 1805 CLIFF DR NEWPORT BEACH, CA
Phone : (949) 400-4101
Owner/Builder: NICOLE MARTIN
Address: 1805 CLIFF DR NEWPORT BEACH, CA
Phone : (949) 400-4101
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Contractor
Address
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire:
Workers' Compensation Insurance
Carrier:
Policy No:
W. C. Expire:
Manufacturer: STAR AIR KONTROL
Model# : SAK-36-DTMS(OUT)/O
TIMER? �RQHfBITE
0 PS
N HEAT PUM
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 applicableitem(s)
;action 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
Is 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
rofesslons Code) or that he or she is exempt from fieensure andthe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
at more than five hundred dollars ($500)..
1 I, as owner of the property, or my employees with wages as their sole compensation, will do [_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
usiness 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
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).
a I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Secfiorl 7044, Business and Professions Code: The Contractors' State License Law does not
9ply 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).
J 1 am exempt from licensure under the Contractors' State License Law for the Following 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, I.Cannot legal,
e6 a structure that. I have built as an owner -builder if it has not been constructed In itsentirety by licensed Contractors. I understand that copy of the applicable law, Section 7044 of the Business and
'rofesslons Code, is available upon request when this application Is submitted the following Web site:http:llwww.leginfo.ca.govicalaw.html..
ignature of Property Owner or Authorized Agent Date_;
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter B (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force
nd effect. License Class License. No Date Contractor Signature
• IC+ZI F'J#Tk MIiFfUI10114Ml EW41
MINING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIWL FINES UP TO ONE HUNDRED THOUSAND DOLLARS B9D0.9D0), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5798 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 have and will maintain a. certificate of consent to self -insure for workers' compensation, Issued by. the Director of Industrial Relations as provided for Section 3700 of the Labor Code, for lh
performance of the work for which this permit is issued. Policy No.
and Wiil Te'rta n 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"
carrier and policy number are:
Policy Number
o, Agent
Date
certify that, in Ctd pirformance 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 agre
, It I should becsrs subject to the Workers' compensation provisions of Se n 3700 of the Labor Code, I shall forthwith comply with those provisions.
rehire of Appi'cant ,(p� ///j/" ° f Date
i ee -.tone, rx:n ,:Jnlurz nnAlnTrnln'nnu 1 eecnuuc Aaenry / /�! —�—
hereby affirm under penalty of perjury that theta is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
end?r s Name Lender's Address
y my slg,iature below, I certify to each of the following:
I air, we property owner or authorized to act on the property owner's behalf,
i ;rr.e read dos application and the information I have provided is correct.
I agree to comply with all applicable city and county ortfiriai and state I vs relating to building. construction.
I authorize representatives of this city or county to enter/f r povp;4enjifrAroperty for inspection purposes. A 1; ; _.i „ A t... it
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PA&I OF TITLE 40 AND AQMD Rl.
PERMfrW1REO I I I U ISuwv TTL'bAsaE5TOS NOTIFICATION TO
PERMITFINAL CERTIFICATE OF Z�/ � ! PROPOSED DEMOLITION U ASBESTOS NOT EON I5 NO"i APFLICAatE 7O
OCCUPANCY ISSUED
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