HomeMy WebLinkAboutH2023-0161 - PermitsOAT
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Mechanical Permit : H2023-0161
Plan
Check O he PC2023-0143
WC
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: 1801 CLIFF DR Legal Desc : N TR 1221 BILK 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: k
SPECIAL CONDITIONS:
Contractor
Address
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire:
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Fire Hazard Zone : NO Manufacturer: STAR AIR KONTRO?
Model# : SAK-36-DTMS(OUT)/Q
1IMERS PR IBITE "
ON HEAT POPF
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 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
to permit to file a signed statement thathe 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
'rofessions Code) or that he or she is exempt from lioensureand the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
Ot morethan five hundred dollars ($500).
3 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
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' Stale License Law does not
only to an owner of property who bulids or improves thereon, and who contracts for the projects with a licensed Contrac Lent to the tractors' State License Law). /
3
I am exempt from (censure 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 oI ar prior too non" of the Improvements covers by this permit, I.cannot legall:
oil a structure that I have bull( as an owner -builder if it has not been constructed In its. entirety by licensed contractors. understand that copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html..
igneture 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 9 (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
COMPENSATION DECLARATION
!ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CROUNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:OST 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 following declarations:
J I 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 IN
performance of the work for which this permit is. issued. Policy No.
have and will Tarrtain 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'
ranee carrier. and policy number are:
Policy. Number
ie c, Agent
certify that, in t:)u performance of the work for which this permit is issued. I shall
, If I should beca-re subject to the workers' compensation provisions of Section
1aHlre of Applicant
Date
employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
I of the Labor Code, I shall forthwith comply with those provisions. //77
✓e,Date��0�2
hereby affirm under penalty of perjury that there is a construction lending agency for the pferformance of the work for which this permit is issued (Section 3097, Civil Code).
.enders Name Lender's Address
ly my sig.lalure below. I nadify to each of the following:
i d, n 1, le property owner or authorized to act on the property owner's. behalf.
:ia�e read th.s application and the information I have provided is correct.
I agree to comply with.. all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to a r th��e��bone=-/�/d�a!nntitled property for Inspection purposes. 11
4ionature of Prooertv Owner or Authorized Agent. 771, 7 , !ye4--YI I) Print Procerty Owner's or Authorized Acent's Name Jti) ZO1 P li (� T
ACTION DATE I BY (AECLARAT60NOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE
i REGULATIONS PART 61 OF TITLE 40 AND AQMD RUL€
PERMITEXPIREO
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
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PERMIT EXTENDED
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PERMITFINAL
CERT)FiCATE OF
OCCUPANCYISSUED
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ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: