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HomeMy WebLinkAboutH2023-0161 - PermitsOAT City of Newport Beach ��EW 0 e Community Development Department- Building Division y �y 100 Civic Center Drive, Newport Beach, CA 92660 Ua. S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C,<fFORN`P 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 •PA PERMIT EXTENDED LJAQViD PERMITFINAL CERT)FiCATE OF OCCUPANCYISSUED Ip(271�1� U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: