HomeMy WebLinkAboutH2022-0281 - Permits��'WPo City of Newport Beach III I I III II I II III II II
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04 ' ) ' p Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
o- newportbeachca.gov/civic
Mechanical Permit : H2O22-0281
Plan Check No : 1478-2017
Work Class : Other
Issued Date : 06103/2022
Inspection Area : 6
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 : 602 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 636 LOT 4
Description: MECH: INSTALL (3) A/C UNITS AT SIDES. **TAMPER RESISTANT CAPS & TIMER REQUIRED**
Owner: WOLVERTON RICHARD TR R & D WOLVERTON FAMILY TR
Address : 704 ACACIA AVE CORONA DEL MAR, CA 92625
Phone: (714)493-0434
Applicant :
JJJ BUILDERS
Address:
1312 DOVER DRIVE NEWPORT BEACH, CA 92660
Phone:
(949)307-9309
Owner/Builder
:
Address
Phone :
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
Front: 20, Side: 3, Side: 3, Rear: 5
X
R-2 - Two -Unit Residential
SPECIAL CONDITIONS:
Contractor: JJJ BUILDERS
Address :
1312 DOVER DRIVE NEWPORT BEACH, CA 92660
Phone:
(949)307-9309
Con State Lic
: 877052
Lic Expire :
04/30/2024
Bus Lic:
BT30066129
Bus Lic Expire:02/28/2023
Workers' Compensation
Insurance
Carrier:
NATIONAL LIABILITY AND FIRE INS CO
Policy No:
V9WC390293
W. C. Expire:
1/1/2024
Fire Hazard Zone : NO Manufacturer
Model# :
406A
VV 1e
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State 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, also requires the applicant for
is permit to file a signed statement thatho 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 licensors and 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
of more than five hundred dollars (8500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Nosiness and Professions Code: The Corti motors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the properly, 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
nlproved for the purpose of sale).
J 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
ply 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 following reason:
ly my signature below: acknowledge that, except for my personal residence in which I must have residod for at leastone year prior to completion of the Improvementscovered by this permit, I cannot legally
all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a 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:htlp:fl%hww.leginfo.ca..govlcalaw.html.
iignature of Property Owner or Authorized Agent _,_ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby afirmunder 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
.rid effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL Mass UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION To THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3798 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
ormance of the work for which this permit is. issued. Policy No.
have 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' compensa
Trance carrier and policy number are:
Policy Number
of Agent
Date
certify that. in the performance 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
t, it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions.
nature of Applicant Date—_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
iders Name _ Lender's Address
my signature below, I cerlify to each of the following:
I am the properly owner or nulhofted to act on the property owner's behalf.
I have read this application and the information I have provided is correct:.
I agree to comply with all applicable arty and -county ordinances and state laws relating to building construction.
I authorize representatives of this city ui county to enter the above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Aoent's Name
Date
ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXWRPD
rI �SUBMITTED ASBESTOS NOTIFICATION TO
EPLI A
p ASBESTOS NOl'IFICA PON IS NO APPLICABLE 10
PERMIT CANCELLED
PERMIT fMfNOED
PERMIT FINAL
iSWJ,�
CERTIFICATE OF
'. PROPOSED DEMOLITION
OCCUPANCY 155UED
SIGNATURE: