HomeMy WebLinkAboutH2022-0482 - PermitsE PoR� City of Newport Beach
%, Community Development Department- Building Division
I 100 Civic Center Drive, Newport Beach, CA 92660
i_' Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
'r°9<F0ar`,P` newportbeachca.gov/inspections
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 09/14/2022
Inspection Area : 5
PERMITS-EXPIRE1@Q D- Y-SAE7:L&ISS{JAN..C�.O-,R LASTY/ALID INSPECTION BUT NO LATER THAN 3 YEARS FROM
NO CONSTRUCTION RELATED NCIS /O� A%TURDAY OR SUNDAY IN HIGH DENSITYY' AR A i CS' O-WbFtKbl�i`Si'Ii�7�`
,.. I If 6 U� V� If a�.Jpietvcab p.
Job Address : 411 HELIOTROPE AVE, 1 /2 t Legal Desc : P BK 396 PG 8 PAR 1 UN 1 PARCEL 1 OF PARCEL MAP 3!
Description: MEC ` CHANGECUTA/C UMT *TAMPER PROOF CAP REQ' ~.— Ly7 ❑ 300% or ❑ i 00% refu Id
Owner: SEBASTEN PAGE CQntrac or : HG HOME SERVICES
Address : 11502 F X RIVER DR..ELLICOTT CITY, MD 21042 �" - - `' `�Ad e i0 3 '15n1 wF9Tf OFF DIE NF\
Phone: Phone: (949)877-2821
s r. Con State Lic : 1077757
Applicant: IE Inc. -.Lic Expire : 07/31/2023
Address : 31225 ]Baya�R 3 Westlake Village CA 91362 ,Bus Lic: BT300768818
Phone: (818) 735-787fi... -:i.., "'r"" " 'I. - - - Bus Lic Expire:02/28/2023
Owner/Builder:;p
Address
Phone
Code Edition .
2019
Type of Construction::
Occupancy Groups ie
Building Setbacks :
_
Front15, Side 4 Side 4 Rear: 5
Flood Zone :�
1Y——. _____ _
Use Zone :
L, 2 .,Iw,o-Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
H2O22-0482
31NAL ISSUANCE DATE
D.HOLIDAYS IN ALL AREAS
O CON DO PROJECT
Workers' Compensation Insu ance
Carrier :
Policy No: CWC00016801
W. C. Expire : 5/16/2023
14
Fire Hazard Zone : NO Manufacturer :qAC F
Model# : BAUD
I
BEACH, CA 92660
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(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
the permit to file 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a 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 I_) all of or U 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 the property, provided that the
improvements 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
Improved for the purpose of sale).
J 1. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sectic
poly to an owner of property who builds or improves thereon, and who contracis-for- '
I am exempt from licensure under the Contractors' Stale License Law for the following reason•.
ly my signature below I ackpowledge that, except f�f�y. I l(re done in which I must have resided for at ler
all a structure that I have bt�It a8. an owner -builder iff it 1 t le c arf t 'r= a�tioety-by-litomsarl contract
'rofessions Gotle, is avallab upon requestin•^heniMs p calion Is submitted or at the following Web sitemtlo:11m
,gnehlre of Property Owner r Authorized Agent -�
_
.ICEN.SED CONTRACTL'S DECLARATION -� ...._..__ '--
hereby affirm under penalty f peNu,y that I am licensed under provisions of Chapter £ (commencing v Ilh Section
nd effect. License Class I License No - ; Di
!ARNING: FAILURE TO SECURE W
DST OF COMPENSATION, DAMAO
hereby affirm under penalty
I I have and will maintain
erformance of the work for
�l have and will maintain v
Is ante carrier and policy r
Is of Agent
certify that. in the perfda
if I should bacon e s -
iaturE Uf Applicant _
Dreby affirm u
7ders Dame
my signature
to the Contractors' State Llceose Law).
larsomplctlon of the Improver4nts cove
that acooppyy of the applicable layv, Sachol
LI te0% refund � Date
''a
cif the Business and Prok/i Gage
ON DECLARATION Y \ L I( c
HERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUaepmr-ir C
ASP ROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS T
peg4 an fifth following declarations-
cord of can,en, fo self -insure for workers compensation, issued by lhii..0irector of Industrial Relations as provided for by
ch t d is Issued. Policy No
kers �ansatron Insurance as required by Section 3700 of the Labor Code, for the performance of the Work for which this pe
bar are. gg
Policy Number e ^ �Es�olrafgr@Lfa4§'�_
each
' am the property owner or a thorized to
I nm,e read this applicatfOrt 4 d7`einn%r
I agree to comply wrtb all ppo""T"Iff
.
I authorize represenlalves or this city or
A-I4rl
PPRIV17 EXPiRE0
EeRA�I T CHN'C£Lt.EO
PERMIT EXTFNDEO
PERMIT FINAL
CERTIFICATE OF
OCCUPAlvCY ISSUED
for '01ch this » " _urn I shall not employ anhmA in
cor .,A an Lrovislons or,Section 3700 of the Labor Code, I I
LENDING AGENCY
is a construction lending agenoy for the
Address
state laws relating to building conslruclicn.
Iendfled prop�.Wor inspection purposes.
IMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
61 OF TITLE 40 ANp AOMD 0.11LF.
I SUBMITTFD
U ASBESTOS NOI I FICA TION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE,
bject to the workers'
provisions. '\
'State License Law does not
ed by this permit, I cannot leg;
17044 of the Business and
, and wlicen'g (s in full force
LLARS Un ID0.0001, IN ADDITION TO T
3700 of the Labor Code, for
is issued. My workers'
laws of California, and
I2z