HomeMy WebLinkAboutH2023-0772 - PermitsCity of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1,888
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newportbeachca.govlcivic
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 12/13/2023
Inspection Area : 5
H2O23-0772
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 : 4146 SHORECREST LN Legal Desc : N TR 2758 BLK LOT 4
Description: MECH REPLACE A/C UNIT @ THE REAR YARD, TAMPER RESISTANT CAP REO, REPLACE FURNACE
Owner: LINDA PROPERTY TRUST
Address : 4146 SHORECREST LN NEWPORT BEACH, CA 92625
Phone : (562) 244-3112
Applicant: MARIO VERDIN
Address: 770 S BREA BLVD BREA, CA 92821
Phone : (949) 492-0290
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 8
Flood Zone : X
Use Zone : RM-6000 - Multiple Residential (6000 indicates minimum lot area)
PROCESSED BY 'I
SPECIAL CONDITIONS:
Contractor : HAVEN
Address :
2075 N SHAFFER ST ORANGE, CA 92865
Phone :
(714) 998-7879
Con State Lic :
748387
Lic Expire :
01/31/2024
Bus Lic :
BT30081948
Bus Lic Expire:06/30/2024-
Workers' Compensation Insurance
Carrier :
FALLS LAKE FIRE AND CASUALTY COMPANY
Policy No :
PSIC0701329801
W. C. Expire :
10/1/2024
Manufacturer: LENNOX
Model# : VPCO24HAM-3P
OWNER -BUILDER DECLARATION
I hereby afflmt under penally 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 permit to Construct, after, improve, demolish, orrepair anystructure, prior to its issuance, also requires the applicant for
1e permit to file a signed statement that he or slid 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 licerisure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant f uca permit subjects the applicant to a civil penalty of
of more than Ave hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended proffered 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).
1, 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
pply 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 front licensors 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 legally
Gil 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca..gov/calaw,htmi,
,ignature or 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 Sectio 600) of Division 3 of the i ass and Professions Code, and myd is in full force
nd effect. License Class L€tense. No e�7//3/22 Contra rSignature
COMPENSATION DECLARATION
'ARMING:: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, OAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
I 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 tho
eAiRrrWce of the -vork for Which this permit is issued. Policy No.
^nd 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'
:arrler and po:icy number are:
Policy Number
Dale
ne rf Agent Phone #
eerd'y that, intf c pe 3rmance 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 agree
L if 'houl subjectto the workers co lion provisions of Section 3700 of the Labor Code, Ishall forthwith Comply with those provisions.
nature of li^arrrr'�� Aat ���
LLAF%ATION REGARDING CONSTRUCTION LENDING AGENCY
affirm under penalty of perjury that there is a construction lending .agency for the performance Blithe work for which this permit is issued (Section 3097, Civil Code).
iders flame _ _ Lenders Address
my signature below, I cerlify to each of the following:
I am me propert,, owner or authorized to act on the property owner's behalf.
I have read tlua application and the information I have provided is correct.
I agree to comply with all applcable ci and vnty ordinances and state laws relating to building construction.
I authorize representatives of this city or ounty to enter the above -identified property for inspection purposes.
nature of Prooertv Owner or Aulhoriz Agent L. -d;5 � ��� Print Property Owners or Authorized Auent's ame MoLe, d UC/,-:71 Data W7_
DATE BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY
( REGULATIONS PART FI OF TITLE 40 AND AQMD RULE
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