The URL can be used to link to this page

Home My WebLink AboutH2023-0217 - PermitsO�aEWPpRr City of Newport Beach e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 J s Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections III I I II I III II II I III II II Mechanical Permit : H2O23-0217 Plan Check No : PC2022-2014 Work Class : Other Issued Date : 03/29/2023 Inspection Area : 3 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: 1945 SANTIAGO DR Legal Desc : N TR 4710 BLK LOT 5 Description: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* Owner: KLOENNE FAMILY TRUST Address : 1100 VIA VERDE SAN DIMAS, CA 91773 Phone : Applicant: DEWALDBEZUIDENHOUT Address : 87 VERMILLION IRVINE, CA 92603 Phone : (949) 649-9447 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Contractor : DEWALD BEZUIDENHOUT Address : 87 VERMILLION IRVINE, CA 92603 Phone : (949) 649-9447 Con State Lic : 1080838 Lic Expire : 09/30/2023 Bus Lic: BT30079829 Bus Lic Expire:10131/2023 Workers' Compensation Insurance Carrier: EXEMPT Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Manufacturer: TRANE Model# : 4TTR406OL100A Building Setbacks: Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: TIMERS PROHIBITEI ON HEAT PUMPS TINIER REQUIRED ON TO SHUT OFF BETNIEEN 10 P.M. AND 71A.M. 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 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 le 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 'rofesslons Code) or that he or she is exempt from licahsureand 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 ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (-) portions of the work, and the structure is not intended or offered for sale (Section 7044, rusiness 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 theproperty, 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 of nproved for the purpose of sale). 11. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly 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 I am exempt from licensers under the Contractors' State License Law for lire 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 iegall ell 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 ofthe Business and 'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:tritp:llw .leginfo.ca.gov/calaw.html, signature of Property Owner or Authorized Agent ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti g, ) oj�s ' it rY,d the Business and Prof Wan�my license is in full force no effect. License Class License No D t Cr i..� Contractor Signature VORKERS' COMPENSATION DECLARATION Y "C—i IARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE DST OF COMPENSATION, DAMAGESAe PROVIDED FOR IN SECTION 3705 OF THE LABOR COBS, INTEREST, ANOATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: TO THE Ll 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., 01 have and will mai h in workers' compensatio=insurance quired by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' compensatioinsurance carrier a o icy number are: Carrier r Expiration Date e of Agent Phone # ' y that, in the pe rk 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 agre ha , f I should become so t tGhew,h,,kt s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply width those provisions.MMMSignature of Applicant- Did J/1DECLARATION REGARDI CGN DING AGENCY `rl'j('I hereby affirm under penalty the Is a construction lending agency for the performance of thework for which this permit is issued (Section 3097, vj Code). Lenders Name Lenders Address By my signature below, I certify tohe following: I am the property owner or authorized to act on the proport wner's behalf. I have read this application and the information I have is correct.. I agree to comply with all applicable city and county din a n late laws relating to building construction. I authonze representatives of this city or county t r ve-i milled property for inspection purposes. ` , F2 ,1 p , Si nature of Pro a Owner or Authorized A ent PrinkpIroperty Owners or Authorized Agent's Nani Da t J 0` 1 ACTION DATE BY DEC I N OF CONIIANCE WITH COWtP FEDERAL I FOR OFFICE USE ONLY RFCI AT PART 610 E40 AQMD RULE 1403 PERMrTCANCELLED PER%41T €XTEND€D PERMIT FINAL CERTIFICATEOP 1�, `•�S OCCUPANCY ISSUED U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION