HomeMy WebLinkAboutH2022-0493 - Permits�eWPoq
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City of Newport Beach
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Mechanical Permit: H2022-0493
ullCyeeveotDeparmDivision
Drive,mer each,CA926
Plan Check No : 0566-2022
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Permit Counter Phone 949 644 3266
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Work Class : Other
Inspection Requests Phone: (949) 644-3255 pp °+a
newportheachca.gov/inspections i ' A.
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Issued Date : 09I1912022
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Inspection Area : 2
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 : 2571 VISTA DR Legal Desc : N TR 1102 BLK LOT 50
Description: MECH: INSTALL (2) HEAT PUMPS @ ROOF "TIMERS PROHIBITED & TAMPER RESISTANT CAPS REQUIRED"' (X2022-0625)
Owner: NEILLONGMAN
Address : 2782 CIRCLE DR NEWPORT BEACH, CA 92663
Phone :
Applicant : M H GRAVES INC
Address : 5852 MULLER ST BELL GARDENS, CA 90201
Phone: (562)833-3703
Owner/Builder :
Address
Phone :
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10
Flood Zone : X
Use Zone : R-1--Single-Unit Residential R7
PROCESSED BY: t/5
SPECIAL CONDITIONS:
Contractor : M H GRAVES INC
Address :
5852 MULLER ST BELL GARDENS, CA 90201 •' -
Phone :
(562) 833-3703
Con State Lie
: 241731 _
Lie Expire:
03/31/2024 ... ,
Bus Lie:
BT30034436
Bus Lie Expire:02/28/2023
Workers' Compensation
Insurance
Carrier :
OAK RIVER INSURANCE COMPANY
Policy No :
MHWC337208
W. C. Expire:
1/1/2023 -• • • _
Fire Hazard Zone : NO
Manufacturer : YORK -
Model# : YHE48822S
NO CONSTRUCTION NOISE
ON THE WEEKEND
TIMERS PROHIBITED
ON HEAT PUMPS
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 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
he pofmlt to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Suction 70D0) of Division 3 of the Business and
7rofessions Code) or that he or she is exempt from Ilcensure 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
not more than five hundred dollars ($500).
1 I, as owner of the property, or my employees vAth wages as their sale compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3USIneaa 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
mprovements 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
m roved for the purpose or sale),
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
a.P�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).
L.d I am exempt from licensure under the Contractors' Stale License Law for the following reason _--....._. ..._._..__._� _—____._..._. _._.,_.....__� __.__...... _._.._ .. _. ......_. _-----.
By 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 ton
provements cove d by this permit, I cannot legally)
sell o structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Secti 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:htipalwww.leginfo.ca.gov/calaw.html.
Signature of Propeny Owner or Authorized Agent _ a LICENSED CONTRACTOR'S DECLARATION
I hereby afrrin wedtr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7> OJT) f Div': i 3 of the Business and Profession ode, and. Ise force
and effect. License Class License No Dat/9� Contractor Signature
NlCRKERa' CJN:PENSATION DECLARATION
WF,RNINat FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIABNAL ENALTIES AND CIVIL FINES UP TOONE HUNG D THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE
COS. OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0i09 OF THE LABOR DOZE, INTEREST, AND ATTORNEY'S PEES.
I hereby atom, undo. 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 Industriel Relations as provided for by Section 3700 of the Labor Code. for IN
performance of tl Ie work for which this permit is issued. Policy No.
Wave and wit] 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' compensatior
ranee carrier and policy number Is:
is of Age,+t _
certify U•a[, it thn III
if I should oecome
Iature of Applicant ,
Policy Number
Date
If the work for which this permit is issued, I shall not employ any person in any manner so as to become subject fo the workerscompensati in laws f California, and agre
Ie workers' compensation provisio on 3700 of the Labor Code. I shall forthwith comply with those provisions.
Dale`s,
SS��
STRUCTION LENDING AGENCY
hereby affirm under p4iZfty f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil CO a).
enders Name Lender's Address
ly my signature below, i Certify to each of the following.
I am the properly owner or authorized to act an the prope
rtyner`s behalf.
I have read this application and the information 1 have pis correct.
I agree to comply with all applicable city and cowTty ordiarid state laws rotating to building construction.
I authorize representatives of this city or county to enterave-identifled property for inspection purposes. v �z
ACTION I DATE I BY
PERMIT EXPIRED
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGUTATIONS PART 61 OF TITLE 4C AND AQMD RULE
1403
El I t URMITTFD ASBESTOS NOTIFICATION TO
PCRMITFINAL y {� LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERT[FICATE OF 12 I L1�'�+ PROPOSED DEMOLITION
OCCUPANCY ISSUED I SIGNATURE:
FOR OFFICE USE ONLY
Date