HomeMy WebLinkAboutH2023-0178 - Permits¢��WPoRT
City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 03/1512023
Inspection Area :5
H2O23-0178
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 : 470 SEAWARD RD Legal Desc : N TR 2758 BLK LOT 17
Description : MECH FURNACE CHANGE OUT
Owner: BLACKBURN DAVID W TR
Address : 32451 MEDITERRANEAN DR DANA POINT, CA 92629
Phone:
Applicant: YAEGER SERVICES INC
Address: 693 N BIRCHWOOD ROAD GRANGE, CA 92869
Phone: (714)289-8337
Owner/Builder :
Address:
Phone:
Code Edition: 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 12, Side: 5, Side: 5, Rear: 8
Flood Zone: X
Use Zone: RM-6000 - Multiple Residential (6000 indicates minimum lot area)
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : YAEGER SERVICES INC
Address :
693 N BIRCHWOOD ROAD ORANGE, CA 92869
Phone:
(714)289-8337
Con State Lie
: 903595
Lie Expire :
09/30/2023
Bus Lie:
BT30067831
Bus Lie Expire: 01 /31/2024
Workers' Compensation
Insurance
Carrier :
INSURANCE CO OF THE WEST
Policy No :
WVE506401900
W. C. Expire :
2/1/2024
Manufacturer
Model# :
LDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I haveplaced 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
.he 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 7031.5 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 U all of or (_) portions of the work., and the structure is notintended 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
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 of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors toconstruct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply 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).
u 1 am exempt from licensure under the Contractors' State 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 improvements. Covered by this permit, I.cannot legal
sell a structure that I have built as an owner -builder if ithas not boon Constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon requestwhen this application is submitted or at the following Web site:hhp:llwww.laginfo.ca.gov)calaw.html.
Signature of Property Owner or Authorized Agent D' _
LICENSED CONTRACTOR'S DECLARATION
I hereby aFfi'••.rm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secfion D}'vi I Gf the Business and Prof e, an ilEeTise is in full force
and effect. License Class License. No Dat I :V Contractor Signature
VORKERS' COMPENSATION DECLARATION v Ilk- r
FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG O THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
-11 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 th
eliormance of the work for which this permit is. issued. Policy No.
11 he, a 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' compensatiol
tsu ce carrier and policy number are:
:arrierPolicy Number Expiration Date
me'. of Agent Phone N
certify that., in the*oLlr:ythat
work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the worker ' c pensation laws of California, and agre
t, If I should Decokers' nsation provisions of Section 3700' of the Labor Code, I shall forthwith comply with those provisions.
nature of Applican Date ZCLARATION REGCTtON LENDING AGENCY
areby affirm under there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
iders Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to out an the One ftYsawn behalf.
I have read this application and the information 1 have vide corIfcC
I agree to comply withall applicable city and dourdins as state taws relating to building construction.
I authorize representatives of this city or countQ�to ove-identified property for inspection purposes.
DATE I BY
PERMIT EXPIRED 1
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL ( Z I
CERTIFICATE Of
OCCUPANCY ISSUED
Owners or Authorized AGent's Name
BECIMTI ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40AND Al Rll LF
PA
ASBESTOS ESTOS NOTIFICATION 15 NOT APPLICABLE f0
PROPOSED DEMOLITION