HomeMy WebLinkAboutH2023-0131 - Permits�EWPoar City of Newport Beach III I I II I III II III III I II
o� 6 Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644-3288
}. Inspection Requests Phone: (949) 644-3255
C9C/FO pN�P newportbeachca.gov/inspections
Mechanical Permit : H2O23-0131
Plan Check No : 0734-2022
Work Class : Other
Issued Date : 02/22/2023
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: 836 HARBOR ISLAND DR
Legal Desc : N TR 3867 BLK LOT 2
" ilj pit n/�P9�+
Description:
MECH - R/R & RELOCATE 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS REQ'D
� � 00
Owner:
LINDA BAKER
Contractor :
M AND T CONSTRUCTION
Address :
29 SPRINGWOOD #49 IRVINE, CA 92604
Address :
1496 N STALLION ST ORANGE, CA 92869
Phone :
Phone :
Con State Lie
(714) 454-6320 �+ r�� y!'+ !!''1��A1 s" r
:1073831 r,g CO1�1J�rllJV��V1"t NO! k,
M AND T CONSTRUCTION
Lie Expire
03/31/2023 I `to
Applicant:
:
Address :
1496 N STALLION ST ORANGE, CA 92869
Bus Lie:
BT30078655
Phone:
(714) 454-6320
Bus Lie Expire:05131/2023
Workers' Compensation
CC�`
Insurance ^^' W LG�f't����,.�
Owner/Builder:
Carrier:
y. N ���
Address :
Policy No:
EXEMPT
Phone:
W. C. Expire:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10, Front: 18, Side: 4, Side: 4
Flood Zone : AE, 8 FT, X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: rf,
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Manufacturer: GOODMAN
Model# : GSX140371 K
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 item(s)
iection 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
Ie permit to file a signed statement thathe or she is licansed 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora. permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
11. as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered 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 thatthe
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 1, 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 am exempt from licensure 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 resim ded for at Iaast one year prior to copletion of the improvements covered by this it, I.cannot legal
ell a structure that I have built as. an owner -builder if it has not been constructed in its entirety * licensed contractors. I understand that a copy of the applicable law, Section 7044 of Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html..
signature of 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 Section 7000) of Division 3of the Business and Pr fesslons ode,. y license is in full force
Ind effect. License Class License. No D it ZZ�73 Contractor Signature
VORKERS' COMPENSATION DECLARATION Ill 6^
'ARMING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS DOLLARS ($100,000). IN ADDITION TO TH
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following dec€arations:
7 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 tl
arformance of the work for which this permit is. issued. Policy No,
have 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' compensatior
ranee carrier and policy number are:
Or Po` Number Expiration Date
e of Agent Phone
c Ity that, in the pertormance of fhe work for .this perm ' ss u d shall rat employ any person in. any manner so as to Become subject M10 the workers' compensation laws of Cailfamia, and agra
I should becomeAsubject to the workers' c ensati visions of Section 3700 of the Labor Coda, I shall forthwith comply wiG1 chose provisions.
lreby affirm under penalty of perjury that4hkre is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Lders Name cc _ -Lenders Address
my signature below. I certify to each of the following:
I am the property owner or authorized to act on the property owner's I.
I have read this application and the information I have provided is r t.
I agree to comply with all applicable city and county ordinances d to ws relating to building. construction.
I authorize representatives of this city or county to enter the ab ntified property for inspection purposes. _
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name i `y prlr Chv`F� ��
BY IbECfA.RryYf0N OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGU IONS PART bl OF TITLE 40 AND, Rl1 LE
P£RMITENPiRED I 1 I U I SUBMITTED ASBESTOS
PEAVIITFINAL ��✓'LJ ASBESTOS 71FICAION 15 NOT APPLICABLE TO
CERTIFICAT£QF .Jg'2y PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: