HomeMy WebLinkAboutH2023-0636 - Permits�t�tiWPO,PT City of Newport Beach
@ Community Development Department- Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660
N'> ? Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit : H2O23-0636
Plan Check No: PC2023-2400
Work Class : Other
Issued Date : 09/29/2023
Inspection Area : 5
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 : 423 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 435 LOT 7
Description: MECH R/R HEAT PUMP AT SIDE "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED" (XR2023-2741)
Owner: ANGELO PUERTAS
Address : 423 IRIS AVE NEWPORT BEACH, CA 92625
Phone : (626) 319-3406
Applicant: PENCE MELISA
Address: 322 AMETHYST AVE NEWPORT BEACH, CA 92662
Phone : (949) 370-6037
Owner/Builder : ANGELO PUERTAS
Address: 423 IRIS AVE NEWPORT BEACH, CA 92625
Phone : (626) 319-3406
Code Edition: 2022 Fire Hazard Zone
Type of Construction
Occupancy Groups :
Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY: 8!1
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Contractor
Address
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire:
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
NO Manufacturer : FUJITSU
Model#: AOUHI8LMAS1
NO CONSTRUCTION WORK
ON SATURDAYS
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 reason(s) 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
the 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 licensors 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 (_) 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
improvements 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
im r ed for the purpose of sale) -
I, as owner of the property, am exclusively contracting with licensed Contractors to construct [fie 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).
❑ I am exempt from licensore 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 co n of the improvementscovered by this permit, I cannot logall,
sell a structure that I have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. I understan at a C of a applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/hn^,vw.loginl .gov html
Signature of Property Owner or Authorized Agent 1 �i Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WERS' COMPENSATION DECLARATION
ING: 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
OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under 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 or Industrial Relations as provided for by Section 3700 of the Labor Code, for
'ordnance 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 Cade, for the performance of the work for which this permit is issued. My workers` compensa
Lance carrier and policy number are:
Policy Number
of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in
it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,
Date
to become subject to the workers' compensation laws of California, and
Jly With thoseprevisions.
mature of Applicant .. -..__...___......._..___..� _ _,. _ Date— � - Z L - Z 3 _
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I ^-ertify to each of the following:
I am the property owner or authorized to act on the property owner's behalf,
I nave read this appii,ation and the information I have provided is Correct.
I agr.9e to comply wah all applicable city and count' ordinances Bn ws ?sating to building construction.
I a, dhurize repreoentatives of this city or county to enter the abo a- ed operty far inspection purposes. a _ z�._Z3
nature of PmDahv Owner or Authorized Anent i/iI PrInt Procertv Owner's or Authorized Aaent's Name/.-t je eto J Et2.1 AS Date
DATE I BY
PFRMITEXMRFU
2hRM F CvNCEU En
PEF'9'I`TINAL
CERTIFICATE OF L
OCCUPANCY ISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND ACI RULE
I -_I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION