HomeMy WebLinkAboutH2024-0155 - PermitsCity oo Civic fC Center Drive, Newport Beach, Building Division III IIIII III II I I IIII III IIIII II III I IIIII
{ � Permit Counter Phone: (949) 718-188B
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newportbeachca.gov/civic
Mechanical Permit : H2O24-0155
Plan Check NO: pc.2_07-3 o7,c'O
Work Class : Other
Issued Date : 0311912024
Inspection Area : 4
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: 401 VISTA GRANDE Legal Desc : N TR 6230 BLK LOT 81 TR 6230 (L.L.84-214033) PAR B
Description: MECH - INSTL (N) HEAT PUMP. TAMPER RESISTANT CAP REQUIRED
Owner: HUMBERTO TAVARES
Address : 401 VISTA GRANDE NEWPORT BEACH, CA 92660
Phone :
Applicant: MATT WATSON
Address: 1170 COAST HWY N LAGUNA BEACH, CA 92651-1373
Phone: (714) 943-0333
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
Fire Hazard Zone
Contractor : MATT WATSON
Address : 1170 COAST HWY N LAGUNA BEACH, CA 92651-1373
Phone : (714) 943-0333
Con State Lie : 931225
Lie Expire : 04/30/2025
Bus Lie: BT30083170
Bus Lie Expire: 12131/2024
Workers' Compensation Insurance
Carrier : STATE COMPENSATION INSURANCE FUND
Policy NO: 9058784
W. C. Expire: 6/1/2024
NO Manufacturer : LG
Model#: LS120HFV3
M
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 applicabledter(s)
(Section 7031.5. Business and Professions Code: Any City or county that requires a permit to construct, after, improve; demolish, or repair any structure, pnor to its issuance, also requires the applicant for
the permit to file a signed statement thathe or she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with .5'OCUOn 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 vlolatien of Section 7031.5 by any applicant fora 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 d0 U all of or L) portions of the work., and the structure is notintended or offered for sale (Section 7044,
3uskness 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. I f, 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
nmproved for the purpose of sale).
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
3ppfy 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).
1 am exempt from licensure under the Contractors' Slate License Law for the following reason:____
3y my signature below I acknowledge that, except for my personal residence in which 1 must have re_ __sided for at teas) one year p_rior to completion of the improvements covered by this permit, I cannot legal
: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 of the Business and
'Mfessions Code, isavailable upon request when this application Is submitted or at the followng Web site:htip://wwW.leginfo.ca.gov/calaw.html. 3gnalure of Property Owner or Authorized Agent
_lCENSED CONTRACTOR'S DECLARATION Date
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 �f Div si 3 of the Business and Prof
Ind effect. License Class License Noc Yftirc
VORKERS' COMPENSATION DECLARATION ?t&' Contractor Signature
IARNING: 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 ($10 .000), IN ADDITION TO THE
OST 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:
I I have and wiill 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 Ifni
erformance of the work for which this permit is. issued. Policy No.
Y
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'
carrier and policy number are:
of Agent
certify that, in the performance of the work
If I should become subject tote' e '
Sure of Aoolicant j e
Policy Number
Date
employ any person in any manner so as to became subject to the workers' compensation laws of California, and
I of the Labor Code, I shall forthwith comply with those provisions.
_� _. 9 agency P Dafe_?/�
hereby affirm under penalty of perjury thatihete is a construction lendin a enc for the is Address
of the work for which this permit is issued (Section 3097, Civil Code). ,
ender s Name Lender's Address
y my signature below, t certify to each of the Followingr ��
1 am the property owner or authorized to act on the property owner's behalf.
I have read thisapplication and the information I have provided is correct.
I agree to cOPIPly Witt,all applicable city and county ordinanceSS,arld` late laws relating to tiding construction.
I authorize representatives of this. city or count grit 7 7 t
in�nnt,aa r,f Rr.,,.an n,.;,,.,..... ..___� . . _ ��� �� nspection purposes,
DATE
BY ? DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART Ft OF TITLE 40 AND AQMD RII LE
FOR OFFICE USE ONLY
1403
PERMIT EXPIRED
''.
1 5UHMITTFO ASHESTOS NOTIFICATION TO
PERMITCANCELLED
PERMITEXTENDLD--
1L �7
uv ll/�
❑ A58ESTOS NOTIFICATION 15 NOT APPLICABLE 70
P€RMFICATEt
CERTIFICATEOF
OCCUPANCY I5SC1E0
I
PROPOSED DEMOLITION
SIGNATURE;