HomeMy WebLinkAboutH2024-0238 - PermitsC��E.wiPoRT City of Newport Beach
@m Community Development Department- Building Division
'... n 100 Civic Centel Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 04/24/2024
Inspection Area : 5
H2O24-0238
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 : 8 SIDNEY BAY DR Legal Desc : N TR 15445 BILK LOT 21
Description: MECH INSTL (2) @ THE SIDE YARD, TAMPER RESISTANT CAPS REQ
Owner: DANIEL ROBINSON
Address : 8 SIDNEY BAY DR NEWPORT COAST, CA 92657
Phone :
Applicant: FLUEGGE CONSTRUCTION INC
Address: 27762 ANTONIO PKWY L-1 #422 LADERA RANCH, CA 92694
Phone: (949)275-7311
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone: PC - Newport Coast
C/
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone
Contractor : FLUEGGE CONSTRUCTION INC
Address : 27762 ANTONIO PKWY L-1 #422 LADERA RANCPJ1'A 92694'
Phone: (949)275-7311 ,
Con State Lie: 844285
Lie Expire : 08/31/2024
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Bus Lie: BT30080202
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Bus Lie Expire:12/31/2024
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Workers' Compensation Insurance
Carrier : EXEMPT - NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire:
YES Manufacturer: AC PRO
Model# : AULD60W2/A1-D(U)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reascrl(s) indicated below by the checkmark(s) I have placed next to the applicable hern(s)
(Section 7031.6. 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 re^.74ires the applicant for
the permit to file a signed statement thathe or she is licensed pursuant to the provisionsof 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 %Vegas 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
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
improved 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
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 Ficensure under the Contractors' Slate License Law for the following reason:.__
By my signature below I acknowledge that, except for my personal residence m which I must have resided for at least one year prior to completion of the improvementscovered by this permit, 1 cannot legail,
sell a structure that I have built as an ownor-builder if it has not been constructed In itsentirety by licensed contractors. I understand that a copy of the 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:lfwww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CCNTkA",TOR'S DECLARATION
I :Iereby 3ffi••.rm. under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec �0 of ssio�ny3 of the Bu ne and®ro e,. and my license Is in full force
End etfert. License 3Iass License. No Do Contr ctor S IT
WORMERS' COMP' idSATION DECLARATION
/.ARNIn^,: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
COST OF CCMPENSA'ION, ekMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES,
he,eby affirm under penalty of perjury one of the following declarations:
have and Wi Iaintain 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
ormance of the cu`. for which this permit is issued. Policy No.
3T ?-
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:
rs of Agent _ _
certify that, in the
. If I should bacon
Policy Number Expiration Date
Phone #
Ice of the work for which this permit Is issued, I shall not employ any person inany manner so as to become subject, to the orkers' co pen ation laws of California, and agre,
to the ers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
ate ,Zv 2%
.ONS�TRUCTION LENDING AGENCY
hereby affirm urger paAaKy dlf perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
enders Name Lender's Address
y my signature below. I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
1 have read this application and the informatio I have provided is correct. /y 2�e0{ ut,
I agree to comply with all applicable city and q ty finances and state laws relating to building construction. ///J'//,f/
I authorize representatives of this city cou t`a��rwe-identi0ed property for inspection purposes. 9 M wJ l �C[ 7V icnature of Property Owner or Autho � d en I _ .Print Property Owner's or Authorized Age 's m Dat
RV Li j]ECLARATION Of COMPLIANCE WITH CODE OF FEDERAL I� FOR OFFICE USE. ONLY
EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I I € I.JI SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED UAQM D
PERMITFINALCERTIFICATE 5� 1 J� PRO?DEMOLITIONLJ ASBESTOS NOTIFICATION
IFICAION 15 NOT APPLICABLE TO
OCCUPANCY ISSUED SIGNATURE: