HomeMy WebLinkAboutH2024-0257 - Permits4101
City of Newport Beach
Community Development Department- Building Division
((i�i 100 Civic Center Drive, Newport Beach, CA 92660
i'IS, Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
/F w A
Mechanical Permit
unuwuuHill uiuiuuuionniiiuimuuoJill iui Plan Check No :
Work Class: Other
Permit Status: Issued
Issued Date : 05/07/2024
Inspection Area : 5
H2O24-0257
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: 2608 OCEAN BLVD Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 132 LOT 6 RESUB 0
Description: MECH - R/R HEATPUMP. TAMPER RESISTANT CAP REQUIRED.
Owner: STEPHEN NAVARRO
Address : 106 DOMINICK CT GREENVILLE, SC 29605
Phone:
Applicant: BEN MEDINA
Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone: (B 18) 735-7876
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY: A M
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
4? 7^r-4' f.."
Contractor : JUST RIGHT SERVICES PLUMBING HEATING & & A/C
Address :
23482 PERALTA DR LAGUNA HILLS, CA 92653
Phone:
(949)228-2108
Con State Lie
: 970383
Lie Expire :
04/30/2026
Bus Lie:
BT30066798
Bus Lie Expire:04/30/2025
Workers' Compensation Insurance
Carrier:
SECURITY NATIONAL
Policy No:
SWC1452087
W. C. Expire:
7/15/2024
Manufacturer: DAIKIN
Model# : RX12BXVJU
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
III 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
rofessions Code) or that he or she is exempt from licensors andthe 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 I_) all of or ( ) po ions 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 that the
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)-
3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
pply 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 t 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 resided for at least one year prior to completion of the, improvements covered by this permit, I.cannot legall,
all a structure that I have built as an owner -builder if it has not been constructed ut its entirety by licensed contractors. I understand that a copy of the applicable taw. Section 7044 of the Business and
'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:/Jwww.leginfo.ca.govicalaw.html.
ignature 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 f)CIivi 'on 3 o f the Business and Professi ,. and my license is in full force
nd effect. License Class License No Date Contractor Signal
PORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WOkKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 07W OF THE LABOR CODE, INTEREST, ANDATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 th
erformance of the work for which this permit is issued. Policy No.
thave 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' compensation
Is have
carrier and policy number are:
Policy Number
of Agent
certify that, in the performance of the work for which this permit Is
, If I should become subject to the w nffs compensat' a-p Isla
nature of Applicant
Date
ued. I shall not employ any person in any manner so as to become subject to the workers' compensates f California, and agre
of Section 3700 of the Labor Code, I shall. forthwith comply With those provisions.
Data Z
>reby affirm under penal,perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
tder s Name Lender's 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 behalf,
I have read this application and the information I have providedis correct.
I agree to comply with all applicable city and county ordinances and state laws relating to b g-eerlstruciion. //
I authorize representatives of this city or county ttterlCa-ab-identifie or inspection purposes. 0 (_ I
mature of ProDertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name _
ACTION DATE UtAT1DNS PART O51 OF TITLE. A0 ANDAQMD RU FCE WITH CODE OF RAt � FOR OFFICE USE ONLY
PERMIT EXPIRED I 1 1 IJ I SURMITTFD ASRFSTOS NOTIFICATION TO
PERMIT £ T£ X L _ �17OMD
PERMITFWAC Lw ln ❑ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF J LI` PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE