HomeMy WebLinkAboutH2023-0168 - Permits�EWPORT City of Newport Beach III II I III III II III IIIII II
0� @ Community Development Department - Building Division
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y 100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
a. 2 Inspection Requests Phone: (949) 644-3255
cgG,F00.N�P newportbeachca.gov/inspections
Mechanical Permit : H202,3-0168
Plan Check No : 0773-2022
Work Class : Other
Issued Date : 03/0912023
Inspection Area : B
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 : 1307 SUSSEX LN Legal Desc : N TR 1896 BLK LOT 65
Description: MECH INSTALL 2 A/C UNITS @ SIDE ***TAMPER RESISTANT CAPS AND TIMERS REQUIRED*** (2022-0846)
Owner: Michael Manning
Address : 20151 SW Birch, 150 Newport Beach, CA 92660-0773
Phone : (949) 250-4200
Applicant: Michael Manning
Address : 20151 SW Birch, 150 Newport Beach, CA 92660-0773
Phone : (949) 250-4200
Owner/Builder : Michael Manning
Address : 20151 SW Birch, 150 Newport Beach, CA 92660-0773
Phone : (949) 250-4200
Code Edition : 2022 Fire Hazard Zone
Type of Construction
Occupancy Groups :
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: 503
SPECIAL CONDITIONS:
Contractor
Address
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire:
Workers' Compensation Insurance
Carrier:
Policy No
W. C. Expire:
NO Manufacturer : CARRIER
Model# : 24ACB7
TIh:ER R_QU!pcD ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7A.M.
OWNER -BUILDER DECLARATION
hereby affirm under penally 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
Ic 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
rofesslons 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)..
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or portions of the work, and the structure is not intended or offered for sale (Section 7044,
ustnass 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 oneyear of completion, the Owner -Builder will have the burden of proving that It was not buift of
Znoved for the purpose of sale).
I, 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 cot
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),
1 I am exempt from licensors under the Contractors' State License Law for the following reason:.___i _
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 legally
ell a structure that I have built as an owner-bulidar If it has not bee onstructad in its. anti by licensed contractors. I understand that a copy of the applicable law, Section 7044 a the Business and
mfesslons Code, is available upon request when t s tic Ibmttied<or at the following Web site:http:/fwww.leginfo.ca..govlcalaw.html. Z
,ignature of Properly Owner or Authorized A.3ant Data
.ICENSEQ CONTRACTOR'S DECLARATION
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
nd effect. License Class License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION.
'ARNING: 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 (5100,000), 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 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 the
arformance of the workfor 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'
ranee carrier and policy number are:
Policy Number
Date
ip of Agent Phone H
certify that, in the performance of the work for which this permit is issued., I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
It I should become a r�ja(y�tto tthe war ers compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those previsions. ->
lalure of APpfiaant �� .,._. .,...,. Date
Heby 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),
Iders Name 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 behalf.
I have read this application and the information I have provided is correct.
I agree to comply withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t W,the ab dentified-property for inspection purposes. ..i �r „t
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGUTATION4 PART 61 OF TITLE 40 AND ARMD RULE
1403
PEHMITEXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT FINAL L_I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERPOCATE Or �rl//LI PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: