HomeMy WebLinkAboutH2024-0307 - Permitsn-WZ1111'1
City of Newport Beach III I I I II I I II II IIII II II II Mechanical Permit: H2024-0307
0q,, Community Deveiopri Dep�rtnient- 3uildirg Division Plan Check No
100 Civic Center give, Newport Beach, GF, 92560 Work Class: Other
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Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic Permit Status: Issued
Issued Date : 05/3012024
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 : 1015 GRANVILLE DR Legal Desc : N TR 14839 BLK LOT 2 UN HOLD
Description: MECH INSTALL HEAT PUMP "TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED"
Owner: EMIGH WAYNE D TR EMIGH SPOUSAL TR Contractor : HAVEN AIR CONDITIONING
Address: 1015 GRANVILLE DR NEWPORT BEACH, CA 92660 Address : 2075 N SHAFFER ST ORANGE, CA 92865
Phone: Phone: (714)998-7879
Con State Lic : 748387
Applicant: SAULMARTINEZ
Address : 2075 N SHAFFER ST ORANGE, CA 92865
Phone: (714)998-7879
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 15, Front: 3
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Lic Expire : 01/31/2026
Bus Lic : BT30081948
Bus Lic Expire:06/30/2024
Workers' Compensation Insurance
Carrier : FALLS LAKE FIRE AND CASUALTY COMPANY
Policy No: PSIC0701329801
W. C. Expire: 10/1/2024
Fire Hazard Zone : NO Manufacturer: LENNOX
Model# : VPC036H4M-3PD
rIM E R "'30 PQ, 0HIBITED
=)N HEAT PUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmarA(s. I haae pfE oed 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 ary.stn)cWre, prior to ssvanc�, also requires the applicant for
he 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; cf Division 3 of the Business and
'rofessions 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
lot more than five hundred dollars ($500).
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 off=red for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, IoLild- or improves the;roperty, provided that the
mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bd;;Car will have tire 'burdsa cf p-ovmg that it was not built or
noroved 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 not
Ipply 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' State License Law for the following reason.
ly my signature below I acknowledgo 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 legal],
:ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
)mfessions Code, is available upon requestwhen this application is submitted or at the following Web site:http:/(www.leginfo.ca.gov/calaw.html.
slgnalure of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perpury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) oJ,DEvsioq 3 of the Business and Professions CnA�, a my license is in full farce
Ind effect. License Class License No Date S J—C Contractor SignatureQT) 15 J
VORICERS' COMPENSATION DECLARATION
PARNINO: 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 t$100,009), IN "ORION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37116 OF THE LABOR CODE, INTEREST, ANOATTORNEY'SFEEs.
hereby affirm under penalty of perjury one of the following declarations:
1 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
Diformance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section WOO of the Labor Code., for the performance of the work for which this permit is issued. My workers'
ranee Carrier and policy number are:
ne of Agent
certify that, in the performance of the
, if I should becomesubject tope wo
wture of Auulicant\,D
Policy Number
Date
'or which thispermit is issued'., I shall not employ any person in. any manner so as to become subject to the workers' compensation laws of California, and agre
compensation provr/sl9r�rs* of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,
L_ ' Date � c::,— Z"
-reby 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 Lender's Address _
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly Owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or countyto enter tilwaboye-ider)tifjad property for inspection purposes.
ACTION
DATE
BY i DECLARATEON OF COMPLIANCE WITH CODEOF FEDERAL
FOR OFFICE USE ONLY
i REGULATIONS PART61 OFTNLE 40 ANDAQMD RULE
i 1408
PERMIT EXP?RkD
0 I SURMITTFD ASRFSTOS NOTIFICATION TO
PERMITCANCELLED
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PEAr'41TEXTENDED
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NOT APPLICABLE TO
CERT�RCATE OF
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�U0. DEMOLITIONSTOS
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OCCUPANCY
OCCUPANCY ISSUED
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