HomeMy WebLinkAboutH2024-0084 - Permits��EWPoRr City of Newport Beach
p A Community Development Department - Building Division
1OD Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
.x. newportbeachca.gov/civic
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Mechanical Permit : H2024-oo84
Plan Check No:
PC2023-2234
Work Class
Issued Date : 02/15/2024
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 A.ND NOL ID.AYS IN AV_ AREAS
Job Address : 2812 CAROB ST Legal Desc : N TR 4892 BILK LOT 29
Description: MECH INSTALL NEW HVAC SYSTEM **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED —
Owner: CROSS LARRY ARLEN TR THE CROSS FAMILY TR
Address : 2812 CAROB ST NEWPORT BEACH, CA 92660
Phone:
Applicant: HG HOME SERVICES
Address : 1501 WESTCLIFF DR NEWPORT BEACH, CA 92660
Phone: (949)877-2821
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: O�
SPECIAL CONDITIONS:
Contractor : HG HOME SERVICES
Address :
1501 WESTCLIFF DR NEWPORT BEACH, CA 92660
Phone:
(949)877-2821
Con State Lie
: 1077757
Lie Expire :
07/31/2025
Bus Lie :
BT300768818
Bus Lie Expire:02/28/2024
Workers' Compensation Insurance
Carrier :
CLEAR SPRING PROP & CASUALTY CO
Policy No :
CWC00016801
W. C. Expire:
6/1612024
Manufacturer
Model# :
OWNER -BUILDER DECLARATION
I hereby aHim1 Under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, orrepair any structure, prior to its issuance, also requires the applicant for
the :ermtt to file a signed statement thathe or she Is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Mvision.3 of the Business and
Professions Code) or that he or she is exempt from Iicensure 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 ($500).
❑ 1, as owner of the property,or my employees with wages as their sale compensation, will do L) all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044,
Business and Professions Cnde' The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not in{anJeu or offarad fpl saie, If, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
improved for the purpu€.E q(°..ale).
❑ t, as owner of the property, am exaus,veiy coribacling with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from hdenswe un'dar the Lontr6ctors' S,are License Law for the fallowing reason.
By my signature bolo r I sckna',:.Iefge'.hat, except for m) personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by thispermit, I.cannot legal
sell a structure that I rive built as Lir nwner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hhp:liwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _- Date
LICENSED CONTRACTOR'$ DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) !•vi;wn Business and Profe, silo my license is in full force
and effect. License Class License No Data Contractor Siga?1a
NORKERS' COMPENSATION DECLARATION f ' I
YARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND HOUSANO DOLLARS ($100,000), IN ADDITION TO THE
:DST Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, ANO ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
IlvArrinance of the work for which this permit is. issued. Policy No.
ave 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' compensatiol
T ance carrier and policy number are:
.amer Policy Number Expiration Date
dame of Agent �.� Phone If
If certify that, in the performance of the work for which this p�na+1 I ed l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if I should become subject to the workers' con loat�n provisions of Section 3700 of the Labor Code, I shall forthwith comply wittl those provisions.
signature of Applies Date
Date
)ECLARATION REGA. CTION LENDING AGENCY m Y_
herebyaffirm under p a of ury 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 Lenders Address
3y my signature below, 7 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.
agree to comply With all applicable city and county ordinance d slate laws refatin t ng construction.
I authorize representatives of this city or county to enter th bove-identified for Inspection purposes. y^ lJ G
3i nature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent s Name V ` lir Dat
ACTION DATE BY III, DECL F COMPLIANCE VVITH CODE OF FEDERAL FOR OFFICE USE ONLY
f e ONS PART 61 OFTITLE 40ANDAQI RULF
PERrutITEXPWp I I I L-IISUBMITTFDASBESTOS
PERMITFJNAL I LJ AS8ESTOS NOTIFICATION 15 NOT APPLICABLE TO
OCCUPANCYTiFiCATE OF
SS '—// AI 6 SIGNATURE;
OCCUPANCY 155UEo