HomeMy WebLinkAboutH2023-0773 - Permits��F:WPORT City of Newport Beach
D @ Community Development Department - Building Division
> 1y" 100 Civic Center Drive, Newport Beach, CA 92660
i Permit Counter Phone: (949) 718-1888
tea.. newportbeachca.gov/civic
c9G/FOR��P
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 1211312023
Inspection Area :2
H2O23-0773
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
i
: 210 BAY FRONTS Legal Desc
: A TR BALBOA ISLAND RESUB SEC 1 BLK 3 LOT 6 - -
Description
: MECH REPLACE FURNACE
Owner:
CHAPMAN SCOTT C TR THE CHAPMAN FAMILY TR
Contractor :
COASTAL HEATING & COOLING INC
Address:
53 CAPE ANDOVER NEWPORT BEACH, CA 92660
Address :
21418 SILVER SPUR LN WILDOMAR, CA 92595� ----
Phone:
Phone:
(949)482-2599
Con State
St t Ls
• 1045446
Applicant: MARIO VERDIN
Address: 770 S BREA BLVD BREA, CA 92821
Phone: (949)492-0290
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone: AO 2; X; AO 1
Use Zone; - I - Two -Unit Residential, Balboa Island
PROCESSED BY
SPECIAL CONDITIONS:
.
Lic Expire : 01/31/2025
Bus Lic : BT30080419
Bus Lic Expire:01/31/2024
Workers' Compensation Insurance
Carrier : SIRIUSPOINT INS. COMPANY
Policy No : WC78187
W. C. Expire: 7/15/2024
Manufacturer:
Model# :
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reascm(s) indicated below by the checkmark(s) I have placed next to the applicable items)
CSection 70315, 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
the permit to file a signed statement that he or she is licensed pursuant to the previsions of 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 liaensure 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)..
El I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work., and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Cade: 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 thatthe
improvements are not intended or offered for sale. lf, 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).
Ell. 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),
❑ 1 ant exempt from licensure under the Contractors' State License Law for the following reason
By my signature below I acknowledge that, except for my personal residence in which I must have resided fora] least one year prior to completion of the improvements covered by this permit I cannot legal])
sell a structure that I have built as an owner -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:hitpaimww.leginto.ca..gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 000) of Division 3 of the Busies, and Professions Code, and my license is in full farce
and effect. License Class 1. — 2 b License No ! �U C f.�,1. D Contractor S nature /
VORKERS' COMPENSATION DECLARATION. It
IR9N'Y4 F4ILURE TO SEC' 'FE WORN.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE H NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CST OF CC MPENSATION, DA:3AGES ASP ROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
he. eby affirm under penalty of perjuryone of the following declarations:
r�I \have and will main+ain a certificate of consent to seiNnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
ld4ri�p1'Mtsnce of €ha mc:k :or which this permit is issued. Policy No.
ave and will main+gin 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' comper iol
Ts ranee carrier aria policy number era:
.arrier. Policy Number Expiration Date
inn of Rgent rl curie rr
JI certify that, in tl lu perormance 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 agre
Ict, ill St ould bt;�r subject to the workers win at' e revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
igrleture of App ca l��~ a' 2 (13/Z
'DECLARATION REG RDf CONSTRUCTION LENDING AGENCY ✓�
hereby 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).
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,
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 r county to enter the above-i nhfied property for Inspection purposes. \ ___.__ ___. r /i �_��� o.:,,.eo,,..,e.e., n,.,,.o..^,,. a,an,.�,�an a� w,ro MAd;n LIGI din rule
DATE Bx DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
EXPIRED I i IJ I SUBMITTED A59FSTOS NOTIFICATION TO
PERMITEXrENOED
LJACLMD
PERMIT UAL
CERTIFICA VE F
(o,r[.jp.2
_
///']]L❑ASBESTOS N01 IFICATION 15 NOT APPLICABLE TO
jf f' PROPOSED DEMOLITION
Occuf CYISSUEO
�/ SIGNATURE:
L
a,
OD
W
a�
3
F
0
o
U
z
¢
Uo
0
c)
i
W
a
U M
N7
ZZ_
N
HW
A
co IT
00
E
N
Q
z�(D
O W
m
aQN
O
Z0
ALL;
QI
p.Amm.
�0
Z
W
o
W
o
a
W
Aaa�
a
�U
0 LL
C)W
o
O
> 0
W y
y
(D
W
L�
o
Y
O
�
°;
o
O
N
1
J
a
N .. m
0
Q Z O
a) E Q
a` a a
0
U
co
C
0
U
0
M
C
U
J
(D
N y
a)w o c
m
N U)
,C
`O
a) E
>
-C N
Q
7
O
C O a)0
Co
E
Q m
'O
a).
M O
0 a) �
N"
L O O
>. i
m
NYU
O
C M
O
.0 a)
U
m
M
O
(D
Y E o
3
a1
N
a
o� y
a
M M +L+
�
-NO
@ OC
o n)
a
c c c
p 0
CD
M O
a) N
O O
L C
•O
N C
(4 O
a) "O j U
0 N
C E
O
O N L
�Q
a)
L X O ��
oC
O
o
c�
o c o
N=
3
aa)
c;;
E
U Vj
(d O a)
0
3
O) E O M
= L V
o
U c o
3 Mp
=o o�
m
O
O E
o•c)
N
_
Qa i
0-2°'`
O
O
3
N 7
asp..
o
�ME�
+'No
M
w.- a)
O
:5
YO
•D O-
-0
L
O
a) a5 E
a)
l6 R L
M
O Cl)
C
NQL Q.
m 0) MO
a3
NC
Ua)
.�
+L+
U a)
a
E N O
y
M
m
L)L..a
U .3 M
Y
5
N
o-c
U a)�
Z
o —
E
c
=4 o
VL o
a) �
M
G
M E -c
X U
caLr-
M
a3
-0O U
>1 L
L w
3
o-° UU
ca)
E
Co
m
c�
6
y
O N
-0 O)
CC
`o
aom E
E_
a) L
L 0
C
r--•
O
— N
U
C
CO CD M
C N M
()
O)
M C O U
a L a
0;6
N Mr
p
mo N 3
0
•O-
U.y.L.; N
C L
U o
'0- m�
U o
o� 3a
a)�y.
�o
N N
N 0
.� N
a) C
y
.Q O` 0
L
a o a H
— L
a
3
N V
C 01 a)
O
•Q
M +,
❑
m
w E U a3
�'' C
V
... a)
� C (n
❑
� _c
of a)
F- r-
U aa))U
Opp
awl
= c.Q.
m
0