HomeMy WebLinkAboutH2022-0703 - Permits��6`wPO�T City of Newport Beach
p d Community Development Department- Building Division
> 100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
Cq</Fe0.N�P newportbeachca.gov/inspections
II II II IIII II Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 12/13/2022
Inspection Area : 4
H2O22-0703
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 : 427 VISTA TRUCHA Legal Desc : N TR 6885 BLK LOT 44
Description: MECH A/C CHANGE OUT/FURNACE CHANGE OUT
Owner: JOHN BARBER
Address : 427 VISTA TRUCHA NEWPORT BEACH, CA 92660
Phone: (949)274-5727
Applicant: SAULMARTINEZ
Address: 1221 PUERTA DEL SOL, 300 SAN CLEMENTE, CA 92673
Phone : (949) 492-0290
Owner/Builder:
Address:
Phone:
Code Edition: 2019
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Contractor :
VETERAN AIR
Address :
1340 N DYNAMICS ST STE A ANAHEIM, CA 92806
Phone :
(714) 206-3493
Con State Lic
: 949515
Lic Expire :
06130/2024
Bus Lic:
BT30076778
Bus Lic Expire:10/31/2023
Workers' Compensation Insurance
Carrier : BERKSHIRE+HATHAWAY+DIRECT+INSURANCL:+COMPANY
Policy No: N9WC389004
W. C. Expire: 3/4/2023
Manufacturer: LENNOX
Model# : EL18XCV
TIMERS PROHIBITED
ON HEAT PUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 applicableitem(s)
ction 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
morethanfive hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work., and the structure is notintended or offered for sale (Section 7044,
ainess 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
movements 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
)roved for the purpose of sale).
I. as aAmer 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
)fy 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).
LJ I am 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 for at least one year prior to completion of the Improvements covered by this permit, I.cannot lega%
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 copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or fitthefollowing Web site:htip://www.leginfo.ca.govlcataw.htmi.
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 Section 000 of Division 3�pfthe Business and Professlo s C de, and my license Is in full force
and effecL License Class License No Date + L ontractor Signature(/J.+
WORKERS' COM PEN SATION DECLARATION
NARNING: 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 IS100,0101, IN AVOTTION TO TAC.
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COPE, INTEREST, ANOATTORNEY'S FEES.
I 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, h-'h
performance of the work for 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'
rance, carrier and policy number are:
Policy Number
Date
Is of Agent rnone R
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 afire
if I should become subject t e workers co p nsatlon provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions.
tatureofAp—7
Applicant
� _ .�- � ���._ . __. _.. °ate
hereby affirm under penalty of perjury thatihere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
enders Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or aethorized to act on the property owners behalf.
I have read this application and the information 1 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 count to t fir bove entifled property for Inspection purposes. (�
a, ah,,,Pd A„ant i A 01 Print Prooartv Owner's or Authorized AaenCs NamtY`�` L
DATE I fly - DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED I i I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERNTEXTENDED
( LJAQMD
PERMIT FINAL
CERTIFICATEOF
�/ /
' ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
OCCUPANCYISSUED
((0
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SIGNATURE:
Civil Code).