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HomeMy WebLinkAboutH2023-0538 - PermitsaEWpo City of Newport Beach 0 Community Development Department- Building Division F ,i Fy 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 <.� newportbeachca.gov/civic CgGLOftN\P Mechanical Permit Plan Check No: Work Class : Other Issued Date : 08123/2023 Inspection Area : 2 H2O23-0538 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: 433 HARBOR ISLAND DR Legal Desc : N TR 3283 BLK LOT 6 TR 3283 LOT 6 AND POR SW1/4 SE Description: MECH -NEW HEAT PUMPS (3). TAMPER -RESISTANT CAP REQUIRED Owner: DOBSON JAMES EDWARD / KRAMER MARSHA SUSAN Address : 433 HARBOR ISLAND DR NEWPORT BEACH, CA 92660 Phone: Applicant: DALLASCERVANTES Address : 286 POPLAR S, 15 BREA, CA 92821 Phone: (714)930-6428 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Front: 20, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: M SPECIAL CONDITIONS: INIC r-n r Fire Hazard Zone Contractor : PRO WEST MECHANICAL INC Address : 15431 RED HILL AVE #F TUSTIN, CA 92780 Phone: (714)651-8737 Con State Lie : 974570 Lie Expire: 06/30/2024 Bus Lie: BT30051314 Bus Lie Expire:05/31/2024 Workers' Compensation Insurance Carrier : INSURANCE COMPANY OF THE WEST Policy No: C69981331 W. C. Expire: 11/1/2023 NO Manufacturer : CARRIER Model# : 38VMB048HDS3-1 / 38VMB060HDS3-1 / OWNER -BUILDER DECLARATION I 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 items) ;Section 7031.5. 1usiness and Professions Code'. Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also regUireS the applirfInt for :ho 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) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensors 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 Tot more than five hundred dollars ($500). I, as owner of the property, or my employees With wages as their sale compensation, will do (_) all of or U portions of the work., and the structure is notintended or offered for sale (Section 7044, Business 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 improvements 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 L was not built or mproved 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 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). Z1 I ant exempt from feensure under the Contractors' Slate 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 legally sell a structure that I have built as an owner-buildor 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:http:!(www.leginfo.ce.gov/calaw.html. Signature of Property Owner or Authorized Agent Dim-- -- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f ion 3 of the Business and Profess) ns C is in full force and effect. License Class License No Date 23 `2 Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL fINE3 UP TO ONE HUNDRED TH USAND OOLLARS ISID0,00 IN AODn1ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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, performance of the work for which this permit is issued. Policy No. ZI 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' Compensator insurance carrier and policy number are: Carrier Policy Number Expiration Dale Name of Agent Phone N []I certify the(, in the perform. r so IT rk for which this permit is issued, I s !I'4at employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree thShould become su ' of to th' ark rs' compensation provisions of 5 for 700 of the Labor Code, I shall forthwith comply With those provisions. Signaturepp _ Date........_���3 2 DECLARATION REGA C 'ION LENDING 'NOY I hereby affirm under pen of that there is a construction lending ncy for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name _ _ Lender's Address —..— By 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 pr d 1 correct. agree IG comply wiUi all applicable city and county or manc a d state Im rel ting to building construction, I authorize representatives of this city or county to a er 6-identifiedr erty for inspection purposes. Si nature of Pro e,t Owner or Authorized A ent Print Pro ert Owner's or Authorized A ent's Name �o.(�aS `z"""'' S Date I lip ACTION D1TEE BY 1 6EC1A M TION OF COMPLIANCE WITH CODEOF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RLJLE 1403 PERMIT EXPIRE!) Ll SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCft.LBQ --- M EPA - - ---- -- RERMIT FXTENOED - AQMD PERMITFINAL �f// d ' ASBESTOS NOI IFICATION IS NDt APPLICABLE 10 CERTiFICATFOF 142T/2y J ( PROPOSED DEMOLITION OCCUPANCY FSSUEO { SIGNATURE: _..__._...._.......___--._._._..—_____-_.._..