HomeMy WebLinkAboutH2024-0464 - PermitsCity of Newport Beach
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Community Development Departr ant - Building Division
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100 Civic Center Drive, Newport Beach, CR92660
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Permit Counter Phone. (949) 718-1888
newportbeachca.gov/civiG
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III I I I II I I II II II IIII II II MecC ack �nica: iPermit : H2O24-0464
Plan Work Class : Addition/Alteration
Permit Status: Issued
Issued Date : 08101/2024
Inspection Area : 6
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 : 20 CHANNEL VISTA Legal Desc : N TR 15206 BILK LOT 9
Description: MECH REPLACE HEAT PUMP AT THE SIDE YARD, TAMPER RESISTANT CAP REQ, INSTL AIR -HANDLER
Owner : STANEK JOHN D TR J & P
Address : 20 CHANNEL VIS NEWPORT COAST, CA 92657
Phone: (714)401-0394
Applicant: BEN MEDINA
Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone: (818)735-7876
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone: PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Contractor : JUST RIGHT SERVICES PLUMBING HEATING & & Ali.
Address : 23482 PERALTA DR LAGUNA HILLS, CA 92653
Phone : (949) 228-2108 -
Con State Lic : 970383
Lic Expire : 04130/2026
Bus Lic : BT30066798
Bus Lic Expire:04/30/2025 4 PROHIR L�
Workers' Compensation Insurance, `8 -
Carrier: SECURITY NATIONAL Iy EST PLjl�%!p
Policy No : SWC1452087 ! �A a g
W. C. Expire: 7/15/2024
Manufacturer: AMERICAN STANDARD
Model# : 4A61-9036
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed 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 any sbuctume prior to Its Issuance, also requires the applicant for
1e 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 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
of more than five hundred dollars ($500).
7 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,
lusiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the
nprovements 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
n roved for the purpose of sale).
1, 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
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
] I am exempt from licensure under the Contractors Stale License Law for the following reason:
Iy 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivi f the Busl r nd my license Is in full force
nd effect. License Vass License No to Contra r Suture
VORKERS' COMPENSATION DECLARATION
'ARNING' FAILURF TO SEC'IRE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDRION TO THE
OST OF COMPENSATICA, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1.1 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 Ihr
E'ngrmdnce of the r+(;rk for which this permit is issued. Policy No.
and Y.1 ^ 3;n'ain 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'
-carrier and policy number are:
Policy Number
ie D• Agent
ca,t ly that, in the performance of the work for which this permit is
.:f I shoul(1 became subject to the workers' compensation provhte
Date
-not employ any person in any manner so as to become subject to
3700 of the Labor Code, I shall forthwith comply with those prgvisir
CLARATION RMNU-CON5 ON LENDING AGENCY
�reby affirm and nal that there is a construction lending agency for the performance of the work for which this permit is issued
lder's Name Lenders Address
orkers' compensation la s of California, and
Date_ ��
3097, Civil Code).
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the Infor tion I have provided is Correct.
I agree to comply with all applicab ci and county ordinances and stale laws relating, to building construction.
I authorize representatives of this cit r county to ant r the above-Identifie prepeny for inspection purposes. / y„
Signature of Pro a Owner or Authod ed cent Print Property Owner's or Authorized A ens ame G D
ACTION DATE J D ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED i 1 1 U I SUBMITTED ASBESTOS
PERMIT CANCELLED EPA
PERMIT FINAL I U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF O Z PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: