HomeMy WebLinkAboutH2024-0210 - Permits�FwPOR
City of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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III I I I II I I II II II I II I II II Mechanical Permit : H2O24-021 0
Plan Check No : PC2023-0918
Work Class: Other
Issued Date: 04/12/2024
w r., 4 Inspection Area : 2
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: 642 VIA LIDO NORD Legal Desc : N TR 907 BILK LOT 58
Description: MECH INSTALL (2) ROOF MOUNTED HEAT PUMPS **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHBITED** (XR2023-1030)
Owner:
BASH INVESTMENTS LLC
Contractor : CASTLETON DEVELOPMENT AND MANAGEMENT INC
Address :
642 VIA LIDO NORD NEWPORT BEACH, CA 92663
Address : 3164 E LA PALMA AV, F ANAHEIM, CA 92806
Phone:
(713)503-5908
Phone: (714)833-5454
Con State Lic : 975703
Applicant:
CASTLETON DEVELOPMENT AND MANAGEMENT INC
Lic Expire: 08/31/2024
Address :
3 1 b4 E LA PALMA AV, F ANAH Euvi, CA 928U6
t3us Lie
Phone:
(714) 833-5454
Bus Lic Expire:04130/2024
Workers' Compensation Insurance
Owner/Builder:
Carrier : INSURANCE COMPANY OF THE WEST
Address :
Policy No: WVE5043154
Phone:
W. C. Expire: 9/8/2024
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Manufacturer: CARRIER
Model# : 25VNA4
Building Setbacks: Ffent: 10, Front: 4, Side: 3, Side: 3
Flood Zone: AE, 8 FT; X NO CONS I G - I .( :f
ISE
Use Zone : R-1 - Single -Unit Residential -
PROCESSED BY: V-i
SPECIAL CONDITIONS: HIGH DENSITY ZONE
ON SATURDAY'E.,
TIMERS EjD
ON HEAT PUMPS"
OWNER -BUILDER DECLARATION
I hereby affirm under penaltyof 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 retails)
Section 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
he permit to fife 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
Irofessions Code) or that he or she is exempt from licenaure 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
lot more than five hundred dollars ($500).
1 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 not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
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
a�ptply 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),
...t I am exempt from licensure under the Contractors' State License Law for the following reason: .......... -__ _ ........ . ------- ---- _.....
3y 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
wil a structure that I have built as an owner -holder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 o e Business and
arofesseins 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 ..____Dal _
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and P fession a my license Is in full force
lnd effect. License Class License No Date H Contractor Signature
NORKERS' COMPENSATION DECLARATION �7
VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
]OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION OTUS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
-11 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, forth
)arformance of the work for which this permit is issued. Policy No.
11 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' compensaior
isurance carrier and policy number are:
enter Policy Number Expiration Date
area of Agent I Phone #
11 certify that. in the pe rmanc k 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
,at, if I should become object I ors compensation provisions of Section 3700 of lire Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant __ _ Date —
DEC �Z Z
LARATION REGARDI UCTION LENDING AGENCY
hereby affirm under pen 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 signaturI certify to each of the follm
1 am the rr-r,ILrty owner or authorized to act on
I have read OTs Ppplication and the information
I agree to comply with all applicable city and cc
i authorize representatives of this city or count]
is ,Flure Of Pi oueiry Owner or Authorized Agent
state laws relating to building construction.
]entitled properly for inspection purposes.
DATE BY ECtARATION OF COMPLIANCE WITH CODE OF FEDEI
AlREGULATIONS PART fit OF TITLE. 40 AND AQMD RULE
1403
1Sh11TEXPfRE0 OtSURMITTED ASBESTOS NOTIFICATION TO
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LJA$RESTOSNONFICAFIONISNOFAPPLICABLE TO
CERTIFICATE OF
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Dt`"� PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: __
Owner's or Authorized Ag
FOR OFFICE USE ONLY
Date