HomeMy WebLinkAboutH2024-0563 - Permits¢`�WroRr City of Newport Beach
p @ Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u S Permit Counter Phone: (949) 718-1888
} newportbeachca.gov/civic
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Mechanical Permit
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Work Class : Other
Permit Status: Issued
Issued Date : 09/04/2024
-- Inspection Area : 6
H2O24-0563
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: 3500 CATAMARAN DR Legal Desc : N TR 6152 BLK LOT 11
Description: MECH INSTALL (2) HEAT PUMPS AT SIDE `TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED` (XR2023-2274)
Owner:
DONNA CHEN
Contractor : FEDERICO GUERRERO
Address :
3500 CATAMARAN DR NEWPORT BEACH, CA 92625
Address : 2784 FASHION AV LONG BEACH, CA 90810
Phone:
(917) 991-4336
Phone : (562) 522-7256
Con State Lic : 1019911
Applicant:
FEDERICO GUERRERO
Lic Expire: 10/31/2024
AAaaress :
Zt64 FASHION AV LONG BEACH, CA 90810
Bus Lic: BT30083963
Phone:
(562) 522-7256
Bus Lic Expire:03131/2025
Workers' Compensation Insurance
Owner/Builder:
Carrier: PACIFIC COMP INSURANCE
Address :
Policy No: 1025280
Phone:
W. C. Expire: 10/20/2024
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Manufacturer: BRYANT
Model# : 38MURAQ(24 & 36)AA3
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X — - -
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: 9:5 PROHIBITED
SPECIAL CONDITIONS: Cq HFA @ � UMPS
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I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, 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 not intended or offered for sale (Section
7044, the
Business 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
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 it was not built or
improved 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
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 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 legalh
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:http:l/www.leginfo.ca.gov/calaw.htmi. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date -4/11 4. Tp%`t Contractor Signature Lb
WORKERS' COMPENSATION DECLARATION
WARNING: 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 15100,0001, IN ADDITION TO THE
'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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
p ll ormance 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 Cade, for the performance of the work for which this permit is issued. My workers' compensatio
insurance carrier and policy number are:
ae of Agent _
certify that, in the pI
. if I should become
nature of Applicant _
Policy Number
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
the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Data s'etp � 2��
CLARATION REGARDING CON5TRUGIIUN LCNUI NU AUMML,T
areby affn.i 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).
Ider s Na re Lenders Address
my signature below, I certify to each of the following:
I am the OrCp,rty owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
agree to comply with all applicable city and couordinances and state laws relating to building construction. f I
I authorize renresentatives of this city or county enter ttebove-identified property for inspection purposes.
maiure of Prooerty Owner or Authorized Agent / I q2 Print Property Owner's or Authorized Agent's Name L
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMII EXPIRED I ❑ 1 SUBMITTED ASOEST05 NOTIFICATION TO
^ERMIT EXTENDED LJAL
PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
Date