HomeMy WebLinkAboutH2025-0562 - PermitsP City of Newport Beach
aN Community Development Department - Belding Divirior
> 100 Civic Center Drive, Newport Beach, r,A9266D
Permit Counter Phone: (949) 718-,;6 3
:E= newportbeachca.gov/civic
Permit: H2O25-0562
Plan Check No :
Work Class : Other
Permit Status: Issued
Issued Date : 08/28/2025
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 : 1918 SEADRIFT DR Legal Desc : N TR 2813 BLK LOT 11
Description: SFR - R/R AC UNIT W/DISCONNECT, R/R FAU, SAME LOCATIONS "TAMPER RESISTANT CAP REQUIRED"
Owner: KAREN DAVIS
Address : 930 TAHOE BLVD STE802INCLINE VILLAGE, NV 89451
Phone :
Applicant: SAUL MARTINEZ
Address: 285 E IMPERIAL HWY, 200 FULLERTON, CA 92835
Phone : (714) 878-0259
Owner/Builder :
Address:
Phone:
Code Edition :
2022 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone:
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor :
COASTAL HEATING & COOLING INC
Address :
21418 SILVER SPUR LN WILDOMAR, CA 92595
Phone :
(949) 482-2599
Con State Lic
: 1045446
Lic Expire : 01/31/2027
Bus Lic: BT30080419
Bus Lic Expire: 01/31l2026 = __ r, L_ 4_s+ I k-.,# rl
Workers' Compensation Insurance
Carrier : PIE INSURANCE COMPANY (THE)
Policy No: 1223811
W. C. Expire : 7/15/2026
NO Manufacturer: AC PRO
Model# : SPAC-X-1060BC
OWNER -BUILDER DECLARATION "
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indlceled below by the OheuKmark(s) I have placed next to the applicable Hem(s)
(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dimolish, or fapair an 7 structure, pnor 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 Licens a Law (Chaplor 9 ;comn.en :ing-Kith Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 70J7.5 Ely any applicant For a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 1, 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,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through or, plbyees' or pet so„al effort, bu;lds 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 cDmpletion, the Owner-CLin der hill `face Lle burden of proving that it was not built or
Im roved 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).
❑ I am exempt from flcensure under the Contractors' Stale 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 legall7
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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.ca.gov/calaw.html.
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 7Q09) of, Is 3 of the Business and Profes and my license is In full force
and effect. License Class License No 6Z L '- Contractor Signature
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 1$100,0001, IN ADDITION TO THE
MAT OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION $106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
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 Code, for the performance of the work for which this permit is issued. My workerscompensa
Fence carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work fo ich 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
if I should become subject lryihe Workers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
na1Y(C'VPnFIIJImaIr'''�— �/ _�D
CLARATION REGAACHNG CONSTRUCTION LENDING AGENCY
Fab y affirm 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 Name _ _ Lenders Address
my signature below, certify to each of the following:
I am the property owner or authorized to art on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to ant r th b /P,,/td ntified property for inspection purposes. G,
nature of-Prooertv-Owner :or Authorized Accent r7JL Print Property Owner's or Authorized. Agent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED El I sUeMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLEO EPA
PERMIT FINAL /,I LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF QI8'�2 / PROPOSED DEMOLITION
OCCUPANCY ISSUED / SIGNATURE:
FOR OFFICE USE ONLY
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