HomeMy WebLinkAboutH2022-0694 - Permits�,£wmRr City of Newport Beach
D� @ Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
U r Permit Counter Phone: (949) 644-3288
c.Inspection Requests Phone: (949) 644-3255
C,/.lFpµN�P newportbeachca.gov/inspections
III I I I II I I I II II I I I Mechanical Permit : H2O22-0694
Plan Check No : 2544-2019
Work Class : Other
Issued Date : 12/0812022
Inspection Area: 5
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 : 506 FERNLEAF AVE Legal Desc : A TR CORONA DEL MAR BLK 533 LOT 8
Description: 1/2 FEES TO RENEW EXPIRED PERMIT FOR MECH (2) NEW HEAT PUMP *TAMPER PROOF CAP REQ* (H2O21-0297)
Owner:
TED & WENDY OLIVER
Address :
38878 ORCHARD ST BEAUMONT, CA 92223
Phone:
Applicant:
DAVID LOTTIE CONSTRUCTION
Address :
1002 S SHASTA ST WEST COVINA, CA 91791
Phone :
(949) 235-6400
Owner/Builder
:
Address
Phone:
Code Edition :
2019
Type of Construction
Occupancy Groups :
Building Setbacks :
Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : DAVID LOTTIE CONSTRUCTION
Address:
1002 S SHASTA ST WEST COVINA, CA 91791
Phone:
(949)235-6400
Con State Lic :
599746
Lic Expire :
08/31/2023
Bus Lic :
BT30078595
Bus Lic Expire:04130/2023
Workers' Compensation Insurance
Carrier :
CLEAR SPRING PROPERTY & CASUALTY CO
Policy No:
CWC00113400
W. C. Expire:
8/18/2023
Fire Hazard Zone : NO
Manufacturer: AC PRO
Model# : AUD36W/A-D(U) -
NO CONSTRUCTION NOISE ON
PROHIBITED
ON HEAT PUMPS
ON THE WEEKEND t'P[_5IFCTT0FFELDINSPFECTOWR
. EVIEWANDAPPROVAL
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjurythat I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicahle 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 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work., and the structure Is not intended or offered for safe. (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to on 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 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 ficensure 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 [east one year prior to completion of the Improvements covered by this permit, I cannot legally
SOL 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 copy of the applicable law, Section 7044 of the Elusinnss and
Professions Code, is available upon request when this application is submitted or at the following Web site:http!//w .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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License. No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.000f, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
''.I hereby affirm under Genalty, of perjury one of the following declarations:
❑ 1 have and will mcirdam 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 thI
parfrrran^e of € v, work for which this permit is issued. Policy No.
have and will mafhtdin 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'
ra.Tce -artier and policy number are:
Policy Number
Date
Is of Agent rnone IT
^eriP+ that, in'he performance 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
it,oa,u, t of Applicant _ _ USED_
E__L.ARA.TION REGA.RCING CONSTRUCTION LENDING AGENCY
hArn y nfrine 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).
ender s Name _ Lender's Address
y my signature balaw. ; certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf,
I have mad this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
PERMIT EXPIRED
PERMIT EXTENDEO
PERMITFINAL J
CERTIFICATE OF ?!
OCCUPANCY ISSUED
or Authorized
DATE BY ! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
(. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
t SUBMITTED
�LJ NOTIN IS NOT APPLICABLE TO
ZyZPROPOSEDDEMOLITION%
SIGNATURE:
FOR OFFICE USE ONLY
Name