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HomeMy WebLinkAboutH2025-0325 - Permits��WPokT City of Newport Beach III I I I II I II I II II I I II I II Permit: H2O25-0325 0� @ Community Development Department - Building Division m; Plan Check No F y, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 Work Class : Other J � newportbeachca.gov/civic Permit Status: Issued "'- a- Issued Date : 05/08/2025 y i ` Inspection Area 1 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 : 123 VIA ORVIETO Legal Desc : Description: MECH INSTALL MINI -SPLIT HEAT PUMP **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: JOHANNA STAPLES Address : 123 VIA ORVIETO NEWPORT BEACH, CA 92663 Phone : (303) 525-5843 Applicant: BEN MEDINA Address: 31225 LA BAYA DR, 213 WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder: Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks Flood Zone: Use Zone: PROCESSED BY: 1✓� SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : MARATHON PLUMBING HEATING & AIR LLC Address : 212 EAST STREET, 317 COVINA, CA 91723 Phone : (626) 338-1511 Con State Lic : 1129622 Lic Expire : 11/3012026 Bus Lic: BT30086774 Bus Lic Expire: 04/30/2026 Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE COMPANY INC Policy No : TWC4510885 W. C. Expire: 10/3/2025 Manufacturer: DAIKIN Model#: RXC12AXVJU I hereby affirm under penalty of perjury that I am exempt from the Contractors Stale License Law for the reasons) Indicated below by the checkmark(s) I have placed next to the applicable Itemis) 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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 lot 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 70", 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 Tiprovements 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 Tiproved for the purpose of sale). I. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Contractors' State License Law does not ipply 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: ly 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 legall) Zell 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 rrofessions Cotle, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. iignalure of Property Owner or Authorized Agent .__ Dale _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 700 1 e Business and Prof _ or�LSd@ and my license is in full force ind effect. License Class License No Date ontractor Sig re J PORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4$100.000). IN ADOPTION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declamGons: 7 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 Cade, for th edormance of the work far which this permit is issued- Policy No. 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' carrier and policy number are: Policy Number of Agent Date JI certify that. in the performance of the work for whi�permiris issued, I shall not employ any person in any manner so as to become subject to the workerscompensation laws of California, and agre Tat. if I should become subject to the w penorFi sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. liynature of Applicant Dale `��U IECLARATION REG G CONSTR CTION LENDING AGENCY hereby affirm untler of pe hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code). Seder's Name Lenders Address ly my signature Mlnw, I certify to each of the following: I am the pr>nPny owner or authorized to act on the property owner's behalf - I nave read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances sad -stale laws relating to building construction. I authorize representatives of this city or county to ente aOve-identified property for inspection purposes. ri DATE BY DEC ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AC MD RULE 1403 PERNOT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMfTCANCELLfO i i DEPA PFRF4fT FINAL LJ NBEST05 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE Or J)U- PROPOSED DEMOLITION OCCUPANCY'SSUED SIr.NATIIRB