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HomeMy WebLinkAboutH2024-0155 - PermitsCity oo Civic fC Center Drive, Newport Beach, Building Division III IIIII III II I I IIII III IIIII II III I IIIII { � Permit Counter Phone: (949) 718-188B G newportbeachca.gov/civic Mechanical Permit : H2O24-0155 Plan Check NO: pc.2_07-3 o7,c'O Work Class : Other Issued Date : 0311912024 Inspection Area : 4 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: 401 VISTA GRANDE Legal Desc : N TR 6230 BLK LOT 81 TR 6230 (L.L.84-214033) PAR B Description: MECH - INSTL (N) HEAT PUMP. TAMPER RESISTANT CAP REQUIRED Owner: HUMBERTO TAVARES Address : 401 VISTA GRANDE NEWPORT BEACH, CA 92660 Phone : Applicant: MATT WATSON Address: 1170 COAST HWY N LAGUNA BEACH, CA 92651-1373 Phone: (714) 943-0333 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Fire Hazard Zone Contractor : MATT WATSON Address : 1170 COAST HWY N LAGUNA BEACH, CA 92651-1373 Phone : (714) 943-0333 Con State Lie : 931225 Lie Expire : 04/30/2025 Bus Lie: BT30083170 Bus Lie Expire: 12131/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy NO: 9058784 W. C. Expire: 6/1/2024 NO Manufacturer : LG Model#: LS120HFV3 M I hereby affirm under penalty of 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 applicabledter(s) (Section 7031.5. Business and Professions Code: Any City or county that requires a permit to construct, after, improve; demolish, or repair any structure, pnor to its issuance, also requires the applicant for the permit to file a signed statement thathe or she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with .5'OCUOn 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 vlolatien of Section 7031.5 by any applicant fora 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 d0 U all of or L) portions of the work., and the structure is notintended or offered for sale (Section 7044, 3uskness 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. I f, 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 nmproved 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 3ppfy 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' Slate License Law for the following reason:____ 3y my signature below I acknowledge that, except for my personal residence in which 1 must have re_ __sided for at teas) one year p_rior to completion of the improvements covered by this permit, I cannot legal :ell 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 'Mfessions Code, isavailable upon request when this application Is submitted or at the followng Web site:htip://wwW.leginfo.ca.gov/calaw.html. 3gnalure of Property Owner or Authorized Agent _lCENSED CONTRACTOR'S DECLARATION Date hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 �f Div si 3 of the Business and Prof Ind effect. License Class License Noc Yftirc VORKERS' COMPENSATION DECLARATION ?t&' Contractor Signature IARNING: 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 ($10 .000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I I have and wiill 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 Ifni erformance of the work for which this permit is. issued. Policy No. Y 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: of Agent certify that, in the performance of the work If I should become subject tote' e ' Sure of Aoolicant j e Policy Number Date employ any person in any manner so as to became subject to the workers' compensation laws of California, and I of the Labor Code, I shall forthwith comply with those provisions. _� _. 9 agency P Dafe_?/� hereby affirm under penalty of perjury thatihete is a construction lendin a enc for the is Address of the work for which this permit is issued (Section 3097, Civil Code). , ender s Name Lender's Address y my signature below, t certify to each of the Followingr �� 1 am the property owner or authorized to act on the property owner's behalf. I have read thisapplication and the information I have provided is correct. I agree to cOPIPly Witt,all applicable city and county ordinanceSS,arld` late laws relating to tiding construction. I authorize representatives of this. city or count grit 7 7 t in�nnt,aa r,f Rr.,,.an n,.;,,.,..... ..___� . . _ ��� �� nspection purposes, DATE BY ? DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART Ft OF TITLE 40 AND AQMD RII LE FOR OFFICE USE ONLY 1403 PERMIT EXPIRED ''. 1 5UHMITTFO ASHESTOS NOTIFICATION TO PERMITCANCELLED PERMITEXTENDLD-- 1L �7 uv ll/� ❑ A58ESTOS NOTIFICATION 15 NOT APPLICABLE 70 P€RMFICATEt CERTIFICATEOF OCCUPANCY I5SC1E0 I PROPOSED DEMOLITION SIGNATURE;