The URL can be used to link to this page

Home My WebLink AboutH2022-0391 - Permits,exPORr City of Newport Beach III II I III II I II IIII III I II p� - d Community Development Department- Building Division MQCharllCai Permit 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: > T Permit Counter Phone: (949) 644-3288 Work Class :Other a� Inspection Requests Phone: (949) 644-3255 cq�rcoftN�� newportbeachca.gov/inspections Issued Date : 08/01/2022 Inspection Area : 6 H2O22-0391 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 : 142 PARK CREST Legal Desc : Description : MECH - R/R FAIL, LIKE FOR LIKE Owner: Jamie Gruwell Address : 1 White Cap Ln NEWPORT BEACH, CA 92658 Phone: Applicant: AMTECH HEATING & AIR INC Address: 17751 SKY PARK CIR, STE F IRVINE, Phone : (800) 882-3019 Owner/Builder: Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: X PC - Newport Ridge SPECIAL CONDITIONS: R:14901 BLK LOT 3 TRACT-14907 LOT 3, FOR. OF LOT. Contractor := AMTECH-HEATING & AIR INC Address : -17751 SKYPARKCIR, STE F IRVINE, CA 92614 Co Lic Bu Bus Lic Expire:08/31/2 Workers' Compensafic Carrier. ' SIRIUS 3 INS CO Policy No . - WC855jo W. C. Expire`: 12/20/2022 Fire Hazard Zone : NO Manufacturer Model# : Qe J 3 O� O C CC @ 67 U cy� yl Y O ^ VC -J: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors"State-License Law for the reascn(s). indicated below by the checkmark(s) I have: placed next to theapplicable: 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 o (commenting 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. Ahyvidation of Section 7031.5 by any applicant for a permit. subjects the app(loantto a civil penalty of. not more than five hundred dollars ($500).. I, as owner of the property, or my employees with wages as thelrsale compensation, Will dog(_) all or (_) portions of the work;: and the structure Is not intended oroffered'for sale:: (Section 7044, Business 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 Improvements are not intended or offered for sale. If, .however, the building. or improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that It was not built or fm 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 dues not. apply to an avmerof 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 Ikensure 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: feast;one year prior to completion of the improvements covered by this:: permit, I.cannot legal) sell astructure that I have built. as an owner -builder if It has not been constructed €nits, entUaty by licensed contractors. 1 understand that copy of the applicable law, Section 7044 of the Business and Professions Code; is available upon request when this applicationis submitted or. Fit the following Web site:htlp:flwww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 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 WORKERS' COMPENSATION COVERAGE IS UNLAWFUL..AND SHALL SUS MCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL F94ES UP TO ONE HUNDRED THOUSAND DOLLARS (E'IDD,BSD); IN. ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED: FOR IN SECTION 3796 OF THE LABOR CODE, INTEREST, "a ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: IJ I 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 performance of the work for which this permit is issued. Policy No, 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Coda, for the performance of the: work for which this permit is issued. My workers Compensation Insurance carrier and policy number ace: Carrier Policy Number Expiration Date Name of Agent Phone if I certify that, inthe 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 agre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. Signature of Applicant. .. Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury thatthere is a construction fending agency for the performance of the workfor which this permit is issued (Section 3097,. Civil Code). Lender's Name Lender`s. Address By my signatures below, t certify to Seen ofthe following: I am the property owner or authorized to act on the property owner's behalf. 1 have read 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; Si nature Of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL. FOR OFFICE USEONLY REGULATIONS PART 61 OF TITLE 40 AND.AQMD RULE 1403 PERhYTEXPIR£O U I SUBMITTED ASBESTOS NOT I FICATION TO �. a • •.• •ao + wa • • a PERMIT CANCELLED LIEPA + • PERM.ITCXTENDED EIAOMD ' ` • ` + PERMIT FINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO • + CERTIFICATE Of �'�• Pf"'~� PROPOSEDDEMOUTION OCCUPANCY ISSUED SIGNATURE: __________ l,,,�_• ••. s s • . e` e e e+ e .e ec .• a e eat ea•