HomeMy WebLinkAboutH2023-0047 - Permitsk ,eWPoR� City of Newport Beach
C Community Development Department- Building Division
�y 100 Civic Center Drive, Newport Beach, CA 92660
U 3n
Permit Counter Phone: (949) 644-3288
.a.< Inspection Requests Phone: (949) 644-3255
°4,coaN�P newportbeachca.gov/inspections
Mechanical Permit : H2O23-0047
Plan Check No :
her
Issued Dork ateection A eO 012023
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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 : 1815 GALATEA TER Legal Desc : N TR 2813 BLK LOT 143
Description: MECH -CHANGE OUT EXIST'G FURNACE IN CLOSET AREA
Owner: CRISCIONE FRED TR SURVIVORS TR
Address: 1815 GALATEA TER CORONA DEL MAR, CA 92625
Phone:
Applicant: RIGHT] ME HOME SERVICES
Address: 1821 MCGAW AVE IRVINE, CA 92614
Phone: (714)998-4300
Owner/Builder :
Address
Phone:
Code Edition: 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
Front: 10, Side: 4, Side: 4, Rear: 10
X
R-1 - Single -Unit Residential
001112
SPECIAL CONDITIONS:
Fire Hazard Zone
Contractor :
RIGHTIME HOME SERVICES
Address :
1821 MCGAW AVE IRVINE, CA 92614
Phone :
(714) 998-4300
Con State Lic
: 765074
Lic Expire :
06/30/2023
Bus Lic :
BT30078653
Bus Lic Expire:05/31/2023
Workers' Compensation
Insurance
Carrier :
LIBERTY INS CO
Policy No:
WA763D508631011
W. C. Expire:
10/1/2023
NO
Manufacturer:
Model# :
•, ,9 iJ
I hereby affirm under penalty of pehurythat I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmarii I have placed next to the Applicable item
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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).
13 I, as owner of the property,or my employees with wages as their sole compensation, will do `) all of or L) 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 an owner of property who, through employees' an personal effort, builds or improves the property, provided that the
Improvements are not intended or offered for sale. If, however, file building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that ft was not built or
improved for the purpose of safe).
❑ 1, as owner of the properly, am exclusively contracting with licensed Contractors to constructthe 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` State License Law far the following reason;
By my signature below l 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 legally
sell 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
Professions Code, is available upon request when this application Is submitted or the fallowing Web site:http:llwv+'w.leginfo.ca.govtcalaw.htrnl.
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 70 0 ,tvi i of the Business and Professio e, and my license is in full force
and effect. License Class License No Date U Contractor Signatui
INORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE ED THOUSAND DOLLARS ISIP0.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGESAS PROYDED FOR IN SECTION V06 OF THE LABOR CODE, INTEREST, ANOATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will n,PFfgTn a ce:tifica:e of consent to saff•Insere for workers' compensation, issued by .the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for OT
sarfpmlance of the work fa, which this permit is issued. Policy No.
and will maintain workers` compensation insurance, as required by Section 3700 of the Labor Coda, for the performance of the work for which this parmlt is issued. My workers"
carrier Rol po'ic) number are.
Policy Number
Agent
Date
certify that, in the parformancallf thlwktTlt for Which this a , I sRall not employ any person in any manner so as to become subject to the workars`oompansaNan I ws of California, and ogre
t, it I should becod a suc:ecf tc thr v,,irk'r't0 S Do :Ien provisionsof Section 3700 of the Labor Code„ I sfialt forthwith comply mb those provisions. 2
nature of Applicant „_..... ,- ._._, Date 23
CLARATION Ri TR:ICTION LENDING AGENCY
rmby affirm uncl � e of penury that there is a construction lending agency for the performance of the. work for which this permit is issued (Section 3097, Civil. Co e),
Ider's Name Lender's Address
my signature Below, I certify to each of the Following:
I am Eta property owner or authorized to act on the property owner's behalf.
I have read this application and the mtormatlon I have provided is correct.
I agree to comply with all applicable city and ceun} es and state laws rolaUng 10 building construction. p
I authorize representatives of this city or county to enter the Bove -ids y for inspection purposes.
nature of Property Owner or Authorized Anent .,,--i Print Prooerty Owner's or Authorized Ar ent's Namo lam" V Z r`/, .VIr C^ OaJ I
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND A(IMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT FINAL bLYriSBESTO$ NOTIFICATIONIS NOT APPLICABLE TO
CERZIFiCAZt pF Mv,)S23 PROPOSED €#ACfL+TION
OCCUPA14CY ISSUED a SIGNATIIRF-