HomeMy WebLinkAboutH2023-0699 - Permits4�EwPORr
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
Mechanical Permit : H2O23-0699
Plan Check No : 2146-2018
Work Class : New
Issued Date : 1D/31/2023
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 : 509 31 ST ST Legal Desc : A TR LANCASTERS ADD BLK 530 LOT 5 LANCASTERS ADD B
Description: MECH -NEW PACKAGE HEAT & A/C UNITS (2). TAMPER RESISTANT CAP REQUIRED
*4%W
Owner: CANNERY PARTNERS LLC
Address : 660 NEWPORT CENTER DR STE200 NEWPORT BEACH, CA 92660
Phone : (949) 999-4545
Applicant:
R W LEWIS CONSTRUCTION
Address:
1863 BAYPORT WAY NEWPORT BEACH, CA 92660
Phone:
(714) 321-4126
Owner/Builder
:
Address
Phone :
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone : MU-CV/15TH ST - Mixed -Use Cannery Village and 15th Street
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : R W LEWIS CONSTRUCTION
Address :
1863 BAYPORT WAY NEWPORT BEACH, CA 92660
Phone :
(714) 321-4126
Con State Lic
: 597309
Lic Expire :
06/30/2024
Bus Lic:
BT00021581
Bus Lic Expire:03/31/2024
Workers' Compensation
Insurance
Carrier :
CALIFORNIA INSURANCE COMPANY
Policy No:
46864922
W. C. Expire:
12/11/2023
Manufacturer : YORK
Model#: ZE060C00B2A1AAA1A4
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the cheokmark(s) I have placed next to the applicable tern(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
re permit to file a signed statement that. he or she is IiGensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with $notion 7000) of Division 3 of the Business and
rofessions Code) or that he or she is exempt from lioensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1 I, 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 sale (Section 7044,
usiness 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
nprovements 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
nproved for the purpose of sale).
I I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stake License Law does not
poly to an owner of property who bullds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I I Am exempt from l censure under the Contractors' State License Law for the following reason:
y 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 improvementscovered by this permit, I.cannol legall
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 copy of the applicable taw, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:hUp llvrww.leglnfo.ca.govlcalaw.html,
signature of Property Owner or Authorized Agent e
.ICENSED GONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Di 2i 3 of the Business and Pieties ns C e and my license Is to full for,,
Ed effect. License Class License. No Dale !( Contractor Signature
WORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORsI COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
I 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 the
�erf'o�rmance of the work for which this permit is issued. Policy No.
p(I�lAve 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` compensation
�surance Carrie and policy number are:
:artier �4(r�r+•w..� (a9 VeA.LI,- Policy Number �ct�(22 Expiration Date 12/1ZI73
lame of Agent Phone N
certify that, in the erforer f t work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the workers' compen ation laws of Callfom'a, and agree
if I should becoma cl to
th orkaIs' compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. 11
lelure of Applicant Date �i I
.r nenrrn�r acn nv'•nlw•.in_ nwrcron�rrnrill
I hereby affirm 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)
Lenders Name i Lender's Address _
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property ov+ er's behalf,
I have read this application and the information Ave prop a is correct.
i agree to comply withall applicable city and eo ty ordinan and state laws relating to building construction.
I authorize representatives of this city or county to ter th ove-identifled property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name V(- Date LLB 7r IZ
ACTION DATE BY ! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGUI.ATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT FXufRTh LJ I SUBMITTED ASBESTOS NOT[FICATION TO
PERMIir'ANC [.1."D � GPA
Pf!bY97 CNTEf'DE7 AQMD
PERMIT FINAL tJ y ,q .'y 1,pS6€STOSN 1"IFICATI NOT APPLICABLE TO
CERTIFICATE OF `� " —� p POSFD DEMO TION
OCCUPANCY I r5'7EDSiGNATURE: ___