HomeMy WebLinkAboutH2023-0231 - PermitsaEWPoRT City of Newport Beach IIIIIII IIII IIIIIIII I III
C4 Community Development Department- Building Division
F " 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9</FppN�P newportbeachca.gov/inspections
Mechanical Permit : H2O23-0231
Plan Check No : 1493-2022
Work Class : Other
Issued Date: 04/04/2023
Inspection Area : 3
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 : 1946 WINDWARD LN Legal Desc : N TR 4463 BLK LOT 12
Description: MECH 2 NEW HEAT PUMPS *TAMPER RPOOF CAP REQ* -�
Owner: CHRISTY CARRIE TR
Address : 1946 WINDWARD LN NEWPORT BEACH, CA 92660
Phone :
Applicant: C JONES & CO
Address : PO BOX 2946 COSTA MESA, CA 92628
Phone : (714) 668-1190
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : C JONES & CO
Address : PO BOX 2946 COSTA MESA, CA 92628
Phone: (714)668-1190
Con State Lic : 1064530
Lic Expire : 03/31/2024
Bus Lic: BT30073234
Bus Lic Expire:10/31/2023 -..
Workers' Compensation Insurance
Carrier : STATE COMPENSATION INSURANCE FUND
Policy No ; 9306288
W. C. Expire: 9/29/2023
Manufacturer: MITSUBISHI
Model#: PVA-A36AA7
TIMERS PRUGHI IT
ON HEST PUMP.;
OWNER -BUILDER
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 haveplaced next to the applicable 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 applicantfor
to 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
rrofessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a. permit subjects the applicant to a civil ponsity of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is notintended or offered for sale (Section 7044,
Iusiness 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 oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved 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' Stale License Law does not
pply to anowner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
3 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 legally
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
rofessions Code, is available upon request when this application is submitted or at the following Web site:http:dwww.leginfo.ca.govlcalaw.html..
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiD 7 O) of i "sion 3 of the Business and Prof ons Co , an feense is in full force
nd effect. License Class License. No Da Contractor Signature
VORKERS" COMPENSATION DECLARATION
'ARNING: 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 ($100,000). IN ADDITION TO THE
OST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 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
r,-formance of the work for 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
I certify that. in the performance of the work f r 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
tat, it I should become sub' ct to the ^ rke co ensaticn provisions of Section 3700 of the Labor Code, I shall. forthwith comply with Those provisions.
ignature of Applicant Dat y�L,
DECLARATION REGA �l RU ON LENDING AGENCY
hereby affirm under penalty of perjury thatthere is a ConsWction [ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read thisapplication and the information I have providedis correct.
I agree to comply with all applicable city and county ordinances and slate aws relating to building construction.
I authorize representatives of this city or County tier thevtiiov a led property for inspection purposes.
ignature of Property Owner or Authorized Agent Print Procarty Owner's or Authnn7Pd Anent's Namn (Jvll J&eirs
ACTION DATE BY 7 3 DECLAM%TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART El OF TITLE 40 AND AOMD RULE
03
PERMIT EXPIRW El SUBMITTFO ASBESTOS NOTIFICATION TO
PERMITFiNAL L ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CEERTIFfCATEOF 1�13(2� j PROPOSED DEMOLITION
OCCUPANCY ISSUED I sarnanlRF.