HomeMy WebLinkAboutH2022-0581 - PermitsX RmkY
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4 E`vPOR @ City of NDewport evelopment Bea Deparmrent-euildin9 Division ,S' echa ca r,P,ermit : H2O22-058
Community100 Civic Center Drive, Newport Beach, CA 92660 p Plan0hec O
S Permit Counter Phone: (949) 644-3288 p�• 0 W Class : er
eW'L, Inspection Requests Phone: (949) 644-3255
sued Date : 10/20 22
c'0'0o r`" newponbeachca.gov/inspections p a Inspection Area : 6
Y...e Caw 2 awit
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE O AST VALID INSR;z TION NO LATER THAN 3 YEARS FROM ORIGI I '6- ,NCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAV OR SU AY IN HIGH DEO AREAS AND NO WORK ON SUNQA( AND HO A ALL AREAS
Job Address : 54 RENATA Le 1 De BLK LOT 4
Description : MECH: REPLACE FURNACE & Ate -/NIT R "` R IV TANT PS & TIMER REQUIRED ��\\
Owner: KAMRAN AFLATOON / C ractor : GO C p BING
Address : 1507 KEEL DR CORONA DEL-MARC 2625 dress : 5 LQQ�```"`E"'jjjj}--"'' CORO CA 9 8
Phone : (949) 836-2796 7 hone : n` 3�i59
Con Stag 47
Applicant: BEN MEDINA _ Lic it 12/i 022
Address : 31225 LA BAY WEST E VG - 62 B L ``Y30D77958
Phone: (818) 735-78. - s Li xpire. 2/28/202
_r- Wo re Compensati Insur c
C Carrier : NA ATO S CIALTY INSURANCE Owner/Builder : �} J COMPANY -
Address : Policy No : 1 00048
Phone: W. C. Expir 12/1/2
Code Edition : �_,;20 ire Hazard Z9\q 1 Manufacturer: GOODMA,N -
Type of Construction •r'�, al ` /r Model# : GSXH506010
Occupancy Groups : X�hQ, /�Y • _ * .
\'
Building Setbacks : Front ,;ySl ' 5, Si ear. 10 g
gN
Flood Zone: Xw N-4-
Use Zone : PC - Newpolr AQoa
PROCESSED BY:
SPECIAL CONDITIONS:
!/' TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License La r the reason(s) indiCpr'ad below b the hee N k(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to co ct, alter, im prey �RnDish , or r air any etiurdlvor to its issuance, also requires the applicant for
e permit to file a signed statement that he or she is licensed pursuant to the provisions of th ontracfosRQjState f se Law (Ch for 9 (comm clog yB`dp,pection 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from Ilcensure and the basis far the alleged mption. vtolldtn Section 7 1.5 by any appGae for a•it subjects the applicant to a civil penalty of
at more than five hundred dollars ($500). v S`;
I, as owner of the property, or my employees with wages as their sole ccmpensa , will dn��all of or.6) portions 0f a work, and the structure is n to , pr offered for sale (Section 7044,
lusiness and Professions Code : The Contractors' State License Law does not ap to an pivry i pr y who, thro employees' or personal effort but or as the property, provided that the
Tlprovements are not intended or offered for sale. If, however, the building or rovemen sold ytliPeoneyearn ompletlon, the Owner -Builder will have t ui ,.proving that it was not built or
Trproved for the purpose of sale),
I, as owner of the property, am exclusively contracting with licensed Contractors to constro1Q, projec_\`1�°youch 7044. Business and Professions Cilill The Con to a License Law does not
Ipply to an owner of property who builds or improves thereon, and who.contracts for h e projects with a 11c�rsad Contractor pursuant to the Contractor s License L
I am exempt from licensure under the Contractors' Stale Licen alaw for th dllowin ason _.__._._._
_._.__ample—
3y my signature below acknowledge that, except for my perso residence' which eve Ided for at toast ono year poor to comple{ a improvements co ere it, I cannot legal],
ell a structure that I have built as an owner -builder if it has n can const cted i er}yrotj! ensed contractors I understand that cc LaI a applicable taw, ton 70 a Business and
Irofessions Code, is available upon request when this ap tfon Is sir !tied or i(Ia fowl 'eb site:httpa/w .leginfo.ce.gov/cala mil. -
:ignature of Property Owner or Authorized Agent a D
.ICENSED CONTRACTOR'S DECLARATIO
hereby affiml under penalty of perjury that I am ' nsed rovhsiuns of ClinpDr 9 (o uer"t�h .1 S Ion 7000 of Ch ' •' the Iness and Py fesal ♦ and m license is in full force
and effect. License Class 'b cerise M0 _ _. q - _- Date O 2 Gretor Sign Cure y
VORKERS' COMPENSATION DECL ATIO AIN= T '• 0
rARNING FAILURE Tp SECURE WORKERS' CO NSATION C ERAGE IS UNLAWF4I1.. ANO I HALL SUBJECT AN FNIPLOAR TO CRIMINAIpENNAT AND`54� ! lxll UP TO NE HAU L DT USAND DOLLARS (StM,QOOI, IN ADDITION TO THE
:DST OF COMPENSATION.DAMAGESASPR EOFOR INS TION 17A OF THE I. ASOR CODE. INTEREST AND ATI ORNEY'S FEES. a0T{'}p Vry •�1'
hereby affirm under penalty of pe " one oft follovring r rciarallons Q
I have and wll6 maintain ertificate a consept to wolf INFUIe for vDlkars-I;ompen .Ifiun. Issued by a Dlr or of ustrlal Rs ions�lL1-pro Ed for by Section 3700 of the Labor Code, for th
e or ante of the work for Ich this. p it Is iss d. Pv y oo.
is
have and will maI wo—rk¢�.`.Dampensation as required y Section 3700 of the Labor Code, for the performa a of th or or which this permit is Issued. My workers' compensatiol
,surpn,:e carrier sm alloy nI low are:
:artier .•.'"*. VVV Policy N er x ' tion Date
ipme of Agent _"-'1 one #
-1I certify that, P, the�yl(4rrn ce of which this pe I u I shall not ny person in any ner so to come subject to the workers' compensation laws of California, and agre
r*I, it should' D«romr sot w co p v rs of Sech'on 370 f Labor Code, I sfi orthwitt o with those provisions.
R` . I
ilgnature of Appl r_ �j\i... C� Data____ ,l0/7p
,C/•i
Ireby affirm under peilratt�ry th there
Idel's Name _
mysignetu-=gbe'dw I certify to each of the lowin.
I am the property owner or authorized io act mi
I. have read this Upolication and the information
I agree to cur,Iply aith all applicable city and coup
I authorize representatives of this city or county to
DATE
PERMIT £XT£NVED
PERMIT FINA!
CERTIFICATE OF
OCCUPANCY ISSUED
this permit is Issued (Section 3097, Civil Code).
purposes.
OF FEDERAL I FOR OFFICE USE ONLY
OD RULE
IJA.SBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
Name L
ME