HomeMy WebLinkAboutH2023-0078 - PermitsPORT City of Newport Beach Mechanical Permit: H2023-0078
III I I I II I III II II II III I II
d Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022.2246
• z Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic Work Class :Other
Issued Date : 0210212023
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 : 370 VISTA BAYA Legal Desc : N TR 2609 BLK LOT 6
Description: MECH - (2) NEW HEAT PUMP *TAMPER PROOF CAP REQ*
Owner:
RICHARD MEEKER
Address :
370 VISTA BAYA NEWPORT BEACH, CA 92660
Phone :
Applicant :
HARRY MARK CONSTRUCTION
Address :
3949 ALADDIN HUNTINGTON BEACH, CA 92649
Phone :
(949) 322-6727
Owner/Builder
:
Address
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20
Flood Zone : X
Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS: REV #1 - (1) ADDITIONAL HEAT PUMP
Contractor ; HARRY MARK CONSTRUCTION
Address : 3949 ALADDIN HUNTINGTON BEACH, CA 92649
Phone : (949) 322-6727
Con State Lic : 815146
Lic Expire : 04/30/2024
Bus Lic : BT30048921
Bus Lic Expire:10/31/2023
Workers' Compensation Insurance
Carrier : SIRIUSPOINT AMERICA INSURANCE CO
Policy No : WC8755301
W. C. Expire: 1/10/2024
Manufacturer: TRANE ,
Model# : 4TWL9060A
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below re ai the structure, o I have placed next to the applicable ltem(a
Section 7031.5. Business and Professions Coda: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, requires the applicant for
he 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
'rofesstons Code) or that he or she is exempt from liceasure 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
rat more than five hundred dollars ($500)..
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended oroHered for sale (Section 7D44,
3usinass and Professions Code: The Contractors' State License Law dons not apply to an owner of property who, through employees or personal effort, builds or improves the property, provided that the
mprovements 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 butt( or
mproved 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' 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).
❑ I am exempt from l censure under the Contractors' Slate License Law for the following reason: _
By my signature below }. acknowledge that, except for my personal residence In which 1 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 it 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 at the following Web site:http:flw .leginfo.ca.gov)calaw.html. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I 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 SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOrGN TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
n 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 in
xmance of th'e work far which this permit is issued. Policy No.
ha.a and will m in wor
kers' rkers' 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'
ranee carrier ono nohoy number are:
iL.r _. Policy Number
Date
is of Agent —_.
cerify that, in the performance of the work for which thispermit is issued, I shall not employ any person in any manner so as to become subject to the Workers' compensation laws of California, and
. if I should bcconre rubjecl to the workers-' compensation provisions of Section 3700of the Labor Code, I shall forthwith comply with those provisions.
,gna;c a of Applicant
ECI_eq ATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm unL;er p_:',alty 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),
enders Name _ - Lenders Address
y my signature.ti I certify to each of the following:
I am the pror)RRv nwner or authorized to act on the properly ovener`s behalf.
I have read this application and the information l have provided is correct.
I agree to comply wvith.. 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.
lonature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name _
DATE
BY '. DECLARATION OF COMPLIANCE WITH [ODE OF FEDERAL
FOR OFFICE USE ONLY
ACTION
REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
1403
PERMrT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
_
I 1_FNgh+ID
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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ASeEST05 NOTI FICA nON 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: