HomeMy WebLinkAboutH2023-0073 - PermitsaEWIPORT
City of Newport Beach
p A ii. d
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type -
Work Class - Other
Cod'
II�030�III0�III�I II COMB Permit : H2O23-0073
Plan Check No : 0832-2022
Issued Date : 0210112023
Final Date:
Permit Status: Issued
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 : 1807 ANTIGUA CIR Legal Desc : N TR 3764 BLK LOT 22
Description: MECH -INSTALL 2 HEAT PUMPS. TAMPER -RESISTANT CAPS REQ'D
Owner: AZZARITO MARK TR THE MAE TR
Contractor: ESKIMO AIR CONDITIONG & HEATING
Architect
Address : 1357 SUSSEX LN
Address : 1240 CORONADO ST
Address
NEWPORT BEACH, CA 92660
UPLAND, CA 91786
Phone :
Phone : (909) 920-3700
Phone
Con State Lic : 759568
State Lic
Lic Expire: 02/28/2025
Applicant: ESKIMO AIR CONDITIONG & HEATING
Bus Lic: BT30072566
Engineer
Address : 1240 CORONADO ST
Bus Lic Expire : 07/31/2024
Address
UPLAND, CA 91786
Phone: (909) 920-3700
Workers' Compensation Insurance
Phone:
Carrier: FALLS LAKE FIRE AND CASUALTY
COMPANY
Owner/Builder :
Policy No : FLA01675001
Designer:
Address :
W. C. Expire : 4/4/2024
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation
Type of Construction :
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
No of Units :
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
Added/New sq. ft. Garage
TOTAL sq. ft.
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:
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 by the checkmark(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 construct, alter, 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
.improvements 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
improved for the purpose of sale).
111. 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).
❑ 1 am exempt from licensure under the Contractors' Stale License Law for the following reason:
By 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 legal)
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 at the following Web site:http://w .leginfo,c .gov/calaw.htmi.
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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Dale 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 ADDITION 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:
111 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
performance of the work for which this permit is issued. Policy No.
131 have 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' compensatior
insurance carrier and policy number are:
Policy Number
Date
le of Agent
certify that, in the performance of the work for 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dale
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby 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).
Ides s Name Lenders Address
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 this application and the information I have provided is correct.
I agree to comply with 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.
nature of PrODerty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE I BY REGULATIONS PART 61 OF TDECLARATION OF IITLE 40CE TAND AQMD RU EH CODE OF RAL I FOR OFFICE USE ONLY
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PERM/TFINAL OASBESTOS NOTIFICATION 15 NOT APPLICABLE 7O
CERTIFICATE OF - PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
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