HomeMy WebLinkAboutH2023-0478 - Permits�gWPORT City of Newport Beach Mechanical Permit: H2023-0478
III I I I III II II II III I II
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1802
S Permit Counter Phone: (949) 71 B-1888 Work Class : Other
e.. newportbeachca.gov/civic - -�� r
�, Issued Date :07/2fi12023
Inspection Area :5
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 : 309 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BLK 236 LOT 9 CORONA DEL MAR L
Description: MECH INSTALL HEAT PUMP AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (XR2023-2063)
Owner:
RONALD B ARRACHE
Address :
309 JASMINE AVE NEWPORT BEACH, CA 92625
Phone:
(310)415-6869
Applicant :
RONALD B ARRACHE
Address :
309 JASMINE AVE NEWPORT BEACH, CA 92625
Phone:
(310)415-6869
Owner/Builder :
Address
Phone :
Code Edition :
2022
Type of Construction
Occupancy Groups:
Building Setbacks:
Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY: f73
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Contractor : RONALD B ARRACHE
Address : P.O. Box 4109 Newport Beach, CA 92661
Phone: (310) 415-6869
Con State Lic : 360829
Lic Expire : 07/31/2024
Bus Lic: BT30004988
Bus Lic Expire:06/30/2024
Workers' Compensation Insurance
Carrier : EXEMPT - NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Fire Hazard Zone : NO Manufacturer : FUJITSU
Model# : 24RLXFZH
NO CONSTRUCTION WORK
ON SATURDAYS,
TIMERS Rtfll":.
ON HEAT Pumps
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that III.. am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
SeGion 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
tie 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
'rofessions Cade) or that he or she is exempt from licensors 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
of more than five hundred dollars ($500).
D I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or I portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovemenls 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).
3 I, 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
pply 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 licensors under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which t must have resided for at least one year prior to completion of the improvements Covered by this permit, annot legal
ell a structure that I have biU It as an owner -builder if It has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Bus' ss and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:Flw w.leginfo.ca.gov/calaw.html,
tignaturs of Property Owner or Authorized Agent to
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 7000 o J�iyis n 3 of the Business an Prof at n A117
s In full force
end effect. License Class License No Date 29 Contractor Sign to
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100.000), IN ADDITION TO TH
'GIST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a ced'aficate 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 II
erformance of the work for which this permit is issued. Policy No.
..,.II have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
nsurance carrier and policy number are:
-arrier Policy Number Expiration Date
Name of Agent Phone #
4certify that, in the perfor. ce of the' ork f ich this pe is iss sd, hail not employ any parson in any manner so as to become subject to the workers' compensation laws of alifoma, and agree
1t, If I should become s tec thaw ker co FIB tUor visions f Ilion 3700 of the Labor Code, I shall forthwith comply with these provisions.
Signature of Applicant Date 6
DECLARATION REGA 1N TlOi NG
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 Leads 's Address
By my signature below, I certify to each of the following:
I am the properly owner or authorixed to acton the properly 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 coun inances nd s e WE re l g to building construction.
I authorize representatives of this city or coun Unto the ve Ed pr grty for inspection purposes. ��
°iSrz'rrn of Pronertv Owner or Authorized A an Print Properly A enl's Nam Owner's or Authorized e >>�,1 4- /XXG Date
ACTION DATE By I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40AND AQMD RULE
_ 1403
vE°Mjr EXPIRED ''.I SUBMITTED ASBESTOS NOTIFICATION TO
PERMlT G4NCElLFD I EPA
.. .. f. .......
IE.I IEXTENC9D
PI�STT'''�
PCRMYTFINAL �J �(� t3 4..r A5BE5TO5 NOTIFICATION IS NOT APPLICABLE FO
CE7TlFI'ATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED' S SIGNATURE: