HomeMy WebLinkAboutH2023-0685 - PermitsC��gWppRT City of Newport Beach
Community Development Department- Building Division
F Fy 100 Civic Center Drive, Newport Beach, CA 92660
M s Permit Counter Phone: (949) 718-1888
n ewpo rtb eachca. gov/civi c
C4G/FO0.N�P
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 10/23/2023
Inspection Area :7
H2O23-0685
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: 521 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 535 LOT 21
Description: MECH -NEW HEAT PUMPS (2). TAMPER RESISTANT CAP REQUIRED
Owner: 521 IRIS PARTNERS LLC
Address : 601 4TH ST UNIT129 SAN FRANCISCO, CA 94107
Phone :
Applicant: SAGE MODERN INC
Address: 601 4TH, #129 SAN FRANCISCO, CA 94107
Phone : (775) 527-7527
Owner/Builder :
Address
Phone:
Code Edition: 2022 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
NO
Contractor : SAGE MODERN INC
Address :
601 4TH, #129 SAN FRANCISCO, CA 94107
Phone:
(775)527-7527
Con State Lie :
983732
Lie Expire :
05/31/2025
Bus Lie:
BT30071663
Bus Lie Expire:04/30/2024
Workers' Compensation Insurance
Carrier :
EVEREST PREMIER INS CO
Policy No :
7600016252221
W. C. Expire:
3/15/2024
Manufacturer : AC PRO
Model# : AULD60W2/A1-D(U) (2)
-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(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 iicensure 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 (_) all of or (_j 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
ErIm roved for the purpose of sale).
I, 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
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' Slate License Law for the following reason:
By my signature below f 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 legall,
sell a structure that I have built as an owner-buildar if it has not beenconstructed in itsentirety by licensed contraclem. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is avallable upon request when this application Is submitted or at the following Web site:httpa/www.leginfo.ca..govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION n �f
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700Qi �of� D7v�@si1pin 3of the Business and Professi ns Cod and� license is in full force
and effect. License Class License No Z Contractor Signature.
1� �i
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS 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 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for ih
performance of the work for which this permit is. issued. Policy ND..
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'
ranee carrier and policy number are:
Policy Number
to of Agent _
Date
>I certify that, in the p once of the rk for which this pe[mu is issued'. l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
tat, It i should became so ct to the the
Dump setion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those. provisions. ��ff
Roature of Applicant ,,..__ :..-- _,,,,daCL _ Date 1U u
IECLARATION REGARDING 0NSTRUCTION LENDING AGENCY
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).
.enders Name Lender's Address
ly my signature below. I certify to each of the following:
i am file property owner Or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is corre
I agree to comply with all appl'Icable city and c Tty ordinanc no st t laws relating to building construction.
1 authorize representatives of this city or county to ter the a e-id I led property for inspection purposes. 1\ \n\+ i
;ionature of Prooertv Owner or Authorized Aoant J. LJ,._ Print Pionsty Owner's or Authorized Anent s Name a;,� polo %��7�"J/2 i
ACTION ` DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
( I REGULATIONS PART 610E TITLE. 40 AND AQMD RULE
PERMIT
PERMIT EXTENDED
L VQf ID
TOS NOTIFICATION 15 NOT APPLICABLE TO
rotJIMP'ROPOSED
PERMIFFINAI
CERTIFICATE OF
DEMOLITION
OCCUPANGYISSUED
IGN4TIIRE'