HomeMy WebLinkAboutH2024-0050 - PermitsE`wvoRr. City of Newport Beach III I I I II I I II II II III I II II Mechanical Permit : H2O24-0050
Community Development Department - Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
E n Permit Counter Phone: (949) 718-1888 Work Class : Other
U S newportbeachca.gov/civic Issued Date : 01/3012024
°4ci coa"�P �- +-- ,* -^• Inspection Area : 6
'i
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 : 2519 BUNGALOW PL Legal Desc : N TR 15829 BILK LOT 1 TRACT 15829, FOR OF LOT 1
Description: MECH R/R 1 HEAT PUMP AT SIDE **TAMPER RESISTANT CAPS REQUIRED AND TIMERS PROHIBITED**
Owner: WILLIAM FERRERO
Address : 2519 BUNGALOW PL NEWPORT BEACH, CA 92625
Phone :
Applicant: BEN MEDINA
Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone: (818)735-7876
owner/Builder:
Address
Phone:
Code Edition: 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY
X
RM - Multiple Residential
SPECIAL CONDITIONS:
6:�s
Fire Hazard Zone : NO
Contractor : GOETTL AIR CONDITIONING & PLUMBING
Address : 532 MALLOY COURT CORONA, CA 92880
Phone:
(714)462-8174
Con State Lie :
1047781
Lie Expire :
12/3112024
Bus Lie :
BT30077958
Bus Lie Expire:02/28/2024
Workers' Compensation Insurance
Carrier :
AMERISURE MUTUAL INSURANCE COMPANY
Policy No:
21221200002
W. C. Expire:
12/1/2024
Manufacturer: GOODMAN
Model#: GSZ1481K
TIMERS P
AN HEAT PUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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 constnlot, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to Pilo a signed slatemant that he or she is licensed pursuant to tho 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 licensors 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
flat more than five hundred dollars ($500),.
❑ 1, 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 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, Line 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
Ilmyproved 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' State License Law does not
'apply to an owner of property who builds or Improves thereon, and who contracts for [he projects with a licensed Contractor pursuant to the Contractors' State License Law),
I am exempt from lfcensure udder the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided forat 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 If It has not been constructed In Its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7C44 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/iwwwAeginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Dale
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (Commencing with Section TOO ) pfpp iyyryjl of the Business and P a-B"ode,. and my license is in full force
and effect. License Class License No Date c�t� !i_1 Contractor S lure
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVfL FINES UP TO ONE 1111175RED THOUSAND DOLLARS i$100,000), IN ADOMON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
France of the work for which this permit is. issued. Policy No,
and will maintain workers' compensation insurance, as required by $action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
of Agent
certify that, inthe performance of the work for which this
if I should become subject to the works' rompers• '
ralure of Applicant
Date
crab I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree
of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Data
` U
lreby affirm under perf3fEy of that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Idlers Name _ Lender's Address _
my signature below, I certify to each of the following:
I in, tie property owner or authorized to act on the property owner's behalf.
I have read this dppiination and the Information i have provided is correct.
I agiee to comply mrith all applicable city and county ordinances and state laws relating to bu nsiruclion.
I au,horize remesentatives of this city or county to enter the abo fdentlrei pro r Inspection purposes. 4/�f (f� . �� �// z�I+ '
iisture of Propart'✓ Owner or Authorized Arent Print Prooerm Owner's or Authmi7wd Anenf a Name N� • V Cu
DATE BY DE OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
TIONS PART fit OF TITLE 40 AND AQMO RULE
P,e,'A lk, WORW ; U I SUBMITTFO ASRE$TOS NOTIFICATION TO
PeRMITCANCELCEU I FPA
PCAMIT FINAL �I ❑gSaESTUS NOTI FICATIUN 15 NOT APPLICABLE TU
CEATIFfCATE OF �'�-Z9. �} PROPOSED DEMOLITION
OCCUPANCY 155UEO I SIGNATURE:
Date