HomeMy WebLinkAboutH2023-0118 - PermitsaEWPORr City of Newport Beach
D� @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u S Inspection Requests Phone: (949) 644-3255
CgG�c00.N`P newportbeachca.gov/inspections
Mechanical Permit : H2O23-0118
Plan Check No: 2234-2021
Work Class : Other
Issued Date : 02/17/2023
Inspection Area : q
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: 2901 ALTA VISTA DR Legal Desc : N TR 5018 BILK LOT 137
Description: MECH INSTALL HEAT PUMP @ SIDE — TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED"" X2021-2574
Owner: Diana Keyes
Address : 2901 Alta Vista Drive Newport Beach, CA 92660
Phone : (949) 933-3307
Applicant:
Diana Keyes
Address :
2901 Alta Vista Drive Newport Beach, CA 92660
Phone :
(949) 933-3307
Owner/Builder:
Diana Keyes
Address :
2901 Alta Vista Drive Newport Beach, CA 92660
Phone:
(949)933-3307
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Contractor
Address
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire:
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Manufacturer: AC PRO
Model# : AWDH(18)ND3GO
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
;Section 70310.. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he permit to file a signed statement that. he or she is licensod pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
5rofessions 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 fora permit subjects the applicant to a civil penalty of
lot more than five hundred dollars t$500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is notintended oroffered for sale (Section 7044,
3usiness 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
mprovements are not intended or offered for safe. 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
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 licensure under the Contractors' State License Caw forthe following reason:
3y my signature below € 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 thisrpermit, Lcannot legalll
;ell a structure that I have built as an owner -builder If it has not been constructed In itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
professions Code, is available upon request WbeR4h&s all lication Is sul0mltted or at the following Web site:httpa/www.leginfo.ca..gov/calaw.html.
Signature of Properly Owner or Authorized Agent lfll a xt I, �.Q-r - Date � — [ � Z�
-ICENSED CONTRACTOR'S DECLARATION `I
hereby affirm under penalty of perjury that 1 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
Ind effect License Class License. No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
tARNING: 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 ($100,0001, IN ADDITION TO THE
'.CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3716 OF THE LABOR CODE, INTEREST, Me ATTORNEY-SFEEs.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to sett -Ensure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th,
arformance of the work. for which this permit is. issued. Policy No.
71 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
isurance carrier and policy number are:
Policy Number Expiration Date
of Agent -_._-.. n,-___L
certify that, in the performance of the work for which this permit Is issued, 1 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 prov sions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
of
Date
hereby affirm underpenalty of perjury that there is a construction tending 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, l certify to each of the following:
I am the property owner or authorized to act on 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 county ordinances and state laws relating to building.. construction.
I authorize representatives of this city or coup enter the abo e,identilied property for inspection purposes. T i nature of Property Owner or Authorized Age ni , wJr -tom Pnml Property Owner's or Authorized Agent's Name .I) k rl cA..
wt i Ivry
DATE
BY
DECLARATION OF COWLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXP1RE0
1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLEO
PEAAUr`EXTEND€D
AOMD
PERMIT FINA!
03IOGI24
DL TON
ASBESTOS NOTIFICATION is NOT APPLICABLE To
CERTIFICATE OF
PROPOSED DEMOLITIONMS
OCCUPANCYISSUEO
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