The URL can be used to link to this page

Home My WebLink AboutH2023-0788 - Permits�gWPO,gT City of Newport Beach III I I I II I III II II III II I II Mechanical Permit : H2O23-0788 0� @�Community Development Department -Building Division 10D Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2834 Permit Counter Phone: (949) 718-1888 Work Class : Other ' newportbeachca.gov/civic Issued Date : 12/19/2023 C9�IF00.N`P Inspection Area : 2 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 Description : Owner: Address Phone: Applicant Address: Phone: : 1130 DOLPHIN TER jjjjj..... Legal Desc : N TR 1700 BILK LOT 91 MECH - INSTALL HEAT PUMP SYSTF ,TAMPER -RESISTANT CAP REQ-D ALCONE MATTHEW R TR VBA IRR A(� R 122 MONTE CARLO DR LAGUNA BEA C 51 PRO WEST MECHANICAL INC "�/' �o 15431 RED HILL AVE #F TUSTIN, CA 92780 s (714)651-8737 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Front: 23, Front: 8, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : PRO WEST MECHANICAL INC Address: 15431 RED HILL AVE #F TUSTIN, CA 92780 Phone: (714)651-8737 Con State Lic : 974570 Lic Expire : 06/30/2024 Bus Lic : BT30051314 Bus Lic Expire: 05/3112024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No : C69981331 W. C. Expire: 11/1/2024 Manufacturer F V Model# : 25 A OWNER -BUILDER DECLARATION I hereby affirm under penallyof 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 applicableitem(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, pribrlo ifs issuance., also requires the applicant for ho 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 rrofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, lus€ness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' ar personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. I f, 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 nTproved for the purpose of sale). 1 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 ply to an owner of propertywho 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 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) all a structure that I have built as an owner -builder If it has not beenconstructed in its entirety by licensed contractors. l understand that a copy of the applicable law, Section 7044 of the Business and 4ofessfons Code, is available upon request when this application is submitted or at the following Web site:http://w .legmfo.ca.gov/cafaw.htm(. signature of Property Owner or Authorized Agent a a .ICEN'SED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Profes ' no effect. License Class License No Date I' 19 2 .Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: 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 13100,000), IN ADDITION TO THE DST 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 of Industrial Relations as provided for by Section 37GO of the Labor Code, for tt by(grmarce of the work for which this permit is issued, Policy No. ave 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' compensatia Ins, once carrier and policy number are: mer Policy Number Expiration Date Name of Agent Phone 4 F1I certify that, in the perform ce of 1. w rk fir which this permit is issued'., I I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, it i should become subj ct to k rs ogmpe rovistons of Se n 3700 of the Labor Code, I shell forthwith comply with those provisions. Signature of Applicant .._ _ Date DECLARATION REGAR _ ENDING AGENCY JJJ—f hereby affirm under pen ty 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 Lender's Address By my signature below, I certify to each of the followinT I am the property owner or authorized to act on th pMi;446�FtProperty lf. I have read this application and the Information avor I agree to comply with all applicable city and c my or ling to building. construction. i authorize representatives of this city or coup to e ed f purposes. 1 Signature of PropertyOwner or Authorized Arent Print Pro ertOwner's or Authorized A ent's Name %.pa S Date ACTION DATE BY C TPON OF COMPLIANCE H C ITE OF FEDCRAL FOR OFFICE USE ONLY i REGUTATIONS PART 61 OF TITLE. 40 AND AOMD ROLF 1493 PERMIT EXPIRED I SUBMITTFD ASBESTOS NOTIFICATION TO PERMIT CANCELLED MEPA PERMIT EkTENDEO I� PERMIT FINAL (Q��Ci�Z4 DL Tor ASBESTOS NOII FICATION IS NOT APPLICABLE TO CERTIFICATE O£ r� PROPOSED DEMOLITION OCCUPANCYISSUED DR SIGNATURE: