HomeMy WebLinkAboutH2023-0383 - Permits�EWPOR� City of Newport Beach
Community Development Department - Building Division
F / I 100 Civic Center Drive, Newport Beach, CA 92660
2 Permit Counter Phone: (949) 718-1888
>�S newportbeachca.gov/civic
Mechanical Permit; H-2023-0383
Plan Check No: F01022-222EE.
Work Coss: Othe
Issued Date : 03/28/2024
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 : 223 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 8 LOT 26
Description: MECH - ROOF -MOUNTED HEAT PUMP. *TAM PER -RESISTANT CAP REQ'D & TIMERS PROHIBITED* (XR2022-2374)
Owner: SHAWN WALTERS
Address : 716 WILKES ST ALEXANDRIA, VA 22314
Phone:
Applicant : FEDERICO GUERRERO
Address : 2784 FASHION AV LONG BEACH, CA 90810
Phone: (562) 522-7256
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone: X; AO 1
Use Zone: R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY :-
SPECIAL CONDITIONS:
11MERS I RO"IBIJED
ON HE�j PuMpS
Contractor: FEDERICOGUERRERO
Address :
2784 FASHION AV LONG BEACH, CA 90810
Phone :
(562) 522-7256
Con State Lic
: 1019911
Lic Expire :
10/31/2024
Bus Lic:
ST30083963
Bus Lic Expire:
03/31/2025
Workers' Compensation Insurance
Carrier:
Policy No:
1025280
W. C. Expire:
10120/2023
Manufacturer: BRYANT
Model# : 38MURA48AA3
r SITR CT10M NOISE
N iSATURDAYS
OWNER -BUILDER DECLARATI.ON
_ �nm=aeaa eaiow ey ma =na=k,nan,(p) 1 na upla=ad neon to the applicable itam(S
;Secnan 7O'3� �5. Business antl Prfife�s �.q.ieq nny cny v uny v+ai i� q�` ss a p`va.,�, `u`i ��a a"..=e, a e. ...pm.a. aa,..onxn. e..a a ny m,..=core, o. , taa.aanw, a,a= mq..,raa `na apvt:ca.a for
:he permit to file a signed statemeft t tat he ws;X is lic,nesd 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 licensure ano ma basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not 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 (_,) portions of the work, and the structure is not intended or offered for sale (Section 70",
Business and Professions Code: The (.on.racto, s' 3ta:e Licens3 Law do:s 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 t,r c:fere.i for sa:a. If, however, the boild'ng or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Improved 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 the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under 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 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 -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gavloalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chillpl r j (commencing with Section 000) Of Division 3 of the Business and Profession Code, and my li nse is in full force
and effect. License Class C-2J License No n I�—ll 11 Date �`L�'� 2` Contractor Signature-V -L ✓ ./ii----
WORKERS' COMPENSATION DECLARATION 11
WARNING: 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 ($1W,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 07H OF THE LABOR CODE INTEREST, AND ATTORNEY-S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 th
a ❑na ce of thework for which this permit is issued. Policy No.
❑I ha 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' compensatioi
insurance carder and policy number are:
Policy Number
Date
of Agent I """"r
certify that, in the performance of the work for which this permit is issued, I 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' gompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Of
Date --Z 03- Z5 `�
:reby 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).
iders Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the Information 1 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 coun to en7l a ab�pve-identified property far inspection purposes. \ l
inanlre of Prcoenv Owner or Authorized Agent //// /� /M, Print Property Owner's or Authorized Agent's Name
ByIDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EIEPA
PERMIT EXTENOED
LIAQMD
PERMIT RIVAL
05/17/Zy
DL
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
,,,�
PROPOSED DEMOLITION
OCCUPANCY15SUED
GW
SIGNATURE: