HomeMy WebLinkAboutH2023-0539 - Permits�EWPoRr City of Newport Beach III I I I II I III II IIII II I I II Mechanical Permit : H2O23-0539
Doi ' Community Development Department - Building Division
s 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Work Class : Other
u newportbeachca.gov/civic Issued Date : 08/2312023
cq<ipppN�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 : 1331 BONNIE DOONE TER Legal Desc : N TR 1700 BLK LOT 66
Description: MECH -NEW HEAT PUMP (1) WITH DUCTING & RELOCATE TO ATTIC.
Owner: MATT ALCONE
Address : 1331 BONNIE DODNE TER NEWPORT BEACH, CA 92625
Phone:
Applicant: DALLAS CERVANTES
Address : 286 POPLAR S, 15 BREA, CA 92821
Phone: (714)930-6428
OwnerlBuilder :
Address
Phone:
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 11, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
R CT
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:05/31/2024
Workers' Compensation
Insurance
Carrier :
INSURANCE COMPANY OF THE WEST
Policy No:
C69981331
W. C. Expire:
11/1/2023
Manufacturer: CARRIER
Model# : 38MBRBQ48AA3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Item (a)
Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair onysI ructure, prior to its issuance, also requires the applicant for
is 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
'rofessions 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
of more than five hundred dollars ($500).
1 I, 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,
justness 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
nprovements 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 [hat it was not built or
nproved 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
ppiy 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 1 Fill exempt from licensure 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, 1 cannot legall
ell a structure that I have buill as an owner -builder if it has not been constructed In its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.co.govlcalaw.btml.
signature of Property Owner or Authorized Agent _ ,-,_ at,
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f I s" of the Business and Profes ion y cerise i n uff force
nd effect. License Class License. No Date 2 Contractor an
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORR.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6900.000). IN ADDIMON TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 3700 of the Labor Code, for ik
erjgrmance of the work for which this permit is issued. Policy No.
&Dave 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' comperl
nsurance carrier and policy number are:
farrier Policy Number Expiration Date
Jame. of Agent Phone #
:1I certify that, in the pe mien ,p k for which this g tit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
net, U I should becom s cl t orkers' c mplens n revisions of Section 3700 of the Labor Code, I shall . forthwith comply with those provisions. /
3lgnature of Applic It Date— C—,/Q
3ECLAIRATI0N R G _ UCTION LENDI AGENCY
hereby affirm under Perjury that there is a con ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-enders Name Lender's Address
3y my signature below, I certify to each of die following:
I am the property owner or authorized to act on the propert Wner's behalf.
! have read this application and the information Y
vid :reel.
I agree to comply with all applicable city and couan s astata laws r In8 to building construction.
I authorize representatives of this city or county t th above -identified o Inspection purposes. ;
3i nature of Pro re l Owner or Av[ho,ized Ai ens _ _ Print Property Owner's or Authorized A Eot's Name �"� iw""' l< 5 pale 2-
ACTION i D4TE ElfBON OF COMPLIAN WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGUL ATIONS PART 61 OF TITLE. 4U AND ACIMD RULE
1403
PERMIT EXPIRED I SLJBMITTEO ASBESTOS NOTIFICATION TO
PfRMiTCANCELLED OEPA
RE.PoLIIT EXTENDED UAQM.D
KRM1T F1MAL ��Z�r� OL TC� STOS NOTIFICATION 15 Nor APPLICABLE TO
CERTIFICATE OF77 PROPOSED DEMOLITION
OCCUPANCY ISSUED OR I %iGNATIIRF-