HomeMy WebLinkAboutH2024-0193 - PermitsWPo�
City of Newport Beach
-i
Community Development Department- Building Division
y
100 Civic Center Drive, Newport Beach, CA 92660
-,„_
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
C9IIFQ Ii�`P
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 04/05/2024
Inspection Area : 5
Ii KI ' 91T%ICj
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 : 2830 SEAVIEW AVE Legal Desc : P BK 325 PG 20 PAR 1 UN 1 PM 325-20, PAR 1 OF PROJ
Description; MECH R/R HEAT PUMP AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED**
Owner: DUBELKO JANINE HOPKINS TR J H DUBELKO LIVING TR
Address : 2830 SEAVIEW AVE CORONA DEL MAR, CA 92625
Phone : (310) 702-9825
Applicant: ADAM SMITH
Address: 1921 PETRA LANE PLACENTIA, CA 92870
Phone : (714) 720-6927
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups :
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY: &I
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Fire Hazard Zone : NO
Contractor : ECONO AIR
Address : 555 VANGUARD BREA, CA 92821
Phone : (714) 695-6661
Con State Lie; 445220
Lie Expire : 02/28/2026
Bus Lie: BT30064026
Bus Lie Expire:08/31/2024
Workers' Compensation Insurance
Carrier : CAROLINA CASUALTY INSURANCE COMPANY
Policy No: BNUWC0156679
W. C. Expire: 4/7/2025
No fCONSTRUCTIGN NOISE
ON SATUR®AYS
Manufacturer: LENNOX
Model# : EL18XOV
flMERS PROHIBITED,
ON HEA PUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) 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 construct, alter, improve, demolish, or repair any structure, prior toits issuance, also requires the applicant for
is permit to rite a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and
rofesslons Code) or that he or she is exempt from )icensure and the basis for (he 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all Of or L) portions of the work, and the structure is not intended o€offered for sale (Section 7044,
usiness 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 that it was not built or
nproved 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
p ly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
lam exempt from licensors under the Contractors Slate License Law for the following reasom
y 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 legally
all a structure that I have built as an owner -builder if it has riot been constructed in itsentirety by licensed contractors. I understand that copy Of the applicable. law, Section 7044 of the Business and
Tofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/mlaw.htmi.
'ignature of Property Owner or Authorized Agent __ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am Licensed under provisions of Chapter 9 (commencing with Section 7000) of Di ision 3 of the Business and Profs s ns C ri icense is in full force
nd effect. License Class License No Date 2 Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNINi 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 (5100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGE$ AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEYS FEES.
hereby BIT irm under penalty of perjury one of the following declarations:
7 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 the
arl'ormance 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 Cade, for the performance of the work for which this permit is issued. My workers' compensalior
Isurance carrier and policy number are:
no of Agent
certify that, in the p
, it I should become
nature of Applicant..
Policy Number
Date
for which this permit is issued, f shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree
compensation provisions of Section 3700 of the Labor Code, i shall forthwith comply with those provisions.
Date
hereby J i,m'mder penalty of a hat there is a construction lending agency for the performance of the work for Which this permit is issued (Section 3097, Civil Code).
enders 1'3.T„ Y� Lender's Address
iy my sionghire below, I certify to each of the -following:
I am the 11cperty owner or authorized to act on the property owner's behalf.
I have read This application and the informationJuly
eve provide isgarrect
I agree to comply with all applicable city and cOrd"�p�n and state laws Wating to building consWction.
I authorize representatives of this oily or couna q he oYe-identified property for inspection purposes.
Ennature of Pronadv Owner or Authorized Auent �/ Print Property Owner's or Authorized Agent's NameA),,
I ACTION
DATE
BY - DECYARATIOROF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE
REGULATIONS. PART 61 OF TITLE 40 AND AOMD RULE
1403
Pf9MiT EXwHED
(SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
13EPA
i, PER WfT EXTENDED
PERMITFINAL
CERTIFICATE Of
OCCUPANCYISSUED
/���z�{
/� OMO
}pv� j IZAsinisi% NDi'mCATION IS NOT APPLICABLE TO
! PROPOSED DEMOLITION
JR SIGNATURE: