HomeMy WebLinkAboutH2024-0564 - Permits, WpoF,T
City of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
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IIIII III IIII� III II`I I Permit
Flan check No
VJork :;ILss : Other
Permit Status: Issued
Issued Date : 09/05/2024
Inspection Area : 6
H2O24-0564
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: 27 DORIAN Legal Desc : N TR 14895 BLK LOT 16
Description: MECH INSTALL HEAT PUMP *TIMER PROHIBITED & TAMPER -RESISTANT CAP REQUIRED*
Owner: MELANIE TRTHE _ZABOW -_ _
Address : 27 DORIAN NEWPORT COAST, CA 92657
Phone: (949)935-3429
Applicant: SAUL MARTINEZ
Address: 2075 N SHAFFER ST ORANGE, CA 92865
Phone: (714)998-7879
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks: Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone : PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS:
-- -- - -- Contractor :
COASTALHEATING&-COOLING-INC -
Address :
21418 SILVER SPUR LN WILDOMAR, CA 92595
Phone:
(949)482-2599
Con State Lic
: 1045446
Lic Expire :
01/31/2025
Bus Lic:
BT30080419
Bus Lic Expire:07/31/2025
Workers' Compensation
Insurance
Carrier:
'Q\E 1WSuv-aAwCC: COI^+Pvk" �
Policy No :
\Z-2 \\
W. C. Expire:
7/15/202 S
Fire Hazard Zone : NO
Manufacturer : ACPRO
Model#: AUD60W/A1-D(U)
TIMERS PROHIBITED
ON HEAT PUMPS
I hereby affirm •under penally of perjury that I am exempt from I", Contractors Stale License La..v 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 count,, That regaims P permit tq construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuan: tothu powsions of the Conractors' 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 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as theirsolercompenra'.ion, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 70",
Business and Professions Code: The Contractors' State License L aw does not apply to en owner o1-pn ph-ty who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however. the bjildir,gor improveloeot is solo witl nn 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 properly, 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 licensors 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 legallt
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:liwww.leginfo.ca.gov/calaw.htmi.
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 Chapter 9 (commencing with Section 7 OO) f is n 3 01 the Dusiness and Pro Dn ode, nd my license is in full force
and effect. License Class License No Dale Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P LIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000I, IN ADDmON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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
e lance of the Work for which this permit is issued. Policy No.
ve 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' compensatiol
ymet,n,,nce carrier and policy number are:
Policy Number Expiration Date
Name of Agent Phone H
❑I certify that, in the performance of.;he work fo whi h this permk 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
that. if I should become bjecl to works ' Tonsation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of Applicant Dale L __
"CLARATION REGAR I G C U IN LENDING AGENCY
Ireby affirm under pe alty of perjury the there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ides s 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 ovmer'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 county t ter t above-identi ad property for inspection purposes.
—1.—,a D... d„ re.,.. ,— A.,thnn,.H Ancm T� it Print Prooertv Owners or Authorized Aaent's Name
DATE BY ' DtCLArATION—OF COMPLIANCE WITH CODE OF FEDERAL i .FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE ;
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMIT FXTENDED
r 1eOMD
PERMIT FINAL
ff�� DL TOI, QASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
,0`t/Z8/Z4
PROPOSED DEMOLITION
CS
OCCUPANCY ISSUED
I
SIGNATURE:
Date