HomeMy WebLinkAboutH2024-0234 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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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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II I III II II Mechanical Permit : H2O24-0234
Plan Check No: PC2023-0155
Work Class: New
Issued Date : 04/24/2024
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: 2761 BAY SHORE DR Legal Desc : N TR 1014 BLK LOT 22
Description: MECH - INSTL AC CONDENSER (2) & HEATPUMP. TAMPER RESISTANT CAP REQUIRED
caner:
20 17 PACIFIC MANAGEMENT TRUST
contractow HILL PETE CONSTRUCTION COMPANY INC
Address:
3333 SUSAN ST COSTA MESA, CA 92626
Address : 4426 INGRAHAM ST SAN DIEGO, CA 91290
Phone:
(714) 540-7100
Phone : (858) 272-2975
Con State Lic : 470065
Applicant:
STEPHEN SCHMIDT
Lic Expire : 02/28/2025
Address :
4626 ALBUQUERQUE ST, 2ND FLOOR SAN DIEGO, CA 92109
Bus Lic : BT30070626
Phone:
(858) 272-2975
Bus Lic Expire: 11130/2024
Workers' Compensation Insurance
Owner/Builder:
Carrier: STATE COMPENSATION INSURANCE FUND
Address:
Policy No: 9027142
Phone:
W. C. Expire: 10/1/2024
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
INSPECTOR
Manufacturer: GREE / TEMPSTAT
Model# : GMV-36WL/C-T(U) / S4A5S36AKAWA (2)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the eheckmark(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 to its issuance, also requires the applicant for
7o 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).
3 I, 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 7044,
fastness 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 theproperly, 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).
11, 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
poly 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).
I am exempt from licensure under the Contractors' Stale 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 legally
oil 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:htlp://www.leginfo.ca.gov/calaw.htmi.
signature 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 7e00) of Division 3 of the Business and Profession a, and my>ipense is in -full farce
ad effect. License Class License No Date Zr/ Contractor Signature -
VORKERS' COMPENSATION DECLARATION
!ANNING, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS S100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, "a 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 IN
erformance of the work for which this permit is issued. Policy No.
have 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'
ranee carrier and poficy number are:
Policy Number_
of Agent
Date
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 became subject to the workers' compensation laws of California, and
if I should become subjecjo the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date—7 Z
hereby 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).
Seder's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner'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 `o,ordkr theabove-gietgtiffed pyiperty for inspection purposes.
ACTION DATE BY j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
I REGULATIONS PART 61 of TITLE 40 AND AQMD RULE
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PERMIT ENTEf'DED
PERMIT FINAL I
CERTIFICATE OF I��` sO �—
OCCUPANCY ICSI)ED ,WWW
I__I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION