HomeMy WebLinkAboutH2022-0703 - Permits (3)a��WPoR'
City of Newport Beach
Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
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II II IIII II Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 12/1312022
Inspection Area : 4
H2O22-0703
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: 427 VISTA TRUCHA Legal Desc : N TR 6885 BILK LOT 44
Description : MECH A/C CHANGE OUT/FURNACE CHANGE OUT. *CHANGE OF LOCATION*
Owner: JOHN BARBER
Address : 427 VISTA TRUCHA NEWPORT BEACH, CA 92660
Phone : (949)274-5727
Applicant:
MARIO VERDIN
Address :
770 S BREA BLVD BREA, CA 92821
Phone :
(949) 492-0290
Owner/Builder
:
Address:
Phone :
Code Edition : 2019
Type of Construction
Occupancy Groups :
Building Setbacks :
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
Fire Hazard Zone : NO
PROCESSED BY : 0111`�Iql i °ti e ,�, �-,,r. Tf'`-t,71
SPECIAL CONDITIONS: ®'v l
Contractor :
VETERAN AIR
Address :
1340 N DYNAMICS ST STE A ANAHEIM, CA 92806
Phone:
(714)206-3493
Con State Lic
: 949515
Lic Expire: 06/30/2024
Bus Lic: BT30076778
Bus Lic Expire:10/31/2023
Workers' Compensation Insurance
Carrier : BERKSHIRE HATHAWAY DIRECT INSURANCE COMPANY
Policy No : N9WC389004
W. C. Expire: 3/4/2024
Manufacturer : LENNOX
Model# : EL18XCV
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable dents)
>ection 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, oiler, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ID 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 iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant 10 a civil penalty of
at 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,
Iusiness and Professions Code: The Contractors' Stale 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 pear of completion, the Owner -Builder will have the burden of proving that it was not built of
nproved for the purpose of Salo).
1, 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
pply to an owner of property %-he builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3 1 am exempt from iicensure under the Contractors' State License Law for the following reason'
.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 improvoments covered by this permit, I cannot legall_
oil a structure that I have built as an owner -builder if it has not boon 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:http3lwww.legfnfo.ca.gov/calaw.html.
tlgnatum of Property Owner or Authorized Agent Dale
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force
ad effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
ING: 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 I6/00.000i, IN ADDITION TO THE
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
unmance 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' compensa
ranee carrier and policy 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 become subject to the workers' compensation laws of California, and
1, If I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REGARDING
CONSTRUCLENDING AGENCY
Heby 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),
wer s Name Lender's Address _
my signature below, I certify to each of the following:
i am the properly owner or authorized to act an the properly 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 to enter the above -identified property for inspection purposes.
of Property Owner or
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RF.GUI ATIONS PART fit OF TITLE 40 AND ARMD RULE
1404
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE Of
OCCUPANCY ISSUED
Af9FSTOS NOTIFICATION TO
//� -U ASBESTOS NOT IFICATION 15 NOT APPLICABLE TO
ie G PROPOSED DEMOLITION
Name
Date