HomeMy WebLinkAboutH2024-0188 - Permits�F,WPORr City of Newport Beach III I I I II I I II II III II II I II Mechanical Permit: H2O24-0188
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3142
i Permit Counter Phone: (949) 718-1888 Work Class : Other
ems.. newportbeachca.gov/civic Permit Status: Final
C4//F00.N�P Issued Date : 04/02/2024
Inspection Area : 5
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 : 516 ACACIA AVE Legal Desc : A TR CORONA DEL MAR BLK 529 LOT 18 CORONA DEL MAR
Description: MECH -INSTALL 4 HEAT PUMPS ON DECK. TAMPER -RESISTANT CAPS REQ'D
Owner: BLAIR PORTEOUS
Contractor : SAGE MODERN INC
Address : 601 4TH ST #129 SAN FRANCISCO, CA 94107
Address: 601 4TH, #129 SAN FRANCISCO, CA 94107
Phone: (415)531-1880
Phone: (775)527-7527
Con State Lic : 983732
Applicant: JON ROSS SOMICH
Address: 601 4TH ST, # 129 SAN FRANCISCO, CA 94107
Phone: (775)527-7527
Owner/Builder :
Address
Phone:
Code Edition :
2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 15, Side: 4, Side: 4, Rear: 5
Flood Zone:
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Lic Expire: 05/31/2025
Bus Lic: BT30071663
Bus Lic Expire:04/30/2025
Workers' Compensation Insurance
Carrier : EVEREST PREMIER INS CO
Policy No: 7600016252241
W. C. Expire: 3/15/2025
Fire Hazard Zone : NO Manufacturer: AC PRO
Model# : AULD60W2/A-1 (3) AULD60W2/1A-D
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 checkmark(s) I have placed next to the applicable item(s)
iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, Or repair any structure, prior to its issuance, also requires the applicant for
1e 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, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or 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
pply 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:
,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 Iegall,
ell 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 70" of the Business and
'rofessions Code, is available upon request when this application is submitted Or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html.
,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 Division 3 of the Business and Professions Code, and my license is in full farce
nd 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 ($100,000), DI ADDITION TO
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
ormance 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
Fence 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
. if I should become subject to the workerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date_
iECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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).
enders 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 to enter the above -identified property for inspection purposes.
ianaure of PrODerty Owner or Authorized Agent Print Prooertv Owner's or Authorized AQenl's Name
ACTION DATE BY 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
j REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
OEPA
P£RMITEXTENDED
LIAQMD
PERMIT FINAL
I V �I! •L
l l ]
1�
U
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: