The URL can be used to link to this page

Home My WebLink AboutH2024-0051 - PermitsEWP_oRT City of Newport Beach ip¢ I Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 1Y Permit Counter Phone: (949) 718-1888 gO0.N\r newportbeachca.gov/civic Mechanical Permit Plan Check No: Work Class : Other Issued Date: 01/30/2024 Inspection Area : 3 H2O24-0051 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 : 2240 HOLIDAY RD Legal Desc : N TR 1484 BILK LOT B Description: MECH R/R HEAT PUMP AT SIDE YARD **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: CHRISTOPHERROGERS Address : 2240 HOLIDAY RD NEWPORT BEACH, CA 92660 Phone: Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address Phone : Contractor : GOETTL AIR CONDITIONING & PLUMBING Address : 532 MALLOY COURT CORONA, CA 92880 Phone: (714) 462-B 174 Can State Lic : 1047781 Lic Expire : 12/3112024 Bus Lic: BT30077958 Bus Lic Expire:02/28/2024 Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INSURANCE COMPANY Policy No : 21221200002 W. C. Expire: 12/1/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AMERISTAR Type of Construction : Model# : A4HP4036D-1A-EN Occupancy Groups: Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone : R-1-10000�- Single -Unit Residential (10000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: TIMERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law fur the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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 the permit to file a signed statement thathe or she is licensed pursuant to the provisions of me Contractors' 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 Iicensure 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). '0 1, as owner of the property, or my employees with wages as their sole compensation, w111 do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, (Business 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 '.improvements 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 m roved for the purpose of sale). I, as owner of Ilia property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ra-'py�ly 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 Levi). I am exempt from licensure under the Contractors' Slate 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.Gannet legallt (sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:k/www.loginfo.ca.govlcalgw.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 70 D 3 of the Business and Profos 'o and my license is in full force and effect. License Class License. No Date Contractor Signalur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORkERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVL FINES UP TO ONE HED THOUSAND DOLLARS 1E700,0061, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: 3 1 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 yyarfo�rmance of the work for which this permit is issued. Policy No. _ 717ave 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' compensatool lsufance carrier and policy number are: zanier Policy Number Expiration Date lame of Agent Phone # 31 certify that. in the performance of the work for whlctlit 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 tat, if I should become subject to the wnrksrs' nsatiDn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those previsions. �l lignsture of Applicant _ _.._.. Date NECLARATION R DINO C TRUCTION LENDIND AGENCY hereby affirm u der penal perjury that Thera. 1, 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 _ my signature be'�certify to each of the following: I a.T::be property owner or authorized to act on the property owner's behalf. I have read this appli^ation and the information I have provided is correct. I agree to Comply with all applicable city and county ordinances and state Is I authorize representatives of this city or county to euW, the abovs-ILLSOM61 of Pror ecty owner or Authorized ACTION PIMMII E PMRLD PERMITCANCELLED FfRMIT EITENOE9 PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I DATE I BY 1414 rs r�rtaling to building construction. property for inspection purposes. Print Procenv Owner's or Authorized Anent's Name DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE 1403 U I SUBMIgFD ASBESTOS NOTIFICATION TO LJ ASBESTOS NOT IFICATION15NOFAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Dale