HomeMy WebLinkAboutH2022-0387 - Permits��gWPORT City of Newport Beach
D Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
U T Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9CIF00.l"P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date: 07/29/2022
Inspection Area: 1
H2O22-0387
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 : 315 33RD ST
Legal Desc : A TR.LAKE TR BLK 233 LOT 17 ,.
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Description: MECH NEW HEAT PUMP AT SIDE **TAMPER-RESISTANTCAP REQ'D**
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Owner: DOROTHY HASTINGS
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Contractor.,.
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Address : 315 33RD ST NEWPORT BEACH, CA
Address
Phone: (760)799-2999
Phone:
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Con 'State Lic i
Applicant : DOROTHY HASTINGS
Lic Expire
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Address : 315 33RD ST NEWPORT BEACH, CA
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Bus. Lic:
Phone : (760) 799-2999 -
Bus Lic Expire:
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Workers' Compensation Insurance
Owner/Builder: DOROTHY HASTINGS -
Carrier:
Address: 315 33RD ST NEWPORT BEACH, CA
Policy No
Phone : (760) 799-2999
W. C. Expire:
Code Edition : 2019
Fire Sprinklers : NO
Manufacturer : ACPRO
Type of Construction :
'Fire Hazard Zone ; N
'Model# : AWH12QC-D3DNA5K/O
Occupancy Groups:
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone: X
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Use Zone : R-2 - Two -Unit Residential
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NO CONSTRUCTION
INCISE
PROCESSED BY:
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OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury Lhat i am exempt train the Contractors State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s)
don 7031.;5, Business and Professions Code; Any city or county that requires a permit'. to construct, after, improve, demolish, or repair any structure, poor io its,issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the: provisions of the Contractors State License Law (Chapter 9 (oommencrng; with Section 7000) of Division a of the Business and
;fassions Code) or. that he or she is exempt tram licensure•and the basis for the alleged exemption. Any vloiation of Section 7031.E by any applicamfor I) permit subjects the applicant to a civil penalty of
more than five hundred dollars j$5001.
I, as: owner of the property, or my employees with wages as theirsole compensation;:will do U all: of or L_) portions: of lho work, and the structure Is not Intended br-offered for sale (Section 7044,
:mess and Professions Code: The Contractors' State t.iaerise. Law does not apply to onowner of property who through employees' or personal effort, buiipa or improves the property; provided that the
aovements are noflntended or offered for sale. If; however, the building or Improvement is sold wlthtr one year of completion, the Owner-Buifderwill have the burden of proving that It was not bullt or
,roved for the purpose of sale)..
'1; as owner of the property, am axclusively.contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not
Ily town owner of property who builds or Improves.1hareon, and who contracts for the. projects with a licensed Contractor pursuant to the Contractors' State License Law),
I am exempt from Ilcensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence InwhichI must have residedfor at least one year prior to completion of the improvements Covered by this permit, Lcannot legal
a s1ructu*0M I have built as an owner-hulider 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
Owner Or
affrm under penalty of perjury that I am licensed under provisions of Chapter9'(commencing with Section 7000) of Division 3 of the. Business and Professions Code,. and my license is In full force
�L License Class License No Date Contractor Signature
3RS.Cf7Ne
.. }PENSATION DECLARATION
FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL 81Ja3ECT AN EMPLOYER TO CRS4INAL PENALTIES AND OIY3L FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E109,999 i. IN AODmON TO THE
'AMVNSATI&t, DAMAGES AS PROVIDE11FOR X SECTION 37KOF' THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES.
afff••••.rap amiter penalty of perjury one of the following. declarations:
6m maintain a certificateat consentto salt -insure for workers' compensation, Issuedby the Director of Industrial Relations as provided for by Section 3700 of -the tabor Coda: for
%pl`jork for which this permit is. issued. Policy No.
I
ll maintain workers' compensation insurance, as.required, by Secton 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers` compensa
ran policy number ara:
Polloy.Number- Expiration Date.
Phone tf
certify that, in the
, If Ishould becor
this
not employ any person in any manner so. asto become subject to the workere compensation laws of California, and agre,
700 of the Labor Code, I shalt forthwith comply With those provisions.
Date�'—
maby affirm under penalty, ofpedury theMere Is a construction landiM agency for the performance of the work -for which this permit is issued (Section 3097
ider's Name. Lender's'Address
my signature below, I certify toeachof the following!
I am the property owner or authorized to act an the property owner's behalf.
I have read this application and the information 1 have provided I. correct.
I agree to comply with all applicable city and county ordin incos and state laws relating to building construction.
I audtorjie representatives Of this City nrcounty to ttf", V, e€jtlPeti'y t!:rrty for lnspectlon purposes.
n,.v,a — n„eh„n�.ri n.,Ani Y 1 (�/ R-a%, . Print PrnnArtV (lwnar'rnrAnthnrized Anant's Name ell b6
CERTIF[CAT€OF
DATE ( BY I DECLARATION DF COMPLIANCE WITH WE OF FEDERAL I FOR OFFICE USE ONLY
Civil Code):.
X�
All required alarms, latches gates and fences.wheh serve as part of a pool/spa barrier, shall
be In place priorto approval to: fill poolispa &shall remain in place &.be maintained for the
NOTIFICATION 15 NOT APPLICABLE TO life of the pool.
PERMIT FEE DETAILS FOR PERMIT H2O22-0387 31� 33X
Fee Name Fee Amount Fee Paid Amount
Transaction Date Payment Method Trans. Paid Amount Paid By
Building
Building Plan Check Fee $19.14 $0.00
Heat Pumps Package Units 0-100,000 BTU/H Fee $22.00 +...-.$0.00
Issuance Fee $39.00 $0.00
OTC Plan Check Fee - Planning $53.00 $0.00
GRAND TOTAL: