HomeMy WebLinkAboutH2022-0413 - Permits04 aEWPORe CommunityCity of NDewport Beamhnt-Building Division II�IIIIIIIIIIIII III II) II Mechanical Permit:H2O22-0413
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 2701-2017
G 3 2 Permit Counter Phone: (949) 644-3288 Work Class : Other
Inspection Requests Phone: (949) 644-3255
°9erFoaH'P newportbeachca.gov/inspections Issued Date : O/2022
Inspection Area ea : 1
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 : 3408 MARCUS AVE Legal Desc : A TR CANAL
SECTION BLK 334 LOT 5
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Description: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ*
Owner: ERIC WU
Contractor qIVA
F
Address : PO BOX 431 YORBA LINDA, CA 92885
Address
Phone:
Phone:
�y
Con State Lie
Applicant: HECTOR GONZALES
Lie Expire
Address : 221 NORMAN CT WEST COVINA, CA 91791
Bus Lie:
Phone : (626) 756-6520
.Bus Lie Expire:
Workers' Compensation Insurance
Owner/Builder : ERIC WU
Carrier :
Address : PO BOX 431 YORBA LINDA, CA 92885
'. Policy No:
Phone :
W. C. Expire:
Code Edition : 2019 Fire Hazard Zone : N
Manufacturer:
YORK
Type of Construction :
Model# :
PHE4A2421
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Occupancy Groups:
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•a cmacee
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Building Setbacks : Front: 3, Front: 25, Side: 3, Side: 3�°
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Flood Zone : AE, 8 FT; X; AO 1
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Use Zone: R-2 - Two -Unit Residential
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PROCESSED BY:
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i hereby affirm
orlon 7031,5, E
om the Contractors State License Law for the
county that requires a permitto construct, site.
M
Indicated below by the checkmari I have placed next tothe
or
item(s)
for
and
y of
I, as owner of the property, or my employees with wages astiaeir sole compensation, will do-{ { }all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
amess 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
)rovements 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
(\roved for the purpose of sale).
I,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
Ay to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State: License Law).
I am exempt from licensors under the: Contractors'. State License law for the following reason;
my signature below I acknowledge that, except for my personal residence' whtch I musthave resided for east one year prior to completion of the improvements covered by this permit, 1 cannot leg
a structure that I have built as an owner-ouilder'fit has not been c ru d In its entirety by li nee Gnirad#ors. l understand a copy of the applicable law, Sect 7044 of a -Beer sand
Ifesslons Code, is available upon request when pllcation subm' d oral the fol g We is:nttp:lhvww.leginfo.ca.gov/caiaw.htmL n 1 , P) 4-)
I hereby affirm under penalty
and effect. License Class
Eder provisions of Chapter 9 (commencing with; Section7000) of Division of the. Business and Professions Codd�.and my license is In full force
License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AMC SHALL SUBJECT. AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL FIRES UP TO ONE HUNpREO THOUSAND DOLLARS ($00,0001, Dti ADDITION TO T
:OST 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:
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
�erfomtance of the work for which this permit is issued. Policy. No,
31have 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,,.
isurance carrier and policy number are:
zanier. Poticy Number Expiration Date
lame of Agent -Phone If
It certify that, in the performance of the wo or which this pea
hat, If I should tfecom s eject to the w OR satfon or
Signature of Applican
;gJLAilATION $� D# ST UCTION LENDING AG
-nereliyafYrm IyiS'c{p/ Wally of perjury that there is a corDstruckG
_ande-."s Name • •e
�y Srjy,stgnature below, I certify to each of the furrowing,
I drat the proper owner or authorized to art an the property
' • dove read ihls S'ppiication and the information. I have pr:ovii
„•I greeto curnpltcwith all applicable city anIto
my ordina
• • I S Nthonze'r%W9gA Iabuse of this city or co enteSi nature of Property Owner' orAuthoriTetl Age
ACFtDIq • .e .DATE. .R RA
. •... ••.• • 6EGi
., 1403-
PERMIT ENp1R A.." I i ISURI
PERMIT CANC€ElED Mr-TTE--P---I
PERMIT EXTENDED 0Aq
P€RMITFDNAL ASWI
CERTIFILAM OF PROPOSE
ad, I she of employ any person in any manner so as tobecome subject to the workers' compensation laws of California, and agree
Se n 3700 of the Labor Codes I shall forthwith comply with those provisions,
Jet �.1 /0I ;, �
agency for the performance of the work for which this permit: is issued (Section 309 1 C it Code):.
behalf:
construction,
FOR OFFICE USE ONLY
Aft'aqu)red as
be In place prio
NOTIFICATION 15 NOT APPLICABLE TO life of the pool.
remain