HomeMy WebLinkAboutH2022-0596 - PermitsaEWPORT City of Newport Beach
p� a Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
$ Permit Counter Phone: (949) 644-3288
r Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
��II���II���III�IIIIIII�IIIIIIIIIIII Mechanical Permit: H2O22-0596
Plan Check No:
Work Class: Other
Issued Date :
Inspection Area : 7
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 : 504 BAY FRONTS Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 3 BALBOA ISLAND RES UB SEC 1 LOT 3 BLK 9
Description : MECH - R/R 5 ROOF -TOP HEAT PUMPS & AIR HANDLERS
Owner: TELLER FAMILY TRUST
Address: 504 S BAY FRONT AVE NEWPORT E
Phone:
Applicant: BEN MEDINA
Address: 31225 LA BAYA DR WESTLAKE VILL
Phone: (818)735-7876
Owner/Builder :
Address:
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks:
Flood Zone: - AO 1; X
Use Zone : MU-W2 - Mixed -Use Water
PROCESSED BY:
SPECIAL CONDITIONS:
ALPS
1895;
Vn
Di I ZONING & HEATING INC
CRUZ ST ANAHEIM, CA 92805
:turer: LENNOX
EL116XPI-036
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°
l
1, as owner of thepmperty,dr
mess and Plolessicns Code: I
,ovements are not intended or
roved for the purpose of sale).
1; as owner of the property, an
ly to an owner of property who
I am exempt from licensure u
of
contracting with licensed Contractors ID construct the project (Section 7044,
)roves thereon; and who contracts for the projects with a. licensed Contractor
actors' State License Law for the following reason:
antfor my oersonal residence in which. I must have: resided for at feast one y
License Glass
V COMPENSATION DECLARATION'
below
next to the ai
,nd the structure is not intended orofferad for sale (Section 7044,,
t or personal effort, builds or improves the property, provided that the
owner -Builder will have the burden of proving that it was not hunt or
and: Professions Code: The Contractors State License Law does not
to the Contractors' State License Law).
q "si fthe Business and Pr ,.and my license Is in full force
I��JgF� Contractor 5ignatw'e�
PENALTIES AND CIVIL FINES up To ONE HUNDRED THOUSAND DOLLARS (S7w Deaf• IN ADORIONTO TH
hereby affirm under penalty of perjury one of the following declarations; -
31 have and will Maintain a certificate of consent to self -insure for workers` compensation, issued by the Director of Industrial fteiations as provided for 6y Section 37110 of the Labor Code; for
'ormance of the work for which this permit. is issued. Policy No.
ve and wilt 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. RAy workers' compensa
Ice carrier and policy number are: Expiration Date
)an Policy Number
Phone #
certify that in
, if I should be
I am the or,
I have read
I agree to c
I authorize
It
t is issued, t shalt not employ any person in any manners
iriorus':of SedLo 00 of the Labor Code, I -shelf forthwith
behalf.
U
work
s to become subject to the workers.' compensation laws of Gallforn"" and agre
rtply with those provisions, JQ /
Date ,
permit is.. issued (Section 3g07, rvil Cade);
to
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