HomeMy WebLinkAboutH2022-0669 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 11/29/2022
Inspection Area : 6
H2O22-0669
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: 1641 REEF VIEW CIR
Description: MECH -INSTALL (1) A/C UNIT "PROVIDE
Owner:
TATUM BAKES
Address :
1641 REEF VIEW CIR CORONA DEL MAR, CA 92
Phone:
Applicant:
BASSETT BUILDING INC
Address :
389 NORTH FAWNWOOD LANE ORANGE, CA'92
Phone:
(949)933-9785
Owner/Builder
Address
Phone:
Code Edition :
2019
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 34, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone:
R-1-6000 - Single -Unit Residential (600
PROCESSED BY: I2�
.OT 3 TRACT NO 7247 LOT 3 POR OF LOT AND FOR A BAND STIR
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Contractor:.
BASSETT.BUILDING INC
Address :
389 NORTH. FAWNWOOD LANE ORANGE, CA 92869
Phone:
(949)933-9785
us Lic : BT30077593 • _ • �'
us Lic Expire: 01/31/2023
lorkers' Compensation Insurance
arrier : STATE COMPENSATION INSURANCE FUND ,
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SPECIAL CONDITIONS: � m Z a i k�; S
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Contractors' State License Law for the
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I; as owner of the property. or my employees with: wages as their sole compensation, will do: U all of or f_) portions of the work,: and the structure Is not intended oroffered-for sale. (Section 7044,
:mess and Professions Code: The Contractors' State License Law does not apply to an owner of propertywho, through: employees' or personal effort, bonds 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 pmving that it was not built or
roved for the purpose of sale).
h as owner of The property, am exclusively contracting with licensed Contractors to construct the project (Secflan 7044� Business and Professions Code: The Contractors' Stale License Law does not
ply to an owner of property: who builds or improves thereon, and who contracts for the projects with a licensed Contractdr pursuant to the Contractors' State License Law):.
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for personal residence In which I must have resided for at least ;one year prior to completion of the improvements Covered by this permit, I cannotlegall
a structure that I have OUR 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.7044 of the Business and
fessions Code, is available upon request when this application is submitted or at the following Web site:http:]/www.legipto.ca.gov/rslaw,htmi.
nature of Property Owner or Authorized Agent bate
TENSED CONTRACTOR'S DECLARATION
ireby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of visi 3 of the Business and Profgsslo Code,, antl tiaras 's n rce
I.effect License Class Llcense.NO Date I ntractorSignatvre:
)RKERS' COMPENSATION DECLARATION --
WINO: FAILURE TO SECURE wORHERS' COMPERSATION COVERAGE IS UNLAWFUL. AND :SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Diva. PINES 11P To'oNE-}IuNDRED THousANa DOLLARS (S100,e )� IN. ADDITION TO THE
T OF COMPENSATION; DAMAGES AS PROVIDED FORIN SECTION V06 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
reby affirm. under penalty of perjury one: of the following declarations_
�+ave and will rtt'a"4n a. Cartificate 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, forth
!aimgg7 of the syork for which this permit is issued. Policy No. !
have and will mainkerq 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' compensatio
jrbpceGamer and policy number are:
Fier." Policy Number.. Expiration Date
oezif Agent Phone #
.ceiufyr that m.. p pgdQrmance of the -work for which this permit Is issued, f shall not employ any person in any manner. so as to become subject to the workers' compensati a laws of California, and agre .
if I should become• cot to the workers Oampensatinn rovislans of Section' 3700-of the Labor Code, I shall forthwith comply with those provisions.
Date Pc, M
($bJ• m under �l&fuattyofft y thatfhere is a Dstrudtion landing agency-forthe performance of t ework for which this permit is issued (Section 30g7, Civil Code).
dor's Name ram- • • s/ Lender's Address
nVr signature-bA i c$rtt1 y to each of the following: /
1 am the ad this[a owner ona and
the in to act on the have
pertyprove owner'ed is correct.
rehalf. YT
1 have read this application and the information i have provided iscorroet.
I agree to comply with all applicable city; and County ordinances and state I ling to budding construction.
i authorize representatives of this city or countyjd ante en I ue�y�for inspection purposes. 6���
DATE
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