HomeMy WebLinkAboutE2022-0886 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
644-3255
Inspection Requests Phone: (949)
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newportbeachca.gov/inspections
Combination Type -
Work Class - Simple
E 2 0 2 2 0 a 8 6 COMB Permit : E2022-0886
Plan Check No:
Issued Date : 11125/2022
Inspection Area : 4
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 : 2114 VISTA LAREDO Legal Desc :
Description : Upgrade Service Meter Panel 200A & disconnect for AC condenser & Heat pump
Owner: BRIDGER LIVING TRUST
Address: 2114 VISTA LAREDO
NEWPORT BEACH, CA
Phone
Applicant:
NT ELECTRIC & HVAC INC
Address:
240 S Poinsettia Dr
Orange, CA 92868
Phone :
(714) 277-6747
Owner/Builder:
Address:
Phone
Code Edition:
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks:
Flood Zone
Use Zone :
PROCESSED BY: U 1
SPECIAL CONDITIONS:
Contractor: NT ELECTRIC & HVAC INC
Address: 240 S Poinsettia Dr
Orange, CA 92868
Phone:
(714)277-6747
Con State Lie
: 959727
Lie Expire :
07/31/2023
Bus Lie:
BT30073683
Bus Lie Expire : 12/31/2023
Workers' Compensation Insurance
Carrier: EVEREST PREMIER INS CO
Policy No: 7600019328211
W. C. Expire : 8/25/2023
Fire Sprinklers : NO
Fire Hazard Zone : NO
No of Units :
No of Stories
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer:
Address
Phone:
Construction Valuation :
Added/New/Tlsq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of per urythat I am exempt from the Contractors State license Lawfor the reason(s)indicated below by the checkmark(s) I have placed next to the applicableitem(s)
Section 7031.5, Business and Professions Code: Artycity or county that requires a. permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant Tor
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penatty of
of more than five hundred dollars ($500),
3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_)all of or t_) portions of the work, and the structure Is not Intended or offered for sale (Section 7044,
Iusinessand Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 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 itwas not built or
nproved for the purposeof sale).
11, as 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
poly 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),
3 I am exempt from licensure under the Contractors'State License Law for the following reason:
'y my signature below I acknowledge that, except for my personal residence in which I must have resided for at leastoneyear prior to completion of the improvements covered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ) understand that a copy of theapplicable law, Section 7044 of Business and
'rofessions Code,. is available upon request when this application is submitted or at the fallowing Web sfte:htlp,.]Awiw.loginfo.ca.gov/calaw.htmi.
�Ignature of Property Owner or Authorized Agent Date.
.iCENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7f DNI _ 3 of the Business and Profes-tons de, and my Itca cgs is in full force
nd effect. License Class I..,lil Li000cense. No Date p� Contractor
VORKERS' COMPENSATION DECLARATION
'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL) AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL is ($100.000), IN ADDITION TO THE
DST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR COOS; INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will. maintain a certificate of consent to -.self -insure for workers' compensation, issued. by: the Director of Industrial 'elation as provided for -by Section 3700 of the Labor Code, for thI
ormance of the work for wNch this permit is issued. Policy No.
(have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the Work for which thispormlt is Issued. My workers':compensatior
ranee card po Icy number are:. L � 6
Tier rams y�iyL IJ'0 .Q✓ I policy Number Expiration Date
to of Agent Phone #atY%— �V
certify that, in the performance of the work for which this permit is issued; I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomis, and agree
1f l should become stAect tq a workers' D9mpehsationprovisions of. Suction .3700.of the Labor Code; I shall orthwith comply with those provisions.
66 ��/
IECLARATfGN REGARDING(�ONS'19Rt/CTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the. Work for which this permit is issued (Section 3OP7, Civil Code),
enders Name- Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on theproperty owner's behalf.
I have read this application and the information I:. have provided is correct.
I agree to comply with all applicablecity and county ordinances and state laws relating to building Construction.
I authorize representatives of this city or county to entee-Identified property for inspectirn purposes. �_ 14 __ ,
iicnafure of Prooertv Owner or Authorized Agent '1f Al/ Ili I Print Prooarty Owner's cr Authorized Acent's Named �' 'ftw.!'I
EXTENDED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
SIGNATURE:
NOTIFICATION
NOTIFICATION 15 NOT APPLICABLE TO
Date