HomeMy WebLinkAboutH2022-0501 - Permitso EW�oR 6{ City olf Newport Bea mhnt-Building Division III I I II I� I III I I Mechanical Permit : H2022-0501
Y ni 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0327-2022
w+ S Permit Counter Phone. (949) 644-3288 Work Class : Other
+w+ Inspection Requests Phone: (949) 644-3255 _ -= r r-•-- Issued Date : 09/20/2022
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CN(iFanN�r newport6eachca.gov/inspections 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 : 2122 DESCANSO
Legal Desc : N TR 5741 BLK LOT 36 TR 5741 (L.L.84-214029) PAR 36
Description: MECH: REPLACE A/C UNIT @ REAR. "TAMPER
RESISTANT CAPS & TIMERS REQUIRED" (X2022-0368)
Owner: STEFFENS FAMILY HOLDINGS LLC
Contractor
Address : 2848 CAROB ST NEWPORT BEACH, CA 92660
Address: > >
Phone: (949)751-8176
Phone:
Con State Lic
Applicant : STEFFENS FAMILY HOLDINGS LLC
Lic Expire
Address : 2848 CAROB ST NEWPORT BEACH, CA 92660
Bus Lic:
Phone : (949) 751-8176
Bus Lic Expire: ,
Workers' Compensation Insurance
Owner/Builder : STEFFENS FAMILY HOLDINGS LLC
Carrier:
Address: 2848 CAROB ST NEWPORT BEACH, CA 92650
Policy No
Phone : (949) 751-8176
W. C. Expire;
Code Edition : 2019
Fire Hazard Zone ; NO Manufacturer : LENNOX
Type of Construction :
Model# : 14ACX018 ,
Occupancy Groups:
•'
Building Setbacks :
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt frorn the Contractors State License Law for the reasons) indicated below by lire checkmark(s) I have placed next to the applicable Item (a)
(Section 7031.5, So sine" and Professions Code: Any city or county that requires a permit to construct, alof, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Prof sfons Code) or that he or she is exempt from licensure and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
t bra than fwa In dollars ($300).
, as owner of the property, or my employees with wages as their sole compensation. will do (_) all of or 4.) portions of the work, and the structure is not intended or offered for sale (Section 7044,
sines 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
improvements 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 notbuilt or
Improved for the purpose of safe).
❑ 1, as owner of tea property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does nor
af?ply to an owner of property who builds or improves thereon, and who contracts farina projects with a licensed Contractor pursuant to the Contractors State License Law)..
L! I am exempt from licensure under the Contractors' State License Law for the following reason. _ _
By my signature below I acknowledge chat, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegi
sell a structure that I have built 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
Professions Code, is available upon request when Ira pp ion is su ed or at the following Web site:htip:flivww.leginto.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agand Date >
LICENSED CONTRACTOR'S DECLARATi:6N
I hereby af6m under penalty of perjury that I am licensed under Tov' ons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class Lica a No Date Contractor Signature
WORKERS' MOMPr.NSATION DECLARATION
WARNIF 3: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SfDO,e001, IN ADDITION TO THE
(Oa, CF COMPEN;N, ,ETIODAMAGES AS PROVIDED FOR IN SECTION 370 OF THE IAaOR COOP, INTEREST, AND ATTORNEYS FEES.
1 hereby affirm L r it penalty of perjury one of the following declarations:
ID 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 IT
,performance of line t Xrk for which this permit Is issued. Policy No,
have and war 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'
rence carrier a.n.1 policy number are'.
of Agent
oily that, in Ilia. performance
I should hacon,e subject IV
of
Policy Number
Date
for which this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensatton laws of California, and agia
yNmpensation provisions of Section 3700 of the Labor Code, I shaft forthwith comply wtth those provisions_ �T
Oxla,� / 11 �ZDZ�
CLARATION REGARDING CPPMTRU N LENDING AGENCY
H eby affirm under penalty of rjury tin t tier is a constri.mtlon lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name __. _. Lender's Address
my signature below, Dortfy ld each pf of+owing.
I am the property owner or authorized to act on the pn
I have read this application and the Information I have
I agree to comply with all applicable city and county or
1 authorize representatives of this city or county to ant
ACTION i DATE
PERMIT EXPIRED
HERMIT CAr4CELI
R=17
state laws relating to building construction.
fenlified property for Inspection purposes.
fir OF TITLE 44 AND AQMD RULE
TO
PERMIT FfMAL tJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE 70
CERTIFICATE OF 046 dgz3PROPOSED DEMOLITION
OCCUPANCY ISSUED / ( SIGNATURE:
FOR