HomeMy WebLinkAboutH2023-0314 - PermitsClOtyeeportB Beach
III I I I II I III II IIII I I II II Mechanical Permit
Community Development pmnt-Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Work Class : Other
newportbeachca.gov/civic Issued Date : 05/1012023U
Inspection Area : 4
H2O23-0314
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 : 1949 PORT PROVENCE PL Legal Desc : N TR 6624 BLK LOT 57
Description: MECH - SFR INSTALL (1) NEW HEAT PUMP *TAMPER -PROOF CAPS AS REQ'D/TIMERPROHIBITED
Owner: KENNETH KRUM
Address : 1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660
Phone: (949)235-3085
Applicant: KENNETH KRUM
Address: 1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660
Phone: (949)235-3085
Owner/Builder: KENNETH KRUM
Address: 1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660
Phone: (949)235-3085
Code Edition : 2022 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 24, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY: R
SPECIAL CONDITIONS: O/B FORM ATTACHED
Contractor
Address
Phone:
Coo- State Lic
Lic Expire
Bus Lic :
Bus Lic Expire:
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
NO Manufacturer: AC PRO
Model#: AULDT60H/NaA
l hereby affirm under penalty of perjury that I am exempt from. the Contractors' State License Law for the reasons) indicatec
'action 7031.5, Business and Professions Coda: Any city or county that requires a permit to construct, alter, improve, demobs
is permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law
rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section':
of more than five hundred dollers ($500),
1 I, as owner of the property, or my employees with wages as their sole compensation, Will do U all Of or I_) portions of the v
'usiness and Professions Code: The Contractors' Stake License Law does not apply to an owner of property Who, through amp
nprovements are not intended or offered for sale. If, however. the building or improvement is said within one year of complelk
oFI,
n ved for the purpose of sale).
SI as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bue
Poly to an owner of property who bul ds or improves thereon, and who contracts for the projects with &.licensed Contractor put
J I am exempt four 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 most have fasided for at least one year
rli a structure thnk I haves built as an owner -builder if it has not been constructed in Its entirety by licensed Contractors. I Uri
rc'ess'ons Code, Is available upon request when this apphcatfili submitte .rat the following Web sitwhtlp:/Iwww.lsglnfo.cl
,Tnahire of Property Owner or Authorized Agent
ICENSED CONTRAOTOR'S DECLARATIONx
oewty, -ffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dh
nd effect. Licence Glass License No Date
below by the checkmark(s) I have placed next to the applicable)terri
, or repair any structure, prior to its issuance, also requires the applicant for
Chapter 9 (Commencing With Section 7000) of Division 3 of the Business and
)31.5 by any applicant for a permit subjects the applicant to a civil penalty of
k;and the structure is not intended oroffered for sale (Section 7044,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that It was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law),
that a copy of the applicable law, Section
Date �17 IU `.�091:5
3 of the Business and Professions Code, and my license Is in full force
Contractor Signature
WORKERS' COY PF14SATiON DECLARATION
'ARNING: FAILURE TO SECURE WORiKEAS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES.. ND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100.000j, IN APPMON TO THE
Os, Uf LOMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 1746 OF THE LABOR CODE, iNTEREST, AND ATTORNEY'S FEES.
hereby affirm alder penalty of perjury one of the following declarations.
J I ha-e and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Im
eriormance of :he wore, for which this permit is issued. policy No.
11 have and will maintain Workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfa
isuuance carrier and policy number are:
arrier Policy Number
of Agent
Relations as provided for by Section 3700 of the Labor Code, for
the work for which this permit is issued. My workers'
Date
certify that, in the performance of the work for which this permit is issued; I shall not employ any person inany manner so I to become subject to the workers' compensation laws of California, and
If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code., I shall forthwith co ply with those provisions.
of
EMM
hereby affirm under penalty of perjury that thereis a construction lending agency for the performance of the work for which thii permit is issued (Section 3097, Civil Code).
enders Name _ Lenders Address
y my signature below. I certify to each of the following:
I am the properly owner or authorized to act on the property owner's behalf,
I have read this application and the information I have provided is correct.
I agree to comply with all applicable pity and county ordgtancos tgn state laws relating to building construction.
I authorize representatives of this city or county to e the akI ldentised property for inspection purposes.
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE U$ ONLY
REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE
1403
Pf RM1T EXPtREO I UtSUBMITTEI)ASBESTOSNOIIFICATiONTO
PERMITFINAL AS,8ESTO5 NOTIFICATION IS NOT LCABtE TO
OCCU ANCYISS J PROP
OSEDDEMOLITIt ,�71
QCCUPANCy ISSUED SIGNATURE: ,,,���fff