HomeMy WebLinkAboutH2023-0082 - PermitsQ ��WPORT City of Newport Beach I _
p - @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
T Inspection Requests Phone: (949) 644-3255
Cq</Fp0.N�P newportbeachca.gov/inspections
III I I II I III II II III I I I II Mechanical Permit : H2023-0082
Plan Check No : 1405-2021
Work Class: Other
Issued Date : 02103/2023
Inspection Area : 2
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 : 203 OPAL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 10 LOT 23
Description: MECH - (2) ROOF -MOUNTED HEAT PUMPS, BATH/EXHAUST FANS', HOOD `TAMPER -PROOF CAPS AS REQ'D/TIMER PROHIBITED (X2021-1598)
Owner: 203 OPAL LLC
Address : 279 FLOWER ST COSTA MESA, CA 92627
Phone:
Applicant: GSW DEVELOPMENT INC
Address : 279 FLOWER ST COSTA MESA, CA 92626
Phone: (949)433-8070
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Fire Hazard Zone
Building Setbacks :
Flood Zone : X; AO 1
Use Zone : R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : GSW DEVELOPMENT INC
Address : 279 FLOWER ST COSTA MESA, CA 92626
Phone:
(949)433-8070
Con State Lic :
954565
Lic Expire :
04/30/2024.
Bus Lic:
BT30075076
Bus Lic Expire:04/30/2023
Workers' Compensation Insurance
Carrier:
NO EMPLOYEES
Policy No:
EXEMPT
W. C. Expire:
NO Manufacturer: MITSUBISHI.ELECTRIC
a by Model#: MXZ-5C42NA2-U1
ON THE VNEEKENL
TIMERS PROHIBITED
ON HEAT PUMPS
OWNER -BUILDER DECLARATION
I. hereby affirm Under penalty of pegurythat I am exempt from the Contractors` State License Law for the reason(s) indicated below by the checkmadds) I have placed next to the applicable Item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to constrict, alter, improve; demolish, or repair any structure, prior to Its issuance, also requires the applicant for
io permit to fiioa 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
rofessions Code) or that he or she Is exempt from iicehsure 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
at more then five hundred dollars ($500).:
1 1, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
usiness add 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
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 It was not built or
n roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Busmess and Professions Code: The Contractors' Stale License Law does not
€y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors'State License Law).
J I am exempt from licansure under the Contractors' State License Law for the fallowing reason: _
:y my signature below I. acknowledge that, 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 legall)
oil 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 copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:hhp:llwww.leginfo.ca.govlcalaw.html,
signature of Property Owner or Authorized Agent Date
,ICEN'SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Diulsidn 3of the Business and Profession. ode,r�y sin full tome
nd effect. License Class License . No Date 02 2'. 221Z Contractor Signature i
UORKERS' COMPENSATION DECLARATION
IARNING: FAfLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS U100,000), IN ADDITION TO THE
DST OF COMPENSATION, OAMAGESAS PROVIDED FOR IN SECTION 1716 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
I 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 th
erformance of thc'-Yolk for which this permit is issued. Policy No.
'II have and will 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' compansatioi
eaura,i,L carrier and Do6cy number are:
� of?,gout
:11 certify that, it the performance of the work for which this permit is issued. I shall not am ploy any person in any manner so as to become subject to the workers' compensation laws of California. and agre
tat, ,f I should become subject to 11he worke ' compensatl rovisfons of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Iiq,t moos of Appl-eel i .. Data-02.O3- 2023
V!! 1',..'1RAT1ON REGARDING CG STRUCTION L t?ING NCY
hereby effirm under penalty of perjury that thereis a construction lending agency for the performance of the work for which this permit Is issued: (Section 3097
Policy Number Expiration Date
Phoneff
.tinder's Name Lender's Address
ty my signature hsluw, I nertlty to each of the following:
I am toe property owner or authorized to act on the property owner's behalf.
I have read ilia application and the information I have provided is Correct.
I agree to comply with all applicable pity and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
31 nature of Property Owner or
ACTION
OF
PERMIT EXPlREO
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIACATC OF
OCCUPANCY ISSUED
7 I I
RY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITI L 40 AND ADMIT RULE
PROPOSED
NOT FCATION TO
NOTIFICATION 15 NOT APPLICABLE. TO
FOR OFFICE USE ONLY
Civil Code).
i MIELD