HomeMy WebLinkAboutH2023-0437 - Permits4 ��WPOQr City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u ? Permit Counter Phone: (949) 718-1888
.� newportbeachca.gov/civic
C,GIF00.N`P
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date: 07/07/2023
Inspection Area : 6
H2O23-0437
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: 18 LYON
Description:
MECH - C/O HEAT PUMP & AIR HANDLER
Owner:
FRED AND ROSEMARY GREENSITE TRUST
Address :
18 LYON NEWPORT COAST, CA 92657
Phone:
Applicant :
JUST RIGHT SERVICES
Address :
23482 PERALTA DR LAGUNA HILLS, CA 92653
Phone:
(949)228-2108
Owner/Builder :
Address
Phone:
Code Edition :
2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone :
PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITI S.
Legal Desc : N TR 14895 BLK LOT 65
Fire Hazard Zone : NO
Contractor :
JUST RIGHT SERVICES
Address :
23482 PERALTA DR LAGUNA HILLS, CA 92653
Phone:
(949)228-2108
Con State Lic :
970383
Lic Expire : 04/30/2024
Bus Lic: BT30066798
Bus Lic Expire:04/30/2023
Workers' Compensation Insurance
Carrier : SIRIUS AMERICA INS CO
Policy No: WC73109
W. C. Expire: 7/15/2023
Manufacturer: AMERICAN STANDARD
Model#: 4A6H6048H1000A
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' state License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iterrl(s)
iection 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve; demolish, or repair any structure, prior to its Issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant t0 the provisions of the Contractors' State 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 lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant forapermit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, wtI do (_) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044,
usiness 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
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
nproved for the purpose of 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
pply 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).
7 I am exempt from licensors 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 least one year prior to completion of the Improvements covered by this permit, I.cannot iagall)
ell 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
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca..gov/calaw.htm).
signature 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 7 0 f D risi 3 of the Business and P de, and my license is in full force
nd effect. License Class License. No f]ai8 2 Contractor ' atur
VORKERS' COMPENSATION DECLARATION l/
IARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, ANOATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following dedarat ons:
Ehave 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
ae_ rmance of the work for which this permit is issued. Polley No..
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'
carrier and policy number are:
of Agent
Policy Number
Date
certify that, inthe performance of the we 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 California, and agre
, If I should become subject to the ers' compensation P ions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions.
Dai 7, I - —
ION LENDING AGENCY
hereby affirm under pe a Iury thatthere is a construction lending agency for the performance of the work for which This permit is issued (Section 3097, Civ I Code).
enders Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property 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 city and county ordinances sta
I authorize representatives of this city or county to enter t eniifie<
of
DATE
PERMITEXPIRED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
relating to building construction.
property for inspection purposes..
OF COMPLIANCE WITH CODE OF FEDES
PART fit OF TITLE. 40 AND AQMD RULE
TO
LJ ASBESTOS NDTIFICATION 15 NOT AHPUABLE TU
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Date i �-7 1