HomeMy WebLinkAboutH2022-0397 - PermitsWPoRT City of Newport Beach III I I I II I II I II IIII II II II Mechanical Permit : H2O22-Q3�
I Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
)q n Permit Counter Phone: (949) 644-3288 Work Class : Other
Inspection Requests Phone: (949) 644-3255 Issued Date : 08/03/2022
°q<rronN`P newportbeachca.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 : 2963 QUEDADA Legal Desc : N TR 7167 BLK LOT 12
Description: MECH -INSTALL HEAT PUMP. TAMPER -RESISTANT CAP REQUIRED
Owner: MEDFORD BRAGG
Address : NEWPORT BEACH, CA 92660
Phone:
Applicant: NT ELECTRIC & HVAC INC
Address : 240 S Poinsettia Dr Orange, CA 92868
Phone: (714)277-6747
Owner/Builder :
Address
Phone :
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
X
R-1 - Single -Unit Residential
C,3`
Fire Sprinklers :
Fire Hazard Zone
YES
N
Contractor : NIT ELECTRIC & HVAC INC
Address :
240 S Poinsettia Dr Orange, CA 92868
Phone:
(714)277-6747
Con State Lic :
959727
Lic Expire;
07/31/2023
Bus Lic :
BT30073683
Bus Lic Expire:07/31/2023
Workers' Compensation Insurance
Carrier :
EVEREST PREMIER INS CO
Policy No :
7600019328211
W. C. Expire;
8/25/2023
+-7- f—,,.
Manufacturer: MITSUBISHI
Model#: MUZ-WR18NA
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the oheckmark(s) I have placed next to the applicable ttem(s)
(Section 7031,$, Business and Professions Code: Any city or county that requires a permit to Construct, alter, improve. demoilsh, 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 Dursuaid to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of division 3 of file Business and
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption, Any violation of Section 7W1.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
[11, as owner of the property, or my employees with wages as their SOO compensation„ will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business 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 properly, 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 not built. or
m roved for the purpose of sale).
I, 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
apply 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).
❑ I am exempt front ftensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge That, except for my personal residence in which I must have rasldatl for at least one year prior to completion of the Improvements Covered by this permit, I cannot IegaN,
self 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 this application is submitted or at the. following Web site.httpitlwww.leginfo.ca.govicalew.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty o ry that I am licensed under provisions o C a er 9 (commencingwith Section 7000 fO' slide 3 of the Business and Professi Cod and my license' mull force
and effect. License Class es License No 9' J Date;iW41u-p ontraclor Signatures 3
NORKERS' COMPENSATION DECLARATION �TT� t/�1/_VC - L-Jrvu
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN AOOrriON TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
haveand 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
anee of the work for which this permit Is issued. Policy No,
I ve and will maintain workers' compensation insurance, as required by $action 3700 of the Labor Codeu. for the performance of the work for which this permit is issued. My workers' eompensatior
ns rice carrier and pof y number are: ���(/V ��
1 q{ A p ,�� fI 2 L
rier �,t/.p, dd� j',-,u/(�!� policy Number 9 f`!'✓f Expiration pate
Jame of Agent n ✓✓GVh s�'t1C� fg Phone f!' 3 ��
-II certify that, in the performance of the A for whlc Is 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 agree
has, if t should become aub`ect F£3 own des' cro nsation provisions of Section 3700 of the Lobar Coda: I shall forthwith comply with those provisions,
3fgnalure Of Applicant D� p�/p e1 I7_.O R�
SECLARATION REGAR T CTIDN LENDING AGENCX
Ireby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Idler's Name _ Lender's Address
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 any state laws relating to building construction,
I authorize representatives of this city or county to enter fr/A�, abov identified property for inspection purposes. - I j D
nature of ProDBr1V Owner or Authorized Augur JW ! II 111 on„r a. .,, n..,,...., n ..M...:_.,., n..__.._ .,_.�Y ii, 77n
DATE BY DECLARATIOgOFMMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND ARMQ RULE
1403
'i SUBMITTEI)ASBESTOS NOTIFICATION TO
fyV/ fIM LJASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CEROFICAf6OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATUREr
FOR OFFICE USE ONLY
All required alarm., h.tches gates ani fens?s which servo as part of a pool/spa barrier, shall
be In place priortc of provsf to fill pool/spa &shall remain in place & be maintained for the
life of the pool,