The URL can be used to link to this page

Home My WebLink AboutH2023-0494 - Permitsa'oRr City of Newport Beach I I I I I II II I I I II II o� @ Community Development Department - Building Division OrCivic Center Drive, Newport m t Beach, CA 92660 Counter Phone: (949) 718-1888 Pe newportbeachca.gov/civic CSCi c00.A�P Mechanical Permit : H2O23-0494 Plan Check No : PC2023-0246 Work Class : Other Issued Date: 08/04/2023 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 : 222 AMETHYST AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 20 LOT 12 Description: MECH R/R FURNACE AND A/C UNIT AT SIDE **TAMPER RESISTANT CAPS REQUIRED** (XR2023-0314) Owner: SINNER JOHN R LIVING TR Address : 528 VAQUERO RD ARCADIA, CA 91007 Phone: (626)445-3558 Applicant: RUDY GUADIANA Address : PO BOX 78581 CORONA, CA 92877 Phone : (951) 427-9540 Owner/Builder Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Contractor : AC CREW HEATING AND AIR INC Address : 2813 CORAL STREET CORONA, CA 92882 Phone : (951) 427-9540 Con State Lic : 971817 Lic Expire : 01/31/2024 Bus Lic: BT30082295 Bus Lic Expire:08131/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE COMPANY INC Policy No: TWC4221129 W. C. Expire: 3/1/2024 Fire Hazard Zone : NO Manufacturer : AC PRO Model#: AULD35W2/A-D(U) Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1; X Use Zone : R-BI -2wo-o-Unit Residential, Balboa Island PROCESSED BY : -`�05 SPECIAL CONDITIONS: HIGH DENSITY ZONE NO CONSTRUCTION WORK ON SATURDAYS OWNER -BUILDER DECLARATION I hereby affirm under penaity of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 5eChon 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 to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 Of the Business and 'rofesslons 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 for a permit subjects the applicant to a civil penally of of more than five hundred dollars ($500). 3 I, as owner of the Property, or my employees with wages as their sofa compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness and Professions Cade: The ContractorsState License Law does not apply to an owner of property who, through employees' Or personal effort, builds or improves the property, provided that the 11provements 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 bullt or nproved for the purpose of sale). 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly 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 from 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 must have resided for at leastoneyear prior to completion of the improvements Covered by this permit. I cannot legally 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 Website:http:llwww.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent,_,,,_____ _ _Date .ICEN'.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I ant licensed under provisions of Chapter-9 (commencing with Section 7000) or Div sion 3 of the Business and Professions Code, and my license is in full force rid effect. Llconse Class License No G.1-7 ! l7 Date h Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARMING: 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 ($100.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 110E 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 lhE orformance of the work for which this permit is issued. Policy No. 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' compensalio ,ranee carrier and policy number are. 'ier Policy Number Expiration Date re of Agent Phone N certify that, in the performance of the work for wh' h 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 agra if I should become su fec to the ors' c ensatio provisions of Section 3700 of thForthwith e Labor Code, I shall forthwcomply With those provisions. iature^of APPlicantY" �.,.. , �., rrr.,..... .,.... Date— 3reby 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), tder 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 mnrp'y with all applicable city and county ordinances ands aws relating to building construction. I authorize representatives of this city or county t er t b we-i ifed property for inspection purposes. /� oa.,ure of Property Owner or Authorized Adenf /. Print Property Owner's or Authorized Acenns Name / , I -I a ACTION _ DATE BY DECLARATION OF COMPLIANCE Wirt] CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACtMD RULF ..,1403 PEPVJT ENPIRCD I U I SUBMITTED ASBESTOS NOTIFICATION TO PFF'. irT CANCEI I FD �. EPq t n eHr ExrFr1DED - � [f ,Ari FINAL ❑ASBESTOS Nbri FITA,'f1ON IS NOT APpL4CAetE TO L4 "ICATE OF P� PROP05ED DEMOLITION OCCU^ANCY 1FSUEi' SIGNATURE T