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HomeMy WebLinkAboutH2022-0396 - Permits�eWPo� City of Newport Beach pal d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 • z Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9</F00.N�P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 0810312022 Inspection Area : 6 H2O22-0396 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: 40 WHITEWATER DR Legal Desc : N TR.8426 BLK LOT 25 Description: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* Owner : RIDDLE SHELLI TR S Contractor s TRITON AIR INC Address : 40 WHITE WATER DR CORONA DEL MAR, CA92625 Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Phone : Phone : (949) 492-0290 Con State Lic : 774877 Applicant: TRITON AIR INC Lic Expire 06/30/2024 Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE"CA 92673..' Bus Lic : BT30042558 Phone: (949) 492-0290 Bus 031/2023 pe So CT Workel s' Co1mpensat ion Insurance e Owner/Builder : Carrier : '.. FALLS LAKE FIRE Address : Policy No:, FLA01867400 Phone: W. C. Expire: 1/1/2023 Code Edition : 2019 Fire. Sprinklers : NO Manufacturer: AMERICAN STANDARD Type of Construction : Fire Hazard Zone : 'N Model# : 4A71-6048A1 Occupancy Groups Building Setbacks: Front: 15, Side: 5, Rear: 15 Flood Zone: X Use Zone: PC - Jasmine Creek . PROCESSED BY: . ..o. oo m o ea®000 . ° 0 0 oaaa . . . a o .. ° m e o a 00 00 ae000 0 ° ae000 0 00 o °o o00000 Jo I hereby affirm under penalty of perjurythat I am exempt from the Contractors State License Law for the reason(s) indicated below by the checkmark(s) t have placed next to the. applicableitem(s) (Section 7031.5, Business and Professions Code'. Any city or county that requires a permitto construct, alter. improve, demolish, or repair any structure, prior to its Issuance; also. requires the applicant for the permit to file a signedstatement that he or sho islicensed pursuant to theprovisions of the Contractors' State License Law (Chapter 9 (commencing: with Section 7000) of Division 3: of the Business and Professions. Code) or that he or she is exempt from ficensure 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 penalty of not more than five hundreddollars ($500):. © I, as owner of the property, or my employees with wages as their sole compensation, will do L_i all of Or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professmns Code: The Contractors state License law does not apply town owner of property who, through employees' or personal effort, builds or improves the property; provided that the Improvements are not intended or offered for sale. If, however: the building or Improvementis sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or Improved for the purpose of sale). I, as owner of the property, am exclusivelycontracting with. licensed Contractors to construct tine project (Section 7044, Business and: Professions Code: The Contractors State license Law does not a ply loan 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: By 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, sell a structure that I have built as an owner-bullder if it has not been constructed -in Its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the: Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llw .legmfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent .Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 000) of Di ision'3 of the Business and Pr ssica o andrrg+licenseis infull force and effect. License Class License No Dat — S -12- Contractor Signa WORKERS' COMPENSATION DECLARATION WARNING; FAkLURETO SECURE WORKERS' COMPENSATION COVERAGE is UNLAWFUL, AND. SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTOONE HUNDRED THOUSAND DOLLARS (E}P0.DDel• rN ADDmON TO THE COST OF COMPERSATIM,, DAMAGES A$ PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNeY'a FEES. I hereby affirm under penalty of perjury one of the following declarations: 711 have: and wit maintain a certificate of consent 16 self -Insure for workers compensation, issued.. by. the Director of Industrial Relations as provided for by Section'3700 of the Labor Code, for th performance of the work for which this permit Is issued.. Policy No. Fhave 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 compensation insurance carrier and policy number are: Policy Number Date He of Agent Phone # certify that, in the performance of the work for 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 L If I should become su fe❑tie th or re compensafI provi tons of Section 3700 of the Labor Code, I Shall forthwith comply with those provisions. nature of ARPlioant Z Date" CLARATION REGP DIN.. C N CTION LENDING AGENCY f ireby affirm under penalty of perjury that there is aconstruction lending agency for the performance of the work for which this permit is issued- (Section 3097, Civil Code):. rders Name -- Lender's Address. my signature below, I certify toeachof the following: I am the propertyowner 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 and stale laws relating to building constructron I authorize tc4rtL•senlatives of this city or coup to tart o -identified property for inspection purposes_- •A'C4fb�1 ••e �• DATE. j BY V [ QEMRATION OF COMPLIANCE WITH CODE OF FEDERAL. FOR OFFICE USE ONLY •' E( REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE • • • • E{l 1403 PERMITEXPtREA••• - isuBmi1TEDASBESTOSNOTI5ICATIONTO All required alarms, latches gates and fenceswhich serveas part of apool/spa banner, shall be in place prior to approval to fill pool/spa Stshall remain in place & be maintained for the life of the pool. PERMiCCANCECGE9• DEPA - PgR�Nr7'EXTENpEq • • QMD Pi�t"77 FIMAL• �* ASBESTOS NOTtFiCAfi10N FS N07 APPUCRBL£ Tb J�f"IFJCATEOF • - PROPOSED DEMOLITION: O[CUIi4NCYI5SKD_ • • .SIGNATURE: eecoee • ee c ccco Bee e