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HomeMy WebLinkAboutH2022-0448 - Permits��EWPoRT City of Newport Beach p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u s Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cggcoaN�P newportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 08/29/2022 Inspection Area : 6 H2O22-0448 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: 55 MANDRIA Legal.. Desc : N TR -161,95 BILK LOT 9 UN 127 TRACT 16195, LOT 9 OF PROJECT 93 4-33 LOCATED ON Description Owner : Address Phone: MECH - R/R A/C CONDENSER & COIL. TAMPER -RESISTANT CAP REQUIRED MICHAEL CARSON Contractor RIGHTIME HOME SERVICES 55 MANDRIA NEWPORT COAST, CA 92657 Address : 1821 MCGAW AVE IRVINE, CA 92614 Applicant: RIGHTIME HOME SERVICES Address: 1821 MCGAW AVE IRVINE, CA 92614 Phone: (714)998-4300 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY X PC - Newport Ridge a Phone: (714) 998-4300/ Con State Lie:765074 &pe Lie Expire : 06/30/2023 /�� "i7 ,q Bus Lie: BT30078653 ®N ��� ��r IIB�T�/� .Bus Lie Expire:05/31/2023 Ill , [J Workers' Compensation Insurance !_VMP(+ Carrier: LIBERTY+INSURANCE+CORPORATION t7 Policy No: WA76" '" W. C. Expire : 10/1/2 Fire Hazard Zone : Y ome moc co ooc. G G m G � • • oo • o • m 0 o m e o e e c ••• o 0 0 0 0 • o o 0 0 0 © • oc ooc. c o G GCG fl O O O f p p O O E C 4 C G O C C Q C O O G O G O C GO GOO O O 00 00 6rGG 022 Manufacturer: LENNOX Model# : ML14XC1-042 'y "C j 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 checkmark(s) I have placed next to the. applicable Items) (Seofion 7031.5, Business and Professions Code: Any city or county [hat 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 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 Professions. Code) or that he or she Is exempt from licensors: 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 hundred.dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole 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 art owner of property who, through employees' or personal effort, WINE or Improves the property, 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 Eroved 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 e,EPly to an owner of property who builds or Improves: thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors` State License Law),. LI I am exempt from licensure under the Contractors' Siaie License Low for the fallowing 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 legal]', sell 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, Isavailable upon request when this application is submitted or at the following Web site:http:ltwww.leginfo.ca.goviGalawaitml. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION l hereby affirm under penalty of perjury. that I am licensed under provisions of Chapter (commencing with Section 7000). NICK o the. Business and Profess - not my license is In full force and effect. License Class License No Date ontractor Signature e WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSAT70N,COVERAGE.IS-UNLAWFUL, AND. SHALL SUBJECT. AN EMPLOYER TO MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOa D THOUSAND D4L_LARS (S1SD,Gtltl), IN ADp71ON TO THE COST OF COMPENSATIONI DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under ponaih, of perjury one ofthe following declarations: I have and will maintain a cedifiaato of Consent to self -insure for workers' compensation; Issuedby the Director of Industrial. Relations as provided for by Section 3700 of the Labor Code, for th KI manco of the work for which thispermit is issued. Policy No. ve 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' compensatio nce carrier and policy number are: ler Policy Number Expiration Date 'Jame of Agent. Phone # -11 certify y that; in the performance oft] cork 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 That, If I should became subject t workers compensation provisions Of Sac .3700 of the LaborCode, I shall forthwith comply with those provisions. Signature of Applicant Dat ----� DECLARATION RE � 90jAON LENDfNG AGENGY hereby aN rm under pens o perjury'thatthere is a construction lending agency for the performance of the work forwhich this permit is, issued (Section 3097, Civil Code), ;sender's Name. - Lender's' Address 3y my signature below, I certify to each of the following: I am [fie property owner or authorized to act on the property owners behalf. I have read this application and the information I have providetl t.. I agree to. Comply with all applicable city and county ordin s and state laws relating to building construction. I authorize representatives of this city or County to DOW the above- It F for I - , _ 11-11_ _1. BY 40 Uisummi-TEo A.SBrSTOSNOTIFICATIONTO • • ••• •• ••• ••• OEPA ...,m.' AA nkJred araims, lmhes gates dnN fences. which serve as part of apool/spa barrier, shall ,..Llomo. n bs Irrplace prierto spprovaltg:fill pgol/spa&-shall remain in place & be maintained for the L-JASMSTOS NOTIFICATION IS NOT APPLICABLE TO (ife of the pool. '�' 2S Y/�+— nennneen nennrn �Tenni •