HomeMy WebLinkAboutH2022-0527 - PermitsPermit
City of
hnt-
unity DeWpmn D paw Building Division
II
PMechanical
lan Check No: 2371-20L"12022-0527100
Civic Center Drive, Newport Beach, CA 92660
Work Class : Other
Permit Counter Phone: (949) 644-3288Issued
Inspection Requests Phone: (949) 644-3255!r'"T,
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Date : 09129/2022
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newportbeachca.govrinspections PAg� �Ls d�
Inspection Area :
EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
PERMITS
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND
Job Address : 815 VIA LIDO SOUD Legal.Desc : N TR 907 BILK LOT 303
**TIMERS & TAMPER RESISTANT CAPS REQUIRED** (X2021-2726) **STOPWORK 122-2705**
MECH: REPLACE ROOF MOUNTED HEAT PUMP PROHIBITED
Description:
Contractor :
20THCENTURY AIR INC
Owner: BROOKE COLDREN Address
4061 E LA PALMA AVE #A ANAHEIM, CA 92807
Address : 815 VIA LIDO SOLD NEWPORT BEACH, CA 92663, Phone : '
(714)514-9426
Phone: (714) 606-8449 Con State Lie
: 511598
Lie Expire :
06/30/2023
Applicant : 20TH CENTURY AIR INC Bus Lie; BT30054933
Address : 4061 E LA PALMA AVE #A ANAHEIM, CA 92607
Lie Expire:05131/2023
Bus
Phone: (714) 514-9426 Workers' Compensation Insurance
INSURANCE COMPANY OF THE WEST
Carrier :
Owner/Builder: : Policy No:
WSA55038606
Address : W. C. Expire:
12/18/2022
Phone:
Manufacturer : AMERICAN STANDARD
Code Edition : 2019 Fire Hazard Zone : NO
Model# : 4A6L9060A1000A
Type of Construction
Occupancy Groups:
°
Building Setbacks : Front:4, Front: 10, Side: 3, Side:3
0°°°
° °
Flood Zone : AE, 8 FT; X
R-1 - Single -Unit Residential
....
Use Zone :
°
°
BY:
PROCESSED
SPECIAL CONDITIONS: STOPWORK 122-2705
o V3V�
TIMERS PR®HIBITFD..
NO CONSTRUCTION NOISE
ON
HEAT
PUMPS%'°
ON THE WEEKEND
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}
(Section 7031'5, Business and Professions Code: Any city or county that requires a permit to construct, aher, improve, demolish, or repair any structure, prior to its Issuance, also
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 ir of the Business and
Professions Code) u that ha ll she is exempt from ficensura 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 is ex.
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or
Business end Professions Code The Contractors' State wieanse Law does not apply to an owner of property who, through era[ yees' or personal effort, builds or improves theproperty, ravided that the
portions of the rk, and the structure is not intended or offered for sale (Section 7044,
'improvements are not intended or offered for safe. 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
Er
for the purpose of safe). p
4.! I, as owner Owner
the property, who
exclusively contracting with licensed Contractors to construct the project (Section 7044, Su 'mass and Professions God, The Contractors` State License Law does not
ra ly to an owner of property who builds or improves thereon, and who contracts for the pmjects with a licensed Contractor pursuant to the Contractors' State License Law).
U i am exempt from liCensure under the Contractors' State License law for the following reason:
By my At ball h t a built as an that, except fort h s not been
residence in which I must have resided far at least one year'pp-- to completion of the improvements covered by this permit, I cannot le all
sell a sVuetum that I have built as an owner-burldar 1f it has not been constructed in its entirely by licensed contractors, I Understood that a copy of the appitoo I taw, Section 7044 of the Business and
'professions Code, is available upon request when this application is Submitted or at the fallowing web site:htipJAvww f mfo. g i
Signature of Property Owner or Authorized Agent Eg' gav/calaw.html.
-ICENSED CONTRACTOR'S D€CLARAT1 N ~®`��-" Dot
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 70 of Division 3 of the Business and Professi
Ind effect. License Class
PORKERS' COMPENSATION DECLARATION License No Date and my license is in full force
Contractor Signature
!ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 0.ND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (jtep p00J IN ADOPTION To THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEI"s FEES. I
hereby affirm under penalty of Perjury One of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
brmance or 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 Del
trance carrier and POLICY number are:
e of Agent
entity that, in the performance
if I should become subject. to I
Policy Number
Relations as provided far by Section 3700 of the Lebo, Code, for
Of the work for which this permit is issued. My workers'
Expiration Date
for which this permit is issued, I shall not employan Phone #
y person in any manner so as �O became subject to the workers' com..pensation laws of California, and age
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby affirm under penalty of per-,.,-11 =raurnv >+�avcr _--
rythat there is a Construction lending agency for the performance of the work for which this
Lender's affirm
u
3y my SIgn95 �: eow, I certify to each of the following: Lender's Address
41 am 'he
Property owner or authorized to act on the property owner's behalf.
• I have 1ead.thie apptica jOn and the infonnation I have provided is !rapt.
• I agree to Comply with all appfdcable city and county ordimVid state laws relating to building construction.
• - I aUtf Odz4 representatives of this city or county to enter the
iiDnature pf'Pr ntifietl property for inspection purposes.
9p�egty Owner or AUthansRd Ancnr
.• --- .cILAKAI lulu OF COMPLIANCE WITH CODE OF FEDERAL FOR
REGULATIONS PART fit OF TITLE 40ANDA ••••� QM0 RULE
f(
OCCUPANCYUEO ISIJ7, V/1/v 7 PROPOSED DEMOLITION
I5 NOT APPLICABLE TO
Date_
is issued (Section 3097, Civil Code).