HomeMy WebLinkAboutH2023-0007 - PermitsEWpc, City of Newport Beach
Community Development Department- Building Division
n100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 644-3288
Y Inspection Requests Phone: (949) 644-3255
c9l�pOpN�P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date :
Inspection Area : 1
H2O23-0007
V TLf;_g3
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 : 129 27TH ST, B
Description: MECH -CHANGE OUT F.A.U. IN CLOSET
Owner: YIP FAMILY REVOCABLE LIVING TRUST
Address: 129 27TH, B NEWPORT BEACH, CA 92663
Phone:
Legal Desc :
Applicant: GLEN AIRE HEATING & AIR
Address: 2040 EASTRIGDE AVE B-1 RIVERSIDE, CA 92507
Phone: (951)656-4225
Owner/Builder:
Address:
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Front: 5, Side: 3, Side: 3, Rear: 5
X
SPECIAL CONDITIONS:
' Contractor :
GLEN AIRE HEATING & AIR
Address :
2040 EASTRIGDE AVE B-1 RIVERSIDE, CA 92507
(951) 656-4225
-Phone:
Con State Lie
: 1066530
Lie Expire:
06/30/2024
Bus Lie :
BT30077948
Bus Lie Expire:02/28/2023
Workers' Compensation
Insurance
Carrier :
BENCHMARK INS CO
Policy No:
CST5023071
W. C. Expire:
1/14/2023
Fire Hazard Zone : NO
Manufacturer:
Model# :
IiN,-, "y�C I '�. 1
OWNER -BUILDER DECLARATION
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 item(s).
;Section 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 (or
:he 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
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Arty violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
Tat more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is notintended 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 property, provided that the
'mprovements 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
mproved for the purpose of sale).
= 1. 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 from Ifcensure 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 Iegallp
sell a structure that I have built as an Owner builder if 11 has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Businoss and
Imfossions Code, is available upon request when this application Is submitted or at the following Web site:http:11www.leginfo.ca..gov/cBlaw.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 9 (commencing with Section 7000) of the Business and Pro s my license is In full force
and effect. License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
MARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 Or THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 Industrial Relations as provided for by Section 3700 of the Labor Code. for Ihl
4911mance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
certify that. in the performance of the worms h this
rkars' pw , if I should become subject to the We"ItTrfS
of Applicant
Date
shall not employ any person in any manner so as to become subject to the workers' compensation laws of Caliromia, and agree
of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I
hereby 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).
enders Name Lenders Address _
�y 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 co of.
I agree to comply with all applicable city and county ordinanc d state laws relating to building construction. �%
I authorize representatives of this city or county to enter i above-idenli y or inspection purposes. IS1 1r•rf!Y.
DATE I BY
PERMIT CANCELLED
PERMIT EXPENDED
PERMIT FINAL ((�/�'q� 1
CERTIFICATE OF ` V V
OCCUPANCY ISSUED
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AOMD BULL
103
1 SUOMITTFD ASBESTOS NOTIFICATION TO
LASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
N
®
®
a
a
o
oa
W
W
W
W
o0
0
0
J
J
o
�
0
0
Gd
G
O
Cac
G
O
00
a
O
a
N
O
N
O
U
U
o
0
0
W
O
C0
G
W
CD
o
CD
o
o
130
0
O
O
O
O
W
Z
O
Z
O
O
Z
O
J
m
W
z
O
Q
z
O
¢
Q
z
O
Q
g
ow
ui
in
in
,n
U-U
�w
OU
oz
FF
o
F
o
o
o
W
} Q
(�
o
(A
o
o
o
>=
O a
W
Q
N
i�
W
Q
N
Q
N
W
QQ
N
_2
or)
w0U
LPL
LL
LL
U
U
CF
W
Z
m
Q
M
YO
(0
O
(0
N
O
Q
3
Ac
Q
m
LL
m
Z
W
W
LL.
F-
0'
Z
I-
x
❑
W
I-
❑
LL
LL
W
S
LL
2
O
F-
N
O
2
O
0
N
O-
C)
V
W
W
W
W
W
W
a
L
Q
Q
N
N
a
M
c
O
U
LL
U
o
U
LL
M
U
a
E
r
U
LL
E
LL
LL
F-
U
m
o E
w
r
LU
Z in
ai
m Z
m
LL.
m
LJ�
U
0
.O
a E
"O
W
W
W
W
O
O
co
O
O
W
W
(O
O
d
0-Q
T
U
07 0_
coQ
N
Q
O
jn
Q
U
O
O
M
o
J
O
0
J
o
`o