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HomeMy WebLinkAboutH2022-0342 - Permitsa4�EvuvoR� City of Newport Beach @� Community Development Department - Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °q<r F<SaN�P newponbeachca.gov/inspections Mechanical Permit : H2O22-0342 Plan Work Class k Other Issued Date: 07/11/2022 Inspection Area: 1 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 : 128 40TH ST Legal Desc : A TR RIVER SECTION BLK 39 LOT 15 Description: MECH: INSTALL (1) ROOF -MOUNTED HEAT PUMPS/MINISPLIT. **TAMPER RESISTANT CAPS REQUIRED; TIMERS PROHIBITED** Owner: DOUGLAS BILLINGS Address : 128 40TH ST NEWPORT BEACH, CA 92663 Phone: (949)636-3160 Applicant: IE Inc. Address : 31225 La Baya or #213 Westlake Village, CA 91362 Phone : (818) 735-7876 Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: Front: 10, Side: 3, Side: 3, Rear: 5 X R-2 - Two -Unit Residential Fire Sprinklers : Fire Hazard Zone Contractor : COMMAND AIR CORP Address : 4431 CORPORATE CENTER DR #115 LOS ALAM1;OSI CA 90;20 Phone : (714) 952-3900 Con State Lie : 942279 Lie Expire : 01/31/2024 Bus Lie : BT30078990 Bus Lie Expire 0613012023 >- Workers' Compensation Insurance Carrier Policy No W. C. Expire: , NO Manufacturer: AMERICAN STANDARD Y Model# : NAXMMX30A132AA OWNER -BUILDER DECLARATION I hereby affirm under penally of penury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placednext to the applicable iterm(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 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). © I, as Dwner 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 Contraetors' State License Law does not apply In an 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 improvement is sold within one year of completion, the Owner -Bulkier will have the burden of proving that it was not built. or improved 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 4a pmly 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 Itcensure under the Contractors' State License Law for the following reason: y 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 ilcensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site.httpJAwww,legmfo.ca.gov/calawihtml. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commending with Section 7000) of Division 3 of the Business and less Code, and my license is fie full force and affect, r ibense, Class License No Date Contractor Slgnatur WORKERS' COMPENSATION DECLARATION TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS ($100,0001, fN ADDITION TO THE ATION. DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have FnI 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 ormance of the ,work for which this permit Is issued. Poky No. ard wM .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 Expiration Date of ASant Phone # _ JI 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 became subject to the workers' compensation laws of California, and agre Tat, if I shuuid : ecame subject to the workers' Compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply With those provisions. signature of Applicant _._._...,.,,..__-.-.___.._....,...._..._._._..._-__......_-__._,_..._.. Date_-___ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury thatthere 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 ly my signature below, I certify to each of the following: I am tfle property owner or authorized to act on the pr owner's behalf. I have read this application and the information V01405vided is correct. I agree to comply with all applicable city an punk. rdinances and state laws relating to building construction, //� t� t I authorize representatives of this city or ounty to an a above -ids arty for inspection purposes. I `�0 f A b9 4 1 JAC, Data ! l(1//� larrature of Prouertv Owner or Authorize Ad®nt Print Pronery Owner's or Authorized Anent Name I .( ,l/ l ACTION DATE —W---i�EftITFIATION OF COMPLIANCE WITH CODE OF FEDERAL I REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE PERNtITCXPIRED ( } t.I I SUBMITTtD ASBESTOS NOTIFICATION TO PERMIT CANCELLED j I LJcPA P€RMfT EXT€NQfQ _ I fiNID RFRNRT FINAL €}—_ , ` ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO �C Q CERTIFICATE OF (� PROPOSEDDEMOLITION OCC Pn NCrd55UED SICNATIll FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.