HomeMy WebLinkAboutH2022-0613 - Permits�EWPo?r City of Newport Beach
119
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
> S Inspection Requests Phone: (949) 644-3255
/FOM1N\p newportbeachca.gov/inspections
III I I I II I II I II II II I III II Mechanical Permit : H2O22-0613
Plan WorkIssued Date: Classk 741-2D21
Other
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 : 3909 MARCUS AVE Legal Desc : A TR CANAL SECTION BLK 339 LOT 4 CANAL SECTION LOT 4 BLK 339 (AND SELY 8.5 FT LOT 5
Description: MECH -INSTALL 2 HEAT PUMPS (IN MECH WELL ON ROOF DECK). TAMPER -RESISTANT CAPS REO'D
Owner: W VOSS
Address : 2623 VISTA ORNADA NEWPORT BEACH, CA 92660
Phone:
Applicant:
BASIC AIR INC
Address :
1157 SALINAS AVENUE COSTA MESA, CA 92626
Phone :
(714) 469-4542
Owner/Builder
Address
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
Front: 4, Front: 20, Side: 3, Side: 3
AE, 8 FT; AO 1; X
R-2 - Two -Unit Residential
SPECIAL CONDITIONS:
Fire Hazard Zone
Contractor : BASIC AIR INC
Address :
1157 SALINAS AVENUE COSTA MESA, CA 92626
Phone :
(714) 469-4542
Con State Lic
: 909834.
Lic Expire :
01/31/2024
Bus Lic:
BT30045172
Bus Lic Expire:10/31/2023
Workers' Compensation
Insurance
Carrier:
PALOMAR SPECIALTY INS CO
Policy No :
PSIC1196402
W. C. Expire :
10/22/2023
NO Manufacturer: AC PRO
fvlodel#: AULD36W2/A
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OWNER -BUILDER DECLARATION
I hereby affirm under penallyof 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 alter, improve; demolish, or repair any structure,prior to its Issuance, also requires the applicant for
the permit to file a signed statement that no or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division of the Business :and
professions Code) or that he or she is exempt from lioensure and the basis for the alleged exemption. Any violation of Section 7001.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more. than five hundred dollars ($500).
❑ I, as owner of the property,, or my employees with wages as their sole compensation, wit do U allofor (-;) portions of the work.; and thestructureis notinterided or offeredforsale (Section 7044,
Business and Professions Code: The Contractors State License Law does not apply Io an owner of property who, through employees' or personal effort, builds or improves theproperty,providedthatthe
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
Improved for lire purpose of sale).
d I, as owner of the property, am exclusively contracting wilh 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),
0 1 ant exempt from jicansure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge trial, except for my personal residence In which I must have resided for at least one year prior to completion afire improvements covered by this permit,. I. cannot legally
sell a structure that I have bull( as an owner -budder If It has not boon constructed in Its entirely by licensed contractors. I Understand that a copy of the applledble-law, Section 7044 of the Business and
Professions Code, is available upon request when tints application Is submitted or at the following INeb site:fitly:/lwww.leginfo.ca.:govlca law, html.
Signature of Property Owner or Authoi'Ized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I herebyafllnn under penalty of perjurythat I am licensed under provisions of Chapter g (commencing with Section 7000) of Division 3 of the Business and Professlo���nsss,,,Go e, and In license Is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NArli FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL. AND SHALL SUBJECT'. AN EMPLOYER. SO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADOTTION TO THE
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEYSFEES.
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a cerlircate of consent to self -Insure tot' workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
'manco of the work for' which this permit is. issued Policy No.
and will maintain workers' compensation insurance, as roqulrpd 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
Name Of Agont
711 certifythat, 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' core pensatlon laws of California, and agree
that, 111 should becorne subject to the workers' compensation provislons of Section 3700 of the Labor Code, I shall forthwith comply will those. provisions.
SiIjnalure of Applicant - __ Dale
DECLARATION REGA IN CONSTRUCT LENDING AGENCY
herebyaffirm under penalty of perjury that there Is a construction lending agency for the performance of the. work forwhlch'this permitisissued (Section 3D Civil Code)
Lender's Name Lender's. Address
By my signature below, heartily to each of the following:
l am the property owner or authorized to act on the properly 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 State laws relating to building construction.
I authorize representatives of this city or county u enter the ove-Identified property for Inspection purposes,
Signature of Property Owner or AuthPrint Property Owner's or Authorized Aoent's Name p" `e°to_�z Date
ACTION
DATE'
BY/
0ECLARATII ON OF COP PLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY �
R€O ULATIONS PART 61 OF 7111.E 40 AND AQMD AU LE
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PERMIT EXPIRev
LJ I SUBMITTED ASBrST05 NO I'MCATION TO
PERMITCANCEUEO
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PERMIT EXTENDED
AOMD
PERM)T FINAL
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❑ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
r/
PROPOSED DEMOLITION
OCCUPANCY 155UED
SIGNATURE;