HomeMy WebLinkAboutH2023-0026 - Permits�aEWPpR� City of Newport Beach III II I III III II II III III II Mechanical Permit : H2O23-0026
Community Development Department - Building Division
100 Civic Center h Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 644-3288 Work Class : Other V,
Inspection Requests Phone: (949) 644-3255 Issued Date : 81/11/2023
C9t icOp��� newportbeachca.gov/inspections 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 : 126 24TH ST Legal Desc : A TR NEWPORT BEACH CITY BLK 23 LOT 19 NEWPORT BEACH CITY LOT 19 BLK 23 AND LOT 20
BLK 23
Description: MECH CHANGE OUT HEAT PUMP ON ROOF *TAMPER PROOF CAP REQ*
Owner: HARRIS ANDREW TR
Address : 26941 HIGHLAND DR SAN JUAN CAPISTRANO, CA 92675
Phone:
Applicant: COASTAL HEATING & COOLING INC
Address: 21418 SILVER SPUR LN WILDOMAR, CA 92595
Phone: (949)482-2599
Owner/Builder
Address
Phone:
Code Edition :
2022
Type of Construction
Occupancy Groups:
Building Setbacks:
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Contractor : COASTAL HEATING & COOLING INC
Address : 21418 SILVER SPUR LN WILDOMAR, CA 92595
Phone:
(949)482-2599
Con State Lie
: 1045446
Lie Expire :
01131/2025
Bus Lie:
BT30080419
Bus Lie Expire: 01/31/2024
Workers' Compensation
Insurance
Carrier :
Policy No:
WC78187
W. C. Expire :
7/15/2023
TIMERS PROHIBITED
ON HEAT PUMPS
Manufacturer: GOODMAN
Model# : GPUM33006041
I hereby affirm under penalty of per7:•.ury that I am exempt from. the Contractors` State License Law for the res son(s) indicated below by the checkmark(s) I have placed next to the applicable iteri
Section 7031.5. Business and Protassioris 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
he permit to file a signed statement that he or she is licensed pursuantto the provisions at the Contractors' State License Law (Chapter 9 (commencing With Section 7000) of Division 3 of the Business and
'rofessions Cade) or that he or she is exempt from liconsure andthe basis for the alleged exemption. Any violation of Section 703i.5 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_l portions of the work, and the structure is not intended or offered for sale (Section 7044,
tusiness and Professions Code: The Contractors' State License Lew does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
mprovoments 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
Ti roved 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
ty to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law),
I am exempt from leensi me under the Contractors' State License Law for the following reason:
I m signature below l acknowledge that, except form e least —,f t-c--------t, I cannot__
y y g g p y 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 Iagall!
ell a structure that I have built as an Owner -builder tf 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
irofessions Code, Isavailable upon request when this application is submitted or at the following Web site:http:Nwww.leginfo.ca.govtcalaw.html,
signature of Property Owner or Authorized Agent pate
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm.. under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section, 0 of Division of the business and Professi n o d To license is in full force
nd effect. License Class License. No Date - Z Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL F44ES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
J 1 have and Will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Indostrial Relations as provided for by Section 3700 of the Labor Code, for th,,
erformance Of the work for which this permit is issued. Policy No.
Weave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cods, for the performance of the work for which this permit is Issued. My workers' compensatioi
insurance carrier and policy number are:
Carrier. Policy. Number Expiration Date
Name Of Agent Phone Vf
711 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 become subject to the workers` compensation laws of California, and agre
that, if I should becom {Ijeet to to or rs' comp n provisions of Section 3700 of the Labor Code, I sfiall forthwith comply with those provisions.
j L
DECLARATION
OfApplic
RE ni � 1N G
BECLARA71pN REG RDIN �r CTipM L NDIN AGENCY
hereby affirm under penalty of perjury that thereis a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)..
_ender'.s Name Lenders Address
By 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 correct.
I agree to comply with all applicable city and county dinancas and state laws relating to building construction.
I authorize representatives of this city or county ter th bova-�d t7fled property far inspection purposes. I
Signature of Pro art Owner or Authorized A ant Print Pro ert Owner's or Authorized A anl`s Name I '4 Dat f"
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY
t REGULATIONS PART 61 OF TITLE. 40 AND AQMG RULE
g 1403
PERMIT EXPIRED 171
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED _...
I!— 4�.� —PA
PERMI7 EXTENDED i IJAOMD
PERMIT FINAL .� y �,� QAiRESTUS NOTIFILATIGiN IS NOT APPLICABLE TO
CERTiFMATE OF W I PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: