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HomeMy WebLinkAboutH2023-0102 - PermitsCity of Newport Beach III II I III III II III I III I II Mechanical Permit : H2023'U1 O2 p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No ' Permit Counter Phone: (949) 644-3288 Work Class :Alteration tea.. 2 Inspection Requests Phone: (949) 644-3255 Issued Date : 02/1312023 cgt,p�µN�P 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: 1620 OCEAN FRONT W Legal Desc : A TR NEWPORT BEACH SEC B BLK 16 LOT 10 Description: MECH, CHANGE OUT (1) A/C -TAMPER RESISTANT CAP AND TIMER REQUIRED Owner: STEVE HOPKINS Address : 1620 OCEAN FRONT W NEWPORT BEACH, CA Phone: (801)494-6763 Applicant: SAUL MARTINEZ Address : 1221 PUERTA DEL SOL, 300 SAN CLEMENTE, CA 92673 Phone: (949)492-0290 owner/Builder: Address Phone : Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-2 - Two -Unit Residential Contractor : TRITON AIR INC Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Phone: (949)492-0290 Con State Lic : 774877 Lic Expire : 06/30/2024 Bus Lic: BT30042558 Bus Lic Expire:03/31/2023 " Workers' Compensation Insurance Carrier : FALLS LAKE FIRE Policy No: FLA01867400 W. C. Expire: 4/1/2023 PROCESSED BY: (/(, Tr^^ER REQUIRED ON EQUIPMENT SPECIAL CONDITIONS: TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Manufacturer: AC PRO Model# : 4AC16L NO CONSTRUCTION NOISE ON THE 1,AIEEKENQ (111 IF! n FC"Irc; Yr 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 itern(s) (Section 7031-5. Business and Professions Code: Any city or county that requires a permit to construct, sitar, improve. demolish, or repair shy structure, prior to its issuance, also requires the applicant for the permit to file a signed statement thathe 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 licensure, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of not 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 U portions of the work, and the structure is notintended or offered for sale (Section 7044, Susiness 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 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 the purpose of sate). ❑ i, 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 icensure under the Contractors' Slate License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the Improvements covered by this permit, I cannot legall, sell a structure that I have built asan owner -builder if 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 Professions Code, is available uponrequest when this application is submitted or at the following Web slte:http;//www.leginfo.ca.gov/calaw.htmi, 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 y000lof Divisiong,of the Business and Professions d ! no my license is in full force and effect. License Class License. No Dat Z, -Z,J Contractor Signatu� r' NORKERS' COMPENSATION DECLARATION NARNING: 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 (Sl Dgee4), IN AODMON TO THE OST 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: -1 1 have and v.iil 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 IN )erformance of cork for which this permit is issued. Policy No. and mil 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 ,..no policy number are: Policy Number of Agent . _ _ _ _ Date JI certify that. in the performance of the work for which this permit is issued. I shall not employ any person inany manner so as to become subject to the workers' compensation laws of California, and agre mat, If I should ueconhabject t0 the rkers' ompensati revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ipnah re of Applicar fJ�"1 DECLARATION RETARDING CON. UCTION LENDING AGENCY 7 'mersby affirm under �el,ally 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). ender s Name Lenders Address y .ny signature below, I certify to each of the following: lam the prop, ty owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided S 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 to ter the a e-ide tied property for inspection purposes. - C nature of Property.. Owner or Authorized Agent Print Property Owner's or AuthnrivPrl AnPPYc Noma T 7/!"1 J MA ACTION DATE eY fi DECLARATION OF COMPLIANCE WITH CODE OF FEDCRAL FOR OFFICE USE ONLY REGULATIONS PART St OF TITLE. 40 AND AQMD RULE t 1403 PERFXmFXmRFD I IflSUOMITTEDASBPSTOSNOTIEIC.ATIONTO PERMIT FXTENOFD ASAQM D PERMIT FINAL ASBESTOS NUITFILATION 15 NOT APPLICABLE TU CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE:. 13