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