HomeMy WebLinkAboutH2023-0344 - PermitsQ ��W PORT City of Newport Beach
o j ' Community Development Department- Building Division
F tr 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
.n,. newportbeachca.gov/civic
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Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 05/25/2023
Inspection Area : 2
H2O23-0344
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 : 240 NICE LN, 117 Legal Desc : N TR 8336 BILK LOT 14 UN 101 TR B336 LOT 14 UNIT 101 OF PROJE CT LOCATED ON AP
Description: MECH - MFR R/R (1) HEAT -PUMP. TAMPER -RESISTANT CAP REQUIRED/TIMER PROHIBITED
Owner: CLAY BARNETT
Address : 240 NICE LN, 117 NEWPORT BEACH, CA 92663
Phone: (562)221-6064
Applicant: ASSOCIATED HEATING & AIR INC
Address : 1320 #B N HANCOCK STREET ANAHEIM, CA 92807
Phone : (714) 777-8833
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
X
PC - Versailles on the Bluff
`--
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Contractor : ASSOCIATED HEATING & AIR INC
Address :
1320 #B N HANCOCK STREET ANAHEIM, CA 92807
Phone:
(714)777-8833
Con State Lic :
608210
Lic Expire :
12/31/2024
Bus Lic :
BT30078570
Bus Lic Expire:04130/2024
Workers' Compensation Insurance
Carrier:
TRANSVERSE INS CO
Policy No:
FORWC0000002491
W. C. Expire:
2/1/2024
Manufacturer : LENNOX
Model# : ML17XP 024
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkniark(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
is permit to file a signed statement that heor 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
'rofes SIOna Code) ar that he or she is exempt from iicensure-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
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U ail of or ( ) portions of the warri, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employ es' or personal effort, builds or improves theproperty, provided that the
nprovements are not intended or offered for sale if, however, the building or improvement is sold within oneyear of completion, I is Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale)-
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Busina Is and Professions Code: The Contractors` State License law does not
Poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursua it to the Contractors' State License Law).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below f 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 legall,
all a structure that I have built as an owner -builder if it has not been constricted in its entirety by licensed Contractors. I undorstar d that 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://w .leginfo.ca.:g wcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions ofChapter 9 (commencing with Section 7000)jSf Div' i 3 of the Business �
an errand my license Is in full force
nd effect, License Class License. No Date Contra Igctvt'S n
COMPENSATION DECLARATION
: FAILURE TO SECURE WORNERs' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRSMINAL
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations.
I have and will mam,ain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Indu
'orrnahce of the work for which this permit is issued. Policy No.
-have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perform
Iron" carrier and policy number are:
der. _ Policy Number
r.a of Agent
^Prify that, i, I J.e performance of the work for which thispermit is issued. I shall not employ any person in any manner so as
It 1 should taconi subject to the eskers' Compensation_ytrovlsMns of Section 3700 of the Labor Code, I shall forthwith com
of Applicant
herpb affirm Do,i�,cc�pe�� perjury that there is a construction lending agency for the performance of the work for which this
y ;n 1 R 3 ry .__—_—_
enders Nam Lender's Address
By my signatarP net", I Certify to each at the renewing:
i am the property owner or authorized to art on the property owner's behalf.
I have read this application and the information i have provided is correct.
I agree to comply with ail applicable city and county ordinances and state laws relating to b0tding constructor.
I authorize representatives of this city or county to ant aTiove-ldentifieIf property -for inspection purposes.
Signature of Property Owner or Authorized Agent _� Print Property Owner's or Authorz
ACTION DATE AT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE.
RtOULA 1ONS PART61 OF TITLE 40 AND AQMD RULE
_- 1403
PERM0T EXPtREO I SUSMITTED ASBESTOS NOTIFICATION TO
PERMIT FATAL �IU\AI iM A 'i PRLtP05£D pASBESTOS NOTIfICA7�&MOi BPNG7GRiE. TO
f€RlIFICAiE Of
CIVIL Press UP TO ONE HMII THOUSAND DOLLARS ($100,000). IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
become subject to the workers`compensaflon laws of California. and agre
with those provisions.
Data 2�—c m___
issued (Section 3097, Civil Code).
S