HomeMy WebLinkAboutH2022-0449 - Permits�eWPo�r
City of Newport Beach III I II
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Community Development Department- Building Division
Mechanical Permit
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No:
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Permit Counter Phone: (949) 644-3288
Work Class : Other
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Inspection Requests Phone: (949) 644-3255
Issued Date : 08/29/2022
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newportbeachca.gov/inspections
Inspection Area : 3
H2O22-0449
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 : 422 ALISO AVE Legal Desc : A TR.FIRST ADD TO NEWPORT HEIGHTS BLK 28 LOT 6
Description: MECH A/C CHANGE OUT* TIMERS PROHIBITED ON HEAT PUMPS*
Owner: CHARLES DUNCAN
Address : 422 ALISO AVE NEWPORT BEACH, CA 92663
Phone:
Applicant:
CHARLES DUNCAN
Address:
422 ALISO AVE NEWPORT BEACH, CA 92663
Phone:
Owner/Builder:
CHARLES DUNCAN
Address:
422 ALISO AVE NEWPORT BEACH, CA 92663
Phone:
Code Edition :
2019
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
Contractor
Address
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire:
Workers' Compensation Insurance
Carrier:
Policy No
W. C. Expire
Fire Hazard Zone : N Manufacturer: GOODMAN
Model#: GSX160361
TIMERS PROHIBITED
ON HEAT PUMPS
SUBJECT TO FIELD INSPECTOR'S
REVIEW AND APPROVAL
OWNER -BUILDER DECLARATION
I hereby aff rrn under penalty of perjury [flat I am exempt front the Contractors' State License Law for the reason(s) folio
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, dem
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors.' State License L
'rofessions Code) or that he or she is exemptfrom iicensure and the basis for the alleged exemption. Any violation or Sect!
Fof ore than five hundred dollars ($500),
I, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of or (w4`porhonsof it
t mess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through E
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
nyproved for the purpose of sale).
,A 1, as owner of the property. am exclusively contracting with licensed Contractors to construct Cite project (Section 7044,
ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor
I am exempt from licansure under the Contractors' State License Law for the following reason
-y any signature below I acknowledge that, except for my personal residence in. which I must have resided for at least one y
all a structure that I have built as an owner builder if it has not been constructed in its entirety by I'iconsrd contractors. I urn
'rofessions Code Is available upon request whe I a app i ation Is s !i d or at the following Web site:http:flwww.legini
Ilgnature of Property Owner or Authorized Agent
,ICENSED CCNTRACTOR'S DECLARATI ��t-
hereby affirm un?cr penalty of perjury that I am licensed under provisions of Chapter (commencing with Section TODD) of
nd o+i-ct. License Ciass License No Date
VORKERS' COMPENSATION DECLARATION
rARNINC' FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'
OS, bF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37aE OF THE LABOR CODE., INTEREST, AND ATTORNEY FEES.
3ere'.ay affirm Jnder penalty of perjury one of the following declarations:
I I have and will meintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of
ofunmance of the wo',k for which this permit is issued. Policy No.
11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
isurai carrier and policy number are:
;abler Policy Number
of Agent
d below by the checkmark(s) I have placed'. next to the applicable itam(s)
:h, or repair any structure, prior to its Issuance, also requires the applicant for
(Chapter B (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or improves the property; provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Coda: The Contractors' State License Law does not
to the Contractors' State License Law).
iflor to completion of the improvements covered by this permit, I cannot legailt
and that a copy of the applicable law, Section 7044 of the Busin ss and
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Dat�
Mon 3 of the Business and Professions Code, and my license is in full force
Contractor Signature
AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS r$I0V.U0tlI. 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
certify that,. i i our performance of the work for which this permit is issued, I shall not employ any person in any manner 4o as to become. subject to the workers' compensation laws of Califomle and
If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
of
Data
early affirm under penalty 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).
ider's Name Lenders Address
my signature below, I certify to each of the fallowing;
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 ordinances and to laws relating to building construction,
I authorize representatives of this city or cou ty to rt�r ,% a F ntified property for inspection purposes.
nature of Property Owner or Authorized Aaeat�`i��%/ /�PffiSfT'-roperty Owner's or Aut prized Agent's Nam
ACTION DATE By r DECLARATION Of COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AC1MD RULE
1403
FOR OFFICE
SE ONLY '
PERMIL EXIDW0 i I SUBMITTED ASBESTOS NOTIFICATION TO
Allrequired
alarms, latches Bates and fences which serve as part of a pool/spa barrier, shall
PERMIT CANCELLED i EPA
,—
7ER UYT EXTENDED QMD �
be In place
for to approval to fill poalJspa & shall remain in place & be maintained for the
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P€FMIr RNAY. � ASBESTOS NOriFCATION IS Not APPLICABLE TO
ids of the p
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CER)iRC.AM OF PROPOSED DEMOLITION
_ ,
OCCUPANCY6SUED '� i . fT f SIGNATURE: