HomeMy WebLinkAboutH2023-0159 - PermitsD��EvuaoR a Cirty of NDewport evelopment Bea artcDepent-Building Division III I I I III III II III III I I II Mechanical Permit : H2O23-0159
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 644-3288 Work Class : Other
S Inspection Requests Phone: (949) 644-3255 Issued Date : 03/0312023
°9<�co PN`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 : 1024 BAY AVE W Legal Desc : N TR-626_BLK 5 LOT 5 TR 626 LOT 5 BLK 5(AND W1/2 LOT 6 BLK 5
Description: MECH - R/R 3 HEAT PUMPS ON ROOF & 3 AIR HANDLERS IN qATTIC. TAMPER. -RESISTANT CAPS REQ'D
Owner: FREITAS TATIANA J TR THE T J FREITAS LIVING TR 1Contractor : TRITON AIR INC
Address : 1024 W BAY AVE NEWPORT BEACH, CA 92661 4,0 Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673
Phone : t3 ' Phone : (949),492-0290
Con :State Lic : 774877
Applicant: TRITON AIR INC f Lic Expire : 06/30/2024
Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 93 Bus Lic: BT30042558
Phone: (949) 492-0290 q A�l Bus Lic. Expire: 03131/2023
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 5, Front: 25, Side: 4, Side: 4
Flood Zone : AE, 8 FT, AO 11 X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
J. 6�
Fir Hazard Zone : NO
Workers' Compensation Insurance
Carrier : FALLS LAKE FIRE
Policy No: FLA01867400
W. C. Expire: 4/1/2023
Manufacturer : LENNOX
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wGJ
Model# : ELI8X9V
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicatedbelow by the checkmark(s) I have placed next to the applicable fell
(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
the permit to file a signed statement thathe or she is itcensed 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 lieensure, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
111, as owner of the property, or my employees with wages as their sole compensation, will do U allot or U portions of the work; and the structure is not intended or offered for sale (Section 7044,
Rosiness 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 notintended 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
improvedfor the purpose of sale).
❑ f, 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 t0 an owner of property who builds or improves thereon, and who contracts for the projects with a lloerised Contractor pursuantto the Contractors' State License Law).
❑ I am exempt from ficensure under the Contractors' State License Law for the following reason;
By my signature below Iacknowledge 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
sell a structure that I have built as an 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 upon request when this application Is submitted or at the following Web sits:http:/twww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Data
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectionq{ 00) of {�yAsio9,3,�j the Business and. Professions Code, and my license Is in full force
and effect. License Class License. No 14a — .7 —L �SC;nntmr.tnr 5inm n„<' / /
VORKERS' COMPENSATION DECLARATION L/ \ LX �/
tARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNCSh
. UP To ONE U RED THOUSAND DOLLARS (SI00,000), IN ADOPTION TO THE
AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES,
hereby affirm under penalty of perjury one of the following dec€arations:
I I have and Will 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 fh
rformanoo 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 performance of the work for which this permit is. Issued. My workers` componsatioi
III
Fence carrier and policy number are:
rIsr policy Number Expiration Date
lame of Agent phone #
.,,II 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 afire
'tat, if I should become spi Ieot 10 thB w ors' c ap=nvi ne of Section 37tl0 of the Labor Code, i shalt forthwrLn comply with 1€iosa provisions.Iignature of Appli._(.�lD Iz
IECLARATION F ,G Rf 4- TRUCT
hereby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit Is issued (Section 3097, hat Code),
endues Name Lender's Address
ly my signature bsltlw, I cartliy to each of tits 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 correol,
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 enter above' entitled property for inspection purposes.. \ /\ 1I 1�/1 J 7
signature of Property Owner or Authorized Agef Pont Property Owner's or Authari71sd Anent'a Namd _ J lti/ I YY l Ir /) -Vl, n, ,- � cr'11
ACTION DATE BYV 3 DECLARATION OF COMPLIANCE WITH CODEflFFEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RUIR
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PERMIrfXPIR£O p,. SUBMITTED ASBESTOS NOTIFICATION TO
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..PERMIT CtANCLLl.£D _.
renMI rINAL 1—(mot"'r 0K, UASSE5TOSNDTIFICATtON1SNDTAPPLICABLE TO
CEATiFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED GIrNAT11RF,