HomeMy WebLinkAboutH2023-0185 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 03/17/2023
Inspection Area : 6
H2O23-0185
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: 606 NARCISSUS AVE Legal Desc : A TR CORONA DEL MAR BILK 641 LOT 8
Description: MECH - MFR INSTALL (1) HEAT PUMP T/Pr4(,*,OZ-- ele- F Cl-e`5 /4 2A9 / 9
Owner: LONG KENNETH E TR
Address : 606 NARCISSUS AVE CORONA DEL MAR, CA 92625
Phone :
Applicant: GOETTL AIR CONDITIONING & PLUMBING
Address : 532 MALLOY COURT CORONA, CA 92880
Phone: (714)462-8174
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY: k
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Fire Hazard Zone
Contractor : GOETTL AIR CONDITIONING & PLUMBING
Address : 532 MALLOY COURT CORONA, CA 92880
Phone: (714)462-8174
Con :State Lic : 1047781
Lic Expire : 12/31/2024 ,
Bus Lic : BT30077958
Bus Lic Expire:02/28/2024 '
Workers' Compensation Insurance ,
Carrier: STARR INDEMNITY & LIABILITY CO
Policy No : 1000004860
W. C. Expire: 12/1/2023
NO Manufacturer : AC PRO
Model#: AWHD(24)ND3GO ,.
{CIO CONSTRUCTION NOISE
PROHIBITED
N HEAT PUMPS
ON THE WEEKEND
OWNER -BUILDER DECLARATION
I heretry affirm under penalty of peoury that t 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 harts)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve: demolish, or repair any structure, prior le its issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3. of the Business and
rofesslons Code) or that he or she is exempt from licensors and the basis for the alleged examphon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more then five hundred dollars ($500)..
1 I, as owner of the property, or my employees with wages as their sale compensation, will do { } all of or (_) portions of the work,and the structure is not intended or offered for sale (Section 7044,
�usmoss and Professions Code: The Contractors' State License Law does notapply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the
nprovements 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
nproved for the purpose of sate).
3 1, as owner of the properly, am exclusivety contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ly 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason;.
,y my signature below i 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 legail)
ell a structure that I have built as an owner -builder If It has not boon constructed in its entirety by licensed' contractors. I understand theta copy of the applicable law, Section 7044 of the Business and
Yofessions Code, isavailable upon request when this application Is submittedor at the following Web site:http:/tyre'vr.leginfio.ca..gov{calaw.html.
,ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Dwi ion 3 of the Business and P de, and my license is in full force..
rid effect. License Class License No Date ?contractor Sig
VORKERS' COMPENSATION DECLARATION'
'ARMING: FAILURE TO SECURE. WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRWINAL PENALTIES AND CIVIL FINES U UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DAY OF COMPENSATION, DAMAGES AS PRDVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penLity of perjury Otte of the following deciamt ons:
I have and MIT mairtain 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 th
0imanue Of the work fur which this permit is issued. Policy No,
hive -no will mcintam 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' compensatio
Dance carrier and poiiry number are:
re, Policy Number Expiration Date
ne of Agent Phone tF
aertrfv .hat, In ,ha performance of the for which this permit 4s issued, f shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and ogre
If I should becan.e subject to th rkers' compensation provisions of Section 3700 of the Labor Code, I shall: forthwith comply with those provisions. t
mature M Appiicautr% Dafe� 1 �i
^.I AOATrnu 0F.GA0F1,IPn rel I run] Mr Airy
hereby affirm urlf er ugt�yvt parjury that there Is a obrkgtuche ding agency for the performance of the work for which this permit 1s issued (Section 3097, Civil Code)..
enders Name _ Londer's.Address _
I my signature below, I certify to each of the following:
1 am the property owner or authorized to act on the property owner's, behalf.
1 have read this application and the Information 1 have I od is correct.
i agree to comply with all applicable city and count nEas and stars laws relating to building. COn51ruClian. /f ���
I authorize representatives of this city or county to enter the abo -identified property for inspection purposes, c'yh/lcb-
onnture of Pranarty fawner or Authnrhra€t AoAnt _s. - - - Print Prnnertv Owner's or AuthnrJod Anpnt't Nam n I
ACTION DATE R LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGulAlIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT E#PtREO I I I i_11 SUBMITTED ASBFSTOS NOTIFICATION TO
CERTIFICATE OF 20-2'$ f DlI
OCCUPANCY ISSUED f