HomeMy WebLinkAboutH2023-0557 - Permits��_Wp", City of Newport Beach
D �cn Community Development Department - Building Division
> y 100 Civic Center Drive, Newport Beach, CA 92660
u " ? Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit : H2O23-0557
Plan Check No : PC2023-1588
Work Class : Other
Issued Date : 08/2812023
Inspection Area : 6
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 : 719 LARKSPUR AVE, 1/2 Legal Desc : A TR CORONA DEL MAR BLK 737 LOT 19
Description: MECH - R/R FAU. 6 SUPPLIES/REGISTERS. INSTALL ROOF -MOUNTED A/C CONDENSER. TAMPER -RESISTANT CAP REQ-D
Owner: RALPH EMERSON
Address : 719 LARKSPUR AV, 112 CDM, CA 92625
Phone: (714)296-5326
Applicant:
SPC HEATING & A/C
Address :
7108 KATELLA AVE #401 STANTON, CA 90680
Phone:
(714)264-2322
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:
SPECIAL CONDITIONS:
Contractor : SPC HEATING & A/C
Address : 7108 KATELLA AVE #401 STANTON, CA 90680
Phone: (714)264-2322
Con State Lic : 1001872
Lic Expire : 03/31 /2025
Bus Lic: BT30082432
Bus Lic Expire:08/31/2024
Workers' Compensation Insurance
Carrier: G6EW SMINp �toPfzrY ><(}1swtZtt Ga
Policy No: CV/L 0FI1,ji9vn
W. C. Expire: 51S lV/
Fire Hazard Zone : NO
FALLOWIED FCR
Ei:; E PQR APP r
L,CAT:D!`aS
Manufacturer: ALLIED
Model# : 4AC 17624P
OWNER -BUILDER DECLARATION
I hereby al'fiml under penalty of perjury that I am exempt from the ContractorsState License Law for thereason(s) indicated below by the checkmark(s) I have placed next to the applicable item(:}
(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 that he 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 Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penally of
not more than five hundred dollars (S500).
❑ 1, as owner of the property, or my employees With wages as their sole Compensation, will do (_) all of or (_) portions of the work., and the structure is notintended or offered for sale (Section 7044,
Business 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 sale).
❑ 1, as owner of file property, all, exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ra�prply 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).
5 1 am exempt from licensors under lire Contractors' State License Law for the following reason _ ....... -....._..__— .__--..-- ------.-------.---
By 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 legally
sel a structure that I have built as an owner-hWlder If it has not been constructed In Its entirely by liconsed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request Mien this application is submitted or at the following Web site:http://www.leginfo ca-90I ntri
Signature, of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury' that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) D ivisi n 3 of the Business and Professio.. and my license is in full 1Drce
and effect. License Class License. No Date Contractor Signatu6�/
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORIo5RS' COMFENSAT ION COVERAGE IS UNLAWFUL. AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
eve and will maintain a certi6cale 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
perfor "ante of Eire work for which this permit is. issued. Policy No.
NY In ve 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' compensatiol
incur ce carrier and policy number are:
Policy Number
fist a
Its of Agent ——
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 agre
it I should become subject to the rkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those previsions. /
no lure of Applicant Dat
CLARAINON "; DUNG CONST CTION LENDING AGENCY
ireby 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 __ _ __ Lender'a Address _
my signalu re below, I cartlty to each of tha following:
I am the property owner or withnrz^d to act on the property owners behalf.
I have read this application and the information I have provided is correct..
I agree to comp.'y %"mh TII appiivable city and county ordinances and state laws relating to building. construction.
I authorize representat9ves a' this - ty or Court above -identified property for inspection purposes. c'+ /
nahrze of Prnoertv Owner Cr Authorized AoenY\ / Print Property Owner's or Authorized Agent's Name J2G`t^ l_,UV•6rN Date Z�'�Z3
ACTION OAT° R'� \,.' DEC.IA'rAION OF COM PUANCE WITH CODE OF FEDERAL ''.
FOR OFFICE USE ONLY
'.. REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE.
1403
PERMIT E'XWRk'O
El ASBESTOS NOTIFICATION TO
,IISSUBM�ITTED
PERM! TCANCEtLEo 1P1J A
RfRIh T EX'TENDEo 1 04QMD
PfRI'✓17 FINAL
I ❑ ASBESTOS NOTIFICATION 15 NOT APPLICABLE 10
CERTOCATE'OF
j��7y�Zs AOL-A` PROPOSED DEMOLITION
OCCUPANCY ISSUED ry
I SIGNATURE: