HomeMy WebLinkAboutH2023-0725 - Permits�2EW R, City of Newport Beach
e Community Development Department- Building Division
100 Civic Center Drive, Newport 5each, CA 92660
r1 6 Permit Counter Phone: (949) 718-1888 a} s newportbeachca.gov/civic
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III II I III III II II III III II Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 11/13/2023
Inspection Area : 2
H2O23-0725
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 : 1915 CHUBASCO DR Legal Desc : N TR 2813 BLK LOT 3 TR 2813 LOT 3 FOR OF LOT
Description: MECH REPLACE (2) ROOF MOUNTED HEAT PUIMPS AND INSTL (N) HEAT PUMP @ THE SIDE YARD, (1) NEW AIR HANDLER, TAMPER RESISTANT CAPS
RED
Owner:
DARIN SIMONIAN
Address :
1915 CHUBASCO DR NEWPORT BEACH, CA 92625
Phone
Applicant :
RABECCA JOHNSTON
Address :
4370 PALM, D250 SAN DIEGO, CA 92154
Phone:
(714)804-8886
Owner/Builder
:
Address
Phone :
Code Edition :
2022 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone:
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY: _
SPECIAL CONDITIONS:
Contractor : ALISO AIR INC
Address :
29736 AVE DE LAS BANDERAS RANCHO SANTA MARGAR'TA, CA
92688
Phone :
(949) 589-2021 - .,•, _ _, , _ -
Con State Lic :
526420
Lic Expire :
03/31/2024 „
Bus Lic :
BT30019236
Bus Lic Expire:02/28/2024
Workers' Compensation Insurance
Carrier :
LIBERTY MUTUAL INSURANCE COMPANY
Policy No:
WC2Z61036218093
W. C. Expire:
7/1/2024 ,
NO Manufacturer : AC PRO
Model#: AULD36W2/A-D(U) „
TIMERS PpOHIBITED
ON HEAT PUMpo
DECLARATION
I hereby affirm under penalty of perjury that I 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 items)
(Section 7031.6. 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 wish 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 penalty of
not more than Hive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work., and the structure is not intended 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).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a iicensed Contractor pursuant to the Contractors' State License Law).
a l am exempt from Iicensure under the 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
sell a structure that I have built as an owner builder if it has not been constructed In itsontireky by licensed contractors. I understand that a copy of the applicable law, Borden. 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:htip:ffwvAv.leginfo.ca.:gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby aftlrt.T under penally of perjury that I an, IlGensed under provisions of Chapter 9 (commencing with clion 7' 0 f DIv' ion 3 of the ausin is and Profeetpms ode, and rise' in full force
and effect Liceusa Class License No tq/ Contr a q r Signature' ✓S4Lp=ly
WORKERS' COMPENSATION DECLARATION ,!\1 �P
W %RNING. FAILURE -u SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SVEJECT AN EMPLOYER TO ORIMINA PENALTIES AND CIVIL FINES P TO 0 E HUNDRED THOUSAND DOLLARS (5700,000), IN ADDnION TO THE
007T OF COMPENS. -*7N r,AMAGES AS PROVIDED FOR IN SECTION 47GE OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereor affirm under penalty of perjury one of the following declarations:
�i1 I have ane wdl 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 IN
n rrrnanee of the work for which this permit is issued, Policy No.
j a ,.ndri'tl maintain workers' compensation insurance, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My workers' compensatior
4jv+., ce carrier a,iG policy number are:
11 .a,rier._ _ Policy Number expiration Date
IName cf,%,eat _ Phone M
471 terrify the,, 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 agree
that, if I bhoJ:d kci-ome subject to the workers' color pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l
of
ireby aftirnr,05-der penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit Is issued (Section
iders Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the Information I have provided is correct.
I agree to comply with all applicable y d county ordinances and state laws relating to building construction.
I authorize representatives of this city county nter the above-identife property for inspection purposes.
nature of Property Owner or Aulhoriz nt, .Print Property Owner
9 e
Code).
;YO h "t"4 I Date
ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE,SR5E ONLY I )
y REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE /
1403
PFIfVIF£XP➢NED ;LJ ISUBMITfED ASBF.STOS NOTIFICATION TO
PERMfT CANCELLED ' UEPA
PERMITFINAL I LI ASBESTOS NO1PICATtON 15 NOT APPLICABLE TO
CERTWICATEOF g 3 Y Dry — PROPOSED DEMOLITION
OCCUPANCYISSUED ( SIGNATURE;