HomeMy WebLinkAboutH2023-0646 - Permits(tu;4,�Z.
POCity of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
nPermit Counter Phone: (949) 718-1888
snewportbeachca.gov/civic
RN
III i l l l l l III I Mechanical Permit : H2O23-0646
Plan Check No : 1798-2019
Work Class : Other
Issued Date : 101061�023
Inspection Area : �'
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
: 1022 WEST WIND WAY
Legal Desc : N TR 4224 BLK LOT 184
Description:
MECH INSTALL 2 HEAT PUMPS AT SIDES
"*TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED"" (X2019-2523)
Owner:
RONNI LEVINSON
Contractor :
THOMSON AIR CONDITIONING
Address:
1902 SUVA CIR COSTA MESA, CA 92626
Address :
21205 JUAN AVE UNIT A HAWAIIAN GARDENS, CA 90716
Phone :
Phone :
(562) 201-3014
Con State Lie:
959811
Applicant: SAUL MARTINEZ
Address: 2075 N SHAFFER ST ORANGE, CA 92865
Phone: (714)998-7879
Owner/Builder :
Address
Phone :
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups :
Building Setbacks :
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
Lie Expire : 04Y3O/2025
Bus Lie : BT30081704
Bus Lie Expire:05/31/2024
Workers' Compensation Insurance
Carrier : A'I U INSURANCE COMPANY
Policy No: WC038366940
W. C. Expire: 7/1/20234
Manufacturer: DAIKIN
Model# : RXS048TAVJU
TIMERS PROHIBITED
ON HEAT PUMPS.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1: am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) Ihave placed next to the applicable item(s)
(Section 7031 S, 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a Civil penalty of
not more than five hundred dollars (5500).
❑ 1, as owner of the property, or my employees with wages astheir sole compensation, will do U all of or U portions of the work, and ilia 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 employeesor 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 the property. am exclusively contracting with licensed Contractors to construct Ilia 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 licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from licensore under the Contractors' State License Lew 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 its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 Dither Business and
:Professions Code, is available upon request when this application is submitted or at the following Web site:http:/iwviv.leginfo.ca.govlcalaw.htm). -
ISignature, of Property Owneror Authorized Agent.__._.___......_ ...... Date..
.LICENSED CONTRACTOR'S DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 7000) cf Dvilsion 3 of the Business and Profe/ssiand my license is in full force
and effect. License Class License No Dale, Contractor Signature `' L
'WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARS i3100,000n, IN AUDITION TO THE
`COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1106 OF THE LABOR CODE., INTEREST. AND ATTORNEY'S FEES.
�I hereby affirm under penalry of perjury one of the following declarations:
I❑ I have and will maintain R certi@cato 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 thr
'Iperformance of live work for which this permit is issued. Policy No.
qI 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' compensatiol
insurance canter and policy number are.
Carrier Policy Number Expiration Date
Name of Agent .___Phone #
❑I 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
that, if I should become subject to the ers compensa n provisions of Section 3700 of the Labor Code, I shall furlh miith comply with those provisions. /� J
Signature or Applicant . „ _, _„ _ _ Data
DECLARATION REGARDING 1ST UCTION LENDING AGENCY���
I hereby affirm under penally 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).
Lender's Name _ _ Lender's Address
By my signature below. I certify to each of the 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 correct.
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 the above-' 067 property for inspection purposes. C .�I j
Signature of PropertyOwner or Authonzed Agent Print Propertythorized A cn Owner's or Aut's Name /`-s I Date UUU L
ACTION DATE RV OCCLARATIO ECOMPLIANCEVd1TtI CODE OF FEDERAL FOR OFFICE USE ONLY
RFGtII.ATIONS PART 61 OF TITI.f 40 AND AQMD RUIE
ED
P'. i,M1T EX rFNOFO I — -- ......
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PCAMwTFINni .I..1� 3
P 1 01 ❑aSREE OS NOTIFICATION 4S NOT APPLICABLE 70
C FTr�CrItC OF � vTO705FD DEMOLITION
01CUP01CYI.-SU 0 SIGNATURE: