HomeMy WebLinkAboutH2023-0603 - PermitsPo"
City of Newport Beach
Community Development Department - Building Division
S' 100 Civic Center Drive, Newport Beach, CA 92660
u S Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit
Plan Check No :
Work Class: Other
Issued Date : 09/14/2023
Inspection Area : 2
H2O23-0603
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
I
Job Address : 404 ORION WAY Legal Desc : N TR 4692 BLK LOT 71 TR 4692 LOT 71 TOGETHER WITH
Description: **RENEW EXPIRED PERMIT H2O22-0728** MECH NEW A/C UNIT ON ROOF *TAMPER PROOF CAP REQ*
Owner: CARTER FIELDS
Address: 404 ORION WAY NEWPORT BEACH, CA 92663
Phone : (949) 423-5702
Applicant: A PLUS GENERAL CONTRACTORS INC
Address: 11330 KNOTT STREET GARDEN GROVE, CA 92841
Phone : (714) 901-0500
Owner/Builder
Address:
Phone :
Contractor : A PLUS GENERAL CONTRACTORS INC
Address :
11330 KNOTT STREET GARDEN GROVE, CA 92B41
Phone :
(714) 901-0500
Con State Lic
: 763154
Lic Expire:
05/31/2025
Bus Lic:
BT30080287
Bus Lic Expire:12/31/2023
Workers' Compensation
Insurance
Carrier:
A I U INSURANCE COMPANY
Policy No :
WC034279448
W. C. Expire:
7/1/2024
Code Edition : 2022 Fire Hazard Zone : NO Manufacturer : LENNOX
Type of Construction : Model# : SL28XCV
Occupancy Groups:
Building Setbacks :
Flood Zone: X
Use Zone : RM - Multiple Residential
PROCESSED BY: S
SPECIAL CONDITIONS:
I herpereNER-BUI LICK UGc�s\Rea, wry
eby affirm under penally of perjury that f. am exempt from the Contractors' Slate License Law for the reasons) Indicated below by the checkmark(s) I have placed next to the applicable Rennie)
(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 stalomont 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 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 ($500).
El I, as owner of the property, or my employees with wages as their sole compensation, will do(_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Buslness and Professions Code: The ContractorsState License Law does not apply loan 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).
r] 1, 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 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 out exempt from licensors 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 legall)
sell a structure that I have built as an owner -builder if II 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 site:htlp:ifwvnv.leginfo.ca.gov(calaw.html,
Signature of Property Owner or Authorized Agent ----- —_-..--- _Date,_____._
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm. under penalty of rjury A ial I am li QTsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi C6. antl my lipense i5 in full force
and effect. License Class — r— i License No Date G — I /�_ _ _.��,r Contractor Signature
'WORKERS' COMPENSATION DECLA.RA1 N
(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 DOLLARS ($100,000), IN ADD71ON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 th
performance of the work for which this permit is issued. Policy No.
I 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' compensation
insu nee carrier and policy number are:
Cartier _._ Pelicy Number Expiration Date
ie of Agent _
certify that, In the
if I should becon
lature of ADplican
ice 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
to the workers- corn ensetion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. c /� �(
Dist
hereby affirm under pe ally of perjury That there is a (ruction lending agency for the performance of the work for which this permit Is issued (Section 30g7, Civil Code).
ender's Name Lends(s Address
ly my signature below, I certify to each of the following.
t am the property owner or authorized to act on the property owner's behalf.
I have read this cppifcatien and the information I have provided is correct.
I agree to comply with all applicable city and county O finances and state laws relating to building construction.
I authorize lenrecentatives of this city or county to a to tt}esj7ove-identified ro arty for Inspection purposes.
aenaiurR of P,00eity Owner or Authorized Agent 1 r� party Owner s or Authorized Agent s Name
fl
ACTION
DATE
BY '.. DECLARATION OF COMPLIANCE CODE OF FEDERAL
RFC [A ATIONS PART 51 OF TITl.F 40 AND AQMD Full F
1403
FOR OFFICE USE ONLY I
PERMIT ENP1Re0
I SUBMITTED ASBESTOS NOTIFICATION TO
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Y❑ ASBEStOS NOT IFICATION 1$NOT APPLICABLE TO
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