HomeMy WebLinkAboutH2023-0697 - Permits?FWPoRr
City of Newport Beach
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I II
I III
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 71 B-1888
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newportbeaonce.gov/civic
III III Mechanical Permit : H2023-0697
Plan Check No : 1345-2022
Work Class : Other
Issued Date : 1013012023
Inspection Area : 4
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 : 1943 PORT RAMSGATE PL Legal Desc : N TR 6624 BILK LOT 106
Description: MECH INSTALL 2 HEAT PUMPS AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (X2022-1464)
Owner : CHRISTINA FENMORE
Address : 1943 PORT RAMSGATE PL NEWPORT BEACH, CA 92660
Phone: (714)345-0575
Applicant:
BASIC AIR INC
Address :
1157 SALINAS AVENUE COSTA MESA, CA 92626
Phone :
(171) 430-9454 x2
Owner/Builder
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Harbor View Hills
PROCESSED BY: V
SPECIAL CONDITIONS:
Contractor : BASIC AIR INC
Address :
1157 SALINAS AVENUE COSTA MESA, CA 92626
Phone :
(171) 430-9454 x2
Con State Lic:
909834
Lic Expire :
01/31/2024
Bus Lic:
BT30045172
Bus Lic Expire:10/31/2024
Workers' Compensation
Insurance
Carrier:
PALOMAR'SPECIALTY INSURANCE COMPANY
Policy No :
PSIC1196403
W. C. Expire :
10/22/2024
Fire Hazard Zone : NO Manufacturer : DAIKIN
Model#: RXTQ48TAVJU
TIMERS PROHIBITED
HEAT ,PUMc,
OWNER -BUILDER DECLARATION
I hereby Orrin under penalty of perjury that I am exernpt from the Contractors' Slate License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
'Section 7031.5, Business and Professions Code: Any city or county that requires e permit to construct, alter, Improve, demolish,: or repair any Structure, prior to its issuance, also requires the appllcamfor
be normit to fllo a signed statement that he or she is licensed pursuant to tho provisions of the Contractors' Slate License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure 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
iot more than five hundred dollars ($500).
1 L, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness and. Professions Code; The Contractors' State License Law does not apply to an owner of property who, through omployees' or personal effort, builds or improves the properly, provided that the
mprovements are not'Intanded or offered for sale. If, however, the building or Improvement is sold within one year of completion. the Owner-Buildor will have the buTdon of proving that It was not built or
reproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044 Business and Professions Code: The Contractors' Slate License Law does not
apply to an owner of property who builds or improves thereon, and who contracts farina projects with a licensed Contractor pursuant to the Contractors` State License Law).
I am exempt from licensure under the Contractors' Stale 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 ai Icast one year prior to completion of the Improvements covered by this ponnit, I cannot legafly
sell a structure (hat I have built as an owner -builder if it has not been constroctad in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 bfthe Business end
Confessions Code, is available upon request when this application is submitted or at the following Web site::http:/latiww legfnfo.ca,gov/calaw.htm].
Signature, of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 7000 of DvisioD 3 of the Business and Prof sl -ode and my license Is 3n full force
and effect. License Class License No Dafa O 3b 7- Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARKING: FAILURE Tb B@CURE \YORkEA5' COMPENSAmbN COVERAGE e UNLAWPOL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Wit -FINES URIC ONE HUNOAEb THOUSAND DOLLARSt5100,000), IN Al bcdON Try THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LAaOR CODE, INTEREST, ADD ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following de larafions:
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
Drmance of the work for which this permit Is issued. Policy No..
have and will maintain workers' compensation insurance,as required by Section 3700 of the LabLtr Code, for the performance of the work for which this permit Is issued. My workers` compenaa
rance carrier and policy number are!
Policy Number
of Agent
Date
2 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 like workers' compensation laws of California, and agree
tat, if I should become subject to the workers' compensation provisions of Section 3700 or the Labor Code,. I shall forthwfth comply with those provisions.
Iignalure of Applicaal— Date f 0 3 d.�`
I ECLARATION REGAR t_OW 4TION LENDING AGENCY --
hereby affirm under penalty of perjury that. there Is a construction fending agency for the performance of the work for which this permit Is issued': (Section 3097, Civil Code).
enders Name _ Lender's Address _
ly 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.
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction,
I authorize representatives of this city or county to enter the above -identified property for inspection purposes. ` 4
iicnalure of Property C Wner or Authorized Aden[ Print Prooeriv, Owner's or Authorized Anent's Name U I r_r,V) Data
ACTION
DATE
BY I DECLARATION CF COMPLIANCE V/THCODE OF FEDERAL
REGULATION5 FART 51 OF TITLE 40 AN AQMD RIII.E
FOR OFFICE USE ONLY
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PERMIT EXPIRED
'.I SUBMITTED ASBESTOS NOTIFICATION TO
PERM: T CANCELLFD
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L.,iASaES'I°O$ NOTIFICATION IS N07 APPLICA13L'E TO
PROPOSED DEMOLITI DEMOLITION
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OfCJ�.`.f:CY ISSUED
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/ SIGNATURE: