The URL can be used to link to this page

Home My WebLink AboutXC2022-2084 - PermitsCity of Newport Beach 4��WPOR� 0 @ Community Development Department- Building Division 1y" 100 Civic Center Drive, Newport Beach, CA 92660 > S Permit Counter Phone: (949) 644-3288 .ram Inspection Requests Phone: (949) 644-3255 c9��FOR��P newportbeachca.gov/inspections Combination Type - ELEC MECH Work Class - Other X C 2 0 2 2 2 0 8 4 COMB Permit : XC2O22-2084 Plan Check No : PC2022-2976 Issued Date : 12/19/2022 Inspection Area : 7 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 : 210 MARINE AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 11 LOT 6 BALBOA ISLAND SEC 4 LOT 6 BLK 11 AND LOT' P,U ; 11 Description; COMM -REPLACE 1 A/C CONDENSER ON ROOF FOR'BALBOA ISLAND MUSEUM' , Owner: KING DONG INVESTMENT MANAGEMEN KING Contractor DONGINVESTMEN Address : 18831 TABOR DR Address IRVINE, CA 92603 Phone: Applicant: ROCKLIN HEATING & AIR Address : 5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765 Phone: (916) 626-5151 Owner/Builder : Address : Phone ROCKLIN HEATING & AIR 5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765 Phone : (916) 626-5151 Con State Lie : 959466 Lie Expire : 09/30/2023 Bus Lie: BT30074728 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier: EMPLOYERS PREFERRED INS CO Policy No: EIG4913614 W. C. Expire: 1/1/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height : No of Stories : 1 Building Setbacks : Flood Zone : X Use Zone : MU-W2 - Mixed -Use Water PROCESSED BY: Vf SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: BERHEMAICHEL Address : 1700 E GARRY AVE STE 104 SANTA ANA, CA 92705 Phone: (949)335-9698 Designer Address Phone: Construction Valuation : $11,000.00 Added/Now/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : N'�'0 N® CQNSTRU(',TIO CN THE WEEKENr' . C-r c� ��i OWNER -BUILDER 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 item(s) (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 lie or she is licensad 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 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 not more than five hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L,) 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. It, 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 She 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 Improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). P4 1 and exempt Lam ;icensure under the Contractors' State License Law for the following reascrc By my signature b o'Dw 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 '..s au n stricture that.I have built as an owner-buildor if it 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:http:/rwww.teginfo.ca.gov/calaw:htmi. 'Slynaturs of Prppii!) Q_vner-or Authorized Agent _ Date LICEXSED CONTRACTOR'S DECLARATION Idt3-ety affirm L-ider penally, of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the B and Profession�Cpd, e, and. my license is in full force end of License Ciass License No Data- �7-1/411Z Con, nature i:t. �f'Iv�FF- W^PKIFRS' COMPENSATION DECLARATION I@'ARNING' FAILURF TO SWIRE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (In D0,000),1N ADDITION TO THE COST OF CCMPENSAT'`)N, C oMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY-3 FEES, I hereby affirm under penalty of perjury one of the following declarations: .D 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 Cade, for thl �perfforlittilince of the work for which this permit Is issued. Policy No. 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' carder and policy number are: Policy Number of Agent Date certify, that, in the performance of the work for which this permit is. issued. I shell notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. ignature of Applicant Date_ ,ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). enders Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information 1 have provided is correct. I 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 ante a above -identified property for inspection purposes. ,� / n. ignature of Probanv Owner. or Authorized AGent Print Property Owner's or Authorized-Aoent's Name o0 Lo)�,A-S —AA ACTION I DATE. BY 3 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ADMIT) RULE PERMIT EXP{RED PERMITCA.NCELLED PERITFINAL CERVFCATE OF p� L� JG� / PROPOSED DEMOLITION IS NOT APPLICAaIE TO OCCUPANCyiSSUEO Ij I'/1ijAYVd^ 14 7 SIGNATURE: