HomeMy WebLinkAboutH2024-0143 - Permits4'.
gWPo City of Newport Beach C`Community Development Department -Building Division Mechanical Permit:H2U24-U143
>�"100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
uSPermit Counter Phone: (949) 718-1888 Work Class : Other
newportbeachca.gov/civic4at'Issued Date : Area
: 12024
�. � Inspection Area : 1
PERMITS EXPIRE 1 BO 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: 1706 PLAZA DEL NORTE Legal Desc : N TR 518 BLK L LOT 2
Description: MECH R/R A/C UNIT AT ROOF WELL "TAMPER RESISTANT CAPS & TIMER REQUIRED —
Owner: VALLADARES JORGE LUIS III TR VALLADARES FAMILY TR
Address : 581 LAKEVIEW CANYON RD WESTLAKE VILLAGE, CA 91362
Phone:
Applicant: ADVANCED PERMIT SERVICES INC
Address: 24310 MOULTON PKWY, 0137 LAGUNA HILLS, CA 92637
Phone : (949) 207-3468
Owner/Builder :
Address
Phone :
Contractor : COOL AIR TECHNOLOGIES INC
Address :
13681 NEWPORT AVE STE 8 #180 TUSTIN, CA 92780
Phone:
(714)731-9292
Con State Lic
: 745012
Lie Expire :
08/31/2024
Bus Lie:
BT30077605
Bus Lie Expire:03/30/2025
Workers' Compensation
Insurance
Carrier:
ECHNOLOGY INSURANCE COMPANY INC
Policy No:
TWC4213333 Y3S39
W. C. Expire:
2/21/2025
Code Edition : 2022 Fire Hazard Zone: NO Manufacturer: TEMPSTAR
Type of Construction : Model# : N4A556,OAKAWA
Occupancy Groups:
Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 0
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
TIMER REQUIRED ON EQUIPMENT
PROCESSED BY: 6-S TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
SPECIAL CONDITIONS: HIGH DENSITY ZONE
OWNER -BUILDER DECLARATION
1 hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
3echon 7031.5, Business and PrUla551005 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
to permit to (Ile 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
'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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions. of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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
nprovements are not intended or offered for sate. If: however, the building or improvement is said within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale),
3 I, 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
pply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
1 I am exempt from licensure under the Contractors' Stale License Law for the following reason:
ly 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,
all a structure that I have built as an owner -builder 3l 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
'rofessions Code, Is avallable upon request when this application is submitted or at the follow ng Web site:hNp:/Aw .leginto.ca.gov/calaw.html.
iignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION ///
hereby affirm under penalty of pery'urp that I am licensed under provisions of C Q-�gml,Tyegeing with Section 700 /fti sjpp, 3 of the Business and P fessi e, ar{ I is in full force
nd effect. License Class License No 7y Lf Date/ESL.'-H ConVeclar Signature
COMPENSATION DECLARATION
NANNING: 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 (SIN,000), IN ADDITION TO T
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
—11 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
rmance 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 Labor Code, for the performance of the workfor which this permit is issued. My workers' compenso
nsurance carrier and policy number are:
Carrler Policy Number Expiration Date
Jame of Agent Phone P
—1I ccr ify that, in the Dorf rman a of the!orl�fo whi h this permit is Issued, I shail not employ any person in any manner so as to become subject to the workers'comps sail. n laws of Callfomia, and ogre
hat, if I should become bject t the worsabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
>Ignature of Applicant _ Date-3 « z
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a Construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).
-enders Name Lender's Address
3y my signature below, I cadify to each of the following:
I am the property owner or authorized to act orpgPX4 owner's 6enalf.
I have read this application and themfonnatioded is
i agree to co r.p.y with all applicable etas and cces a d slate aws relDGng l0 6uitdingDonstructipn,I authorize Lp, sentabves of this city or counta r party for inspection purposes.
ayl ,ire of !'roper:,' Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name \ i—r' Date
ACTION DATE By 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51. OF TITLE 40 AND AQMD RULE
1103
PERA'lT EXT ff'EC
PEPoL1fT FfNAC
i AQMD
j ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
ERT'FICATE pF
,f
fr �`j,(RROPOSED DEMOLITION
OCCUPANCYI <LEJ
-(( �— t—�r SIGNATURE: