HomeMy WebLinkAboutH2024-0045 - Permits2gW PpQT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Community Development Department- Building Division
r`�sccss�� too Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888
u newportbeachca.gov/civic
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Mechanical Permit : H2O24-0045
Plan Check No:
Work class: New
Issued Date : 01/26/2024
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 : 1927 PORT CARDIFF PL Legal Desc : N TR 6623 BLK LOT 40
Description: MECH - INSTL (N) AC CONDENSER (2). TAMPER RESISTANT CAP REQUIRED.
Contractor : RANCHO VIEJO A/C & HEATING
Owner: 1927 PORT C ERIF TR BLUE WATER CAPITAL TR Address : 22596 COTTONWOOD CIR LAKE FOREST, CA 92630
Address: 1927 PORT CARDIFF PL NEWPORT BEACH, CA 92660 Phone : (949) 212-4870
Phone : Con State Lie : 745018
Applicant: RANCHO VIEJO A/C & HEATING
Address: 22596 COTTONWOOD CIR LAKE FOREST, CA 92630
Phone : (949) 212-4870
Owner/Builder :
Address
Phone:
Code Edition: 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups :
Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS: TIMER & NEIGHBOR SIGNATURE REQUIRED
Lie Expire: 11/30/2025
Bus Lie: BT30031040
Bus Lie Expire:03/31/2024
Workers' Compensation Insurance
Carrier: ACCREDITED SURETY
Policy No: 1AUICA160129868001
W. C. Expire: 3/15/2024
Manufacturer: BRYANT
Model# : 315S
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reagents) indicated below by the checkmark(s) I have placed next to the applicable item(s)
tSection 7031-5. Business and Professions Code: Any city or county that requires a permit to construct, after, 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 exemptfrom licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant forapermit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property.,. or my employees with wages as their sole compensation, will do U all of or (_) 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. 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
Erroved for the purpose of sale).
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
11 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).
1 am exempt from licensure 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 legell.
sell a structure. Thal I have built as. an owner -builder If it has not been constructed in its entirely 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://www.leginfo.ca.gov/calaw.html.
Signature. of Property Owner or Authorized Agent_
LICENSED CONTRACTOR'S DECLARATION XCIOLUI.,s,
I hereby affirm under penalty of perjury' that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f f Di Psicn 3 of the Business and Professions nse is in full force
and effect. License Class License. No Date I t� 't Contractor Signature
NORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU¢JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN,0), IN ADDITION TO THE
)OST OF COMPENSATFON, DAMAGES AS PROVIDED FOR IN SECTION e.706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 1 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 thI
�O formance 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 worts for which this permit is issued. My workers`
carrier and policy number are:
of Agent
certify that, in the performance of the
, if I should become subject to the we
Iature of Applicant I-)
Policy Number
Date
which thispermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
npensation provisions of Section 3700 of the Labor Code., Ishall forthwith comply with those provisions.
__...._- Date_...__ 'J 2A2y
hereby affirm under penalty of perj
enders Name 0 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 Address
y my siynatura below, I Certify to each of the followingr —'--
I am the property owner or authorized to act on the property Owner's p ehalf.
I have read this application and the Information I have provided is c rest.
1 agree to comply with all applicable City and county ordinarl state laws relating to building. construction.
I authorize representatives of this city or county to enter th b identified property for inspection purposes,
ignature of Property Owner Or AutharvPd Anent
ACTION
PEHMrt EXPIRED
PERMITCANCELLED
PERMITEA7ENDE0
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY DECLAI(ATION OFCOMPLIANCE+AgTH CODE OF FEDE.
RF601ATION5 PART bl OFTITLE 40 ANDA(LMD RULE
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` I SUBMITTFD ASBESTOS NOTIFICATION TO
-.,T.. 1
_iEPA _.
LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Date
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