HomeMy WebLinkAboutH2023-0650 - PermitsEWPoRr
City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u r
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
C �P
9C/FO0.N
Mechanical Permit
Plan Check No
Work Class : Other
Issued Date : 1010912023
Inspection Area :6
H2O23-0650
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 : 10 TERAMO CT Legal Desc : N TR 14772 BLK LOT 7 UN 121 TRACT 14772, LOT 7 OF
Description: MECH - R/R HEAT PUMP & AIR HANDLER. TAMPER -RESISTANT CAP REQ'D
Owner: FRANK CATERINICCHIO
Address : 10 TERAMO CT NEWPORT COAST, CA 92657
Phone:
Applicant: BEN MEDINA
Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone: (818)735-7876
Owner/Builder :
Address
Phone:
Code Edition : 2022 Fire Hazard Zone : YES
Type of Construction
Occupancy Groups
�i
Building Setbacks : ^�
Flood Zone : X
Use Zone: PC - Newport Coast
PROCESSED BY
SPECIAL CONDITIONS: 0%40 F
CAN
i "
Contractor :
TRITON AIR INC
Address :
1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673
Phone:
(949)492-0290
Con State Lie
: 774877
Lie Expire : 06/30/2024
Bus Lie: BT30042558
Bus Lie Expire:03/31/2024
Workers' Compensation Insurance
Carrier : LIBERTY MUTUAL FIRE INSURANCE CO
Policy No: 292549
W. C. Expire: 4/1/2024
Manufacturer: LENNOX
Model#: VPC01BH4M
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) mclicaled below, by the checkmark(s) I have placed next to the applicable items)
iSection 703L5. 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 slalemant that he or she Is licensed pursuantto 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),.
El I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work., and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The ContractorsState 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 burdenof proving that It was not built or
Improved for the purpose of sale).
0 1, as owner of the properly, 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 Levi).
❑ I 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 resldodfor at least one year prior to completion of the Improvements covered by this permit, I cannot Iegallt
sell a structure that I have built as an owner -builder if it has not boon 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:/.Mnvw.leg nfo.ca.govlcelaw.html.
Signature of Property Owner or Authorized Agent _-,____.._.......�_ Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f I ' 3 of the Business and Profe sions my license IS in full force
and effect. License Class License No Date Detractor SignatuilrI
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREb USANO DOLLARS sID0,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
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
It (prmance 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'
carrier and policy number are:
Policy Number
Date
ame of Agent Phone ff
�I certify that. inthe performance of the We hich this permit is issue employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
lal, if I should become subject to thew ra, compensation s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ff
igrGere of Applicant ........._-_ _....._.___.�______...___...,.,....,. Da
iECLARATION REOAR67N6 CONS r ON LENDING AGENCY /pv�•y\'�•
hereby affirm under penalt try that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C, I Code).
enders Name Lender's Address
y my signature below, 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.
€ agree to comply with all applicable city and county ordinances and slate laws relatin 0-bilaing construction.
I authorize representatives Of this city or county to enter the-Identifie arty for inspection purposes.
•ionature of PfoD@rty Owner or Authorized Aoenl Prim Property Owner's or Authorized Agent's Name ,t/ 1Vc.C/>, (�C�%.j_/_LL- _Date
ACTION DATE 6Y✓ \''. DE D F COMPLIANCEWITH CODE OF FEDERAL FOR OFFICE USE ONLY ,
Ui.! NS PART 61 0� TITLE. 40 AND AQMD RULE.
3
PERMIT EXAREt7 I SUBMITTED ASBESTOS NOT]FICATION TO
PERMIT CANCELLED CPA
PERMIT EXFENDED ❑AQMD
PERMIT FiAMAL D ASBESTOS NOT'11- CATION 15 NOI APPLICABLE TO
CERTIFICATE OF IVZZ/Z3 Di RL I PROPOSED DEMOLITION
OCCUPANCYISSUEO SIGNATURE: +.