HomeMy WebLinkAboutH2023-0145 - PermitsExor City of Newport Beach
D� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u= Permit Counter Phone: (949) 644-3288
ems„ Inspection Requests Phone: (949) 644-3255
cgCiFopN�P newportbeachca.gov/inspections
PERMITS EXPIRE 180 DAYS AFTER ISSUi
NO CONSTRUCTION RELATED NOISE ON SA
Job Address
Description :
Mechanical Permit : H2O23-0145
Plan Check No : 2487-2021
Work Class : Other
Issued Date : 02/28/2023
Inspection Area : 4
INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
2206 ARALIA ST �tailR
Desc: N TR 4705 BLK LOT 109
MECH - INSTALL 3 A/C CONDENSER UNITSREQ'D ON #1, TAMPER -RESISTANT CAPS REQ'D ON ALL 3
Owner: SHAW KAMAO C TR THE SHAW FAMILY TR
Address : 2206 ARALIA ST NEWPORT BEACH, CA 92660
Phone:
Applicant:
Address:
QUALITY AIR INDUSTRIES INC
2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806
Phone:
(714)718-2946
owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
00
Contractor : QUALITY AIR INDUSTRIES INC
Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806
Phone:
(714)718-2946
Con State Lic
: 1052628.
Lic Expire :
Bus Lic:
04/30/2023
BT30075259
Bus Lic Expire:05/31/2023
Workers' Compensation
Carrier :
Insurance
STATE COMPENSATION INSURANCE FUND
Policy NO:
9017366
W. C. Expire:
7/4/2023
Manufacturer: SAMSUNG
Model#: RXS12ABT
.............
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Rem(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, prierto 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 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)..
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is notintended 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
mproved for the purpose of sale).
I'❑ 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
spply 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).
art exempt from licensure under the Contractors' State License Law for the following reasgre
By my signature below ). 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.
:ell a structure that I have built as an owner -builder If it has not been constructed In itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7C44 of the Business and
?rofessions Code, is available upon request when this application Is submitted or at the following Web site:http;/lwww.leginfo.ca.gov/calaw.himl.
signature of Property Owner or Authorized Agent _
_ICENSED CONTRACTOR'S DECLARATION Date
hereby affirm under penalty of perjuryy that I am licensed under provisions of Chapter 9 (commencing with Section 700 o Divi •i n 3 of the Business and Pro dons Code Ad Ds�ts in Lfo
Ind effect License Class License No Date Contractor SignatureZ ��
NORKERS' COMPENSATION DECLARATION J
!ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND 60LLAR$ (5/00,000t, IN ADDITION TO THE
�OST OF COMPENSATION, DAMAGESAS PROVIDED FOR. IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ PEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 Code, for thi
ecformance 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:
Agent
Policy Number
Date
le ,icertify)sthat, a 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 the workers' compensation laws of California, and agre
tat, if I should become subject to the er ' om tan ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ECLAre of Applicant
I//yv
�ECLARA710N REG RD3NA G pNS'( N . AGENCY
hereby affirm under penalty of perjury that (here is estruction 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 property owner's behalf.
I have read this application and the information I have provided is correct
I agree to comply with all applicable pity :and county ordinances and sl lay to'building construction. Cyt
I authorize representatives of this city orcounty to enter the abo e d arty for inspection purposes,
nature of Property Owner or Authorized Agent L = Print Prooarty ov nar� r A„n,...,1MA A _Io n Irl �l n m
DATE ( BY AVECLAPRfCN CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIOrTSPA, 6t OF TITLE 40 AND AQMD RULE
PFPo'nir
PERMIT EXTENDED
PERMITFINAL il/17/23 DL
CEATIFICATEOF
OCCUPANCY ISSUED JM
NOTI
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION