HomeMy WebLinkAboutH2024-0120 - Permits�kwro?� City of Newport Beach III II I III I II II III II I 11111111Mechanical Permit : H2024-0120
cF :� Community Development Department- Building Division Plan Check No
100 Civic Center Drive, Newport Beach, CA 92660
'� Permit Counter Phone: (949) 718-1888 Work Class : Other
newportheachca.gov/civic Issued Date : 0310512024
cq[icoR�\P Inspection Area : 2
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 : 202 GRAND CANAL Legal Desc :
Description: MECH INSTL HEAT PUMP SYSTEM @ THE ROOF, TAMPER RESISTANT CAP REQ
Owner: PESTOR RANDY C TR
Address : 1825 GARDEN HWY SACRAMENTO, CA 95833
Phone: (916)849-8163
Applicant: SIRIUS MECHANICAL INC
Address : 16692 MARIPOSA RIVERSIDE, CA 92504
Phone: (951)640-5097
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone:
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor :
SIRIUS MECHANICAL INC
Address :
16692 MARIPOSA RIVERSIDE, CA 92504
Phone:
(951) 640-5097
Con State Lie
: 851512
Lie Expire :
11/30/2025
Bus Lie :
BT30078031
Bus Lie Expire: 02/28/20M�—
Workers' Compensation
Insurance
Carrier :
STATE COMPENSATION INSURANCE FUND
Policy NO:
9055133
W. C. Expire:
5/1/2024
Fire Hazard Zone : NO Manufacturer: MITSUBISHI
Model# : MXZ-4C36NA4
TIMERS PROHIBITED
RI HEAT PUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 applicableitem(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, slsO requires the applicant for
:he 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
7rofessions 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
iot more than five hundred dollars ($500).
1, 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,
3usiness 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
mprovements 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).
1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsSlate License Law does not
)poly 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: _
3y 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 im_provements covered by this permit, I cannot legall.
;at a structure that 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 fhe Business and
Irofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce,govicalaw.htmi, of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION /J
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect 7000 Of Division 3 of the Busine and Profess'. de, and 6r 4Eens n full force
Ind effect License Class License NO Dat $ " z Contractor nature
VORKERS' COMPENSATION DECLARATION
PANNING: 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 (Ei00,000), IN AUDIT ION TO THE
DST OF COMPENSATION, DAMAGESAS PROVIDED FORM SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and w;,l r I, main 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, forth
011OWnce of 1117 Aa.k for which this permit is. issued. Policy No.
and wid maintgin 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 e.nd policy number are:
,nrr'ar Policy Number
Jame of Agent _ Phone
#onDate
Ph _
�I certify that. in the performance 0 e work for wh+ch this ermit is issued:. shall not employ any person in any manner so as to become subject 4o the worker ' compe'nsatlon laws of California, and afire
�aL III
should Pcame •ab}ect to
workers' eompen. n prow ns of Section 3700 ofihe Labor Code, I shall forthwith comply with those provisions.
I;S .cl�ra of Appl ant Dat 3' Y- ZY
IFr'J PPf.TIo ARDIN STRU E 1N A NCY `
hareoy affirm un-ler fanal of perjury that there fs a construction lending agency far the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender', Name _Lenders Address
y my sigI ature ba,oa. I Certify to each of the fellowingr
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 withall applicable cf. a. ounty or ' lances and state 'wssrrlelating to building construction.
I authorize representatives of this city ounty t r tthhe ab�ove-Id iyp�pjopert¢for Inspection purposes, � co ignature of Property- �Owner or Autho' Ed Aa nl R-- /ir k -��'% Print Property Owner's or Authorl2Bd Agent's to F-lr iJp l� SCJd Ip i-/v f Gig n,l
ACTION I DATE
PERMIT EXPIRED
PERMIT EXTENDED
PETW-FINAL OV07/Zu DL J
CERTIFICATE OF lfJ/ -r
OCCUPANCY USUEEO DR
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
RFEULATIONS PART Bl OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTI
LJASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY