HomeMy WebLinkAboutH2024-0048 - Permits��EWPoRT City of Newport Beach
Q Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 716-1888
c newportheachca.gov/civic
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Mechanical Permit
Plan Check No :
Work Class: New
Issued Date : 01/2912024
Inspection Area : 2
H2O24-0048
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 : 921 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 319
Description: MECH (4) NEW HEAT PUMPS* TAMPER RESISTANT CAPS REQUIRED (XR2022-3203)
Owner: ROBERT OLSON
Address : 520 NEWPORT CENTER DR STE600 NEWPORT BEACH, CA 92660
Phone : (949) 271-1100
Applicant: AIRSMITHS INC
Address: 1474-A POMONA ROAD CORONA, CA 92882
Phone : (951) 735-5225
Owner/Builder :
Address
Phone :
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 4, Front: 10, Side: 4, Side: 4
Flood Zone : AE, 8 FT; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : AIRSMITHS INC
Address : 1474-A POMONA ROAD CORONA, CA 92882
Phone : (951) 735-5225
Con State Lic : 783449
Lic Expire : 08/31/2024
Bus Lic : BT95002015
Bus Lic Expire:10/31/2025
Workers' Compensation Insurance ,
Carrier: INSURANCE CO OF THE WEST -
Policy No: WSA506136801
W. C. Expire: 7/1/2024
Manufacturer: DAIKIN • "'
Model# : RXTQ48TAVJU & RXTQ69TAVJU,
!,EVVIEW ANDAPI)ROVAL
PROHIBITED
ON !-SEAT PUMpe
s.:'=ONSI RUC:TION NOISE
')N THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the resson(s)indicated below by the checkmark(s) I have placed next to the applicableitem(s)
coon 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, also requires the applicant for
permit to filea signed statement thathe 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
desslons Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a.. permit subjects the applicant 10 a civil penalty of
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 U portions of the work., and the structure is not intended or offered for sale (Section 7044,
nness 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
Rovements 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
Proved 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
Ay 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).
...I I am exempt from lieensure 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 lei
sell a structure that I have built as an owner-buildar if 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
Professions Code, is avallable upon request when this application is submitted or at the following Web site:http lfw v.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent .Date
LICENSED CONTRACTOR'S p DECLARATION
I am
g --r
I hereby affirm under penalty of pelyury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of Divis' n &of the Business and Prof slo de rid m tic is in full force
and effect. License Class License. No Date ontractor Signature
NORKERS' 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 ($100,000), IN AODRION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under pen lly of perjury one of the fallowing declarations:
7 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 th
p0ormar.ce of tha v.crl. ,or which this permit is. issued. Policy No,
DI have 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' compensatiol
insurance carrier and policy number are:
of Agent
Policy Number
certify that, in C,L �urfornnance of the Work for which
if I should beco-ie subieol UiAbe-vwrkers' compant
Date
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
1 provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. % G� '�
b}nalura of AppG anI ...___ .c� "--�� _ _._....._.._....____. Dater _..
D ECLARATION tRLGARUIN STRUCTIO NDINGAGENCY ` J G
hereby s"war and.a f.enaltyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender s 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 owners. behalf,
I have read this application and the Information I have provided is Correct.
€ agree to comply wrath.. all applicable city and county ordinances and state laws'Claim to building construction.
I authorize representatives of this city or county to en above-Identifled pro for Inspection purposes.
Iiunatuie of Property Owner or Authorized Agent \L7 ��--� Print Property Owner's or Authorized Agent's Name
ACTION DATE BY / `,7 OECeARATVON OF COMI�L!ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFG UTATIONS PART fit OF TITLE 40 AND AQMD ROLE
1403
PERMIT LXPIRED I SUBMITTFO ASBESTOS NOTI FICATION TO
PERMIT CANCEUED 01PA _
PERMIT EXTENDED _ AQMD
PERMIT FINAL 7� E ASBESTOS NOTIFICATION 15 NOT AP BILL TO
CERTIFICATE OF✓(-L-I`-1!PROPOSF-D EM 1
OCCUPANCY ISSUED 15iGNATUR