HomeMy WebLinkAboutH2024-0107 - Permits��garaoRr City of Newport Beach III I I I II I I II II III I II II II Mechanical Permit : H2O24-0107
Community Development Department - Building Division
F Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Work Class : Other
u S newportbeachca.gov/civic Issued Date : 02/2712024
cg4voa��P Inspection Area : 3
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 : 2301 SANTIAGO DR Legal Desc : A TR NEWPORT HEIGHTS BILK LOT 288 NEWPORT HEIGHTS L
Description: MECH - INSTL (N) HEATPUMP & REPLACE AC CONDENSER (2). TAMPER RESISTANT CAP REQUIRED
Owner: RKVILLOPOTO LLC Contractor : B C SERVICES
Address: 2301 SANTIAGO DR NEWPORT BEACH, CA 92660 Address : 2113 VIA VIEJO SAN CLEMENTE, CA 92673
Phone: (949)648-8555 Phone: (949)370-2310
Con State Lic : 796752
Applicant:
B C SERVICES
Lic Expire : 06/30/2025
Address:
2113 VIA VIEJO SAN CLEMENTE, CA 92673
Bus Lic: BT30066002
Phone:
(949) 370-2310
Bus Lic Expire:02/28/2025
Workers' Compensation Insurance
Owner/Builder
:
Carrier : CLEAR SPRING
Address :
Policy No : CWC01449001
Phone:
W. C. Expire: 1/1/2025
Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: AMERICAN STANDARD
Type of Construction : Model# : NTXMMX24A132B / 4A71-5036N / 4A7L5C
Occupancy Groups:
Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10
Flood Zone : X
Use Zone : R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area)
PROCESSED BY: _.
SPECIAL CONDITIONS:
i
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permitto construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statemant 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 andthe 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 U all of or L) 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
improved for the purpose of sale)-
❑ I. 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
app€y 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 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 [east one year prior to completion of the improvements covered by this permit, I.cannot legall;
sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. ( Understand that a copy of the applicable taw, Section 7044 of the Business and
Professions Code, is available uponrequest when this application is submitted or at the following Web site:http:ilwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S*A'pn 7000) o Divisl h 3 of the Business and Profess ode,. and ry7y license e
and effect, License Class License No %te Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRfMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARS ($100,000), IN ADOT➢ON To THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
'ormance of the work for which this permit is. issued. Policy No,
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' compensa
trance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in 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
if I should become subjeS�.W the workers' compensation proov�Section 3700 of the Labor Code, I -shall forthwith comply with those provisions.
nature of AARGgank.-
CLARATION REGA CONSTRUCTIO ENDING AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097
Nets Name _ Lender's Address
my signature betew, 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 city and county ordinances and slate lays re uilding construction.
I authorize representatives of this city or county ,tp a r the above -tiff probeinspection purposes.
ACTION
DATE
BY i/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ''.. FOR OFFICE USE ONLY
i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT £XP7HED
I SUBMITTED ASBESTOS NOTIFICATION TO
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ASBESTOS ND1l FICATION IS NOT APPLICABLE TO
DL;6, 1M PROPOSED DEMOLITION
PERMIT FINAL
C£RT(FfCATE OF
OCCUPANCYISSU£0
SIGNATURE:
Civil Code).
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