HomeMy WebLinkAboutH2022-0585 - PermitsaEWPORT City of Newport Beach III I I I II I II I II IIIII III II Mechanical Permit : H2O22-0585
0� Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 644-3288 Work Class : Other
u s Inspection Requests Phone: (949) 644-3255 Issued Date :
c9ClpQ µNAP newportbeachca.gov/inspections Inspection Area :6
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 : 9 SEA TERRACE Legal Desc : N TR 14581 BLK LOT 24
Description: MECH - R/R 2 FAUS. 2 AC CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED Tjil R€4V 171�1 1
Owner: TANG RUTH TR
Address : 9 SEA TER NEWPORT COAST, CA 92657
Phone:
Applicant: THOMAS COLLINS
Address: 5186 SANDBAR COVE WY SAN DIEGO, CA 92154
Phone: (714)804-8886
Owner/Builder :
Address
Phone:
Code Edition :
2019 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone :
PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : MCMASTER HEATING & AC INC
Address: 2 MCLAREN #C IRVINE, CA 92618
Phone: (949)481-7995
Con State Lic : 726607
Lic Expire :
12/31/2023
Bus Lic:
BT30041972
Bus Lic Expire: 01/31/2023
Workers' Compensation Insurance
Carrier :
HARTFORD ACCIDENT & INDEMNITY CO
Policy No:
72WECZU8138
W. C. Expire:
2/2/2023
Manufacturer :Cff V469-
Model# :?�V1
—'t
TIMER REQUIRED ON EOUIPMEM
TO SNOT OFF BETWEEN 10 P.M. AND 7 A•M'
[hereby affirm under penalty 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 applicable items)
Section 7031.6. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior io its issuance, also requires the applicant for
he permit to file a signed statement 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
'rofessions 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
lot 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 (_) portions of the work, and the structure is not intended cr offered for sale (Section 7044,
iusiness 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
iiproved for the purpose of sale).
1 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
Ipply 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 Itcensure under the Contractors' State License Law for the following reason: _
Sy my signature haloes 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 legally
:ell a structure that I have bait as an owner -builder 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:httpa/www.leginfo.ca.govlealaw.html.
Signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7 00( ) of Division bf the Business and Profas\ysji�Qn�s ode,. �'q,Id,mgp ' se is in lull force
Ind effect. License Class License. No Dot CDntracicr Signature' \ `J—
VORKERS' COMPENSATION DECLARATION
EARNING: 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 IS100,000), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 0906 OF THE LABOR CODE, INTEREST, AHDATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
-1 1 have and wfll 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 the
.(;rformance of the work for which this permit is. issued. Policy No.
..l%ha
Carrier
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
su rice carrier and policy number are:
Policy Number Expiration Date
Name of Agent Phone 0
-I 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 agree
hat, if I should becomeess, ct the ITION
ers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
5igr CAR of Applicant_j � Date/ �t7 DECLARATION i2EG DING CONSTLENDING AGENCY Vl4
hereby affirm under penaltyof perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Cmil Code).
Lender's Name Lender's Address _
By 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.
I agree to comply with all applicable city and couriv ordinances and state laws relating to building construction.
I authorize representatives of this City or county ter the bone I ntified property for inspection purposes. 1t
5i nature of PropertyOwner or Authorized A e ! Print PropertyOwner's or Authorized Agent's Name HI M Data O ,,20 -12
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART El OF TITLE 40 AND AQMD Rll LE
1403
PERMIT kXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITF(NAt 04/(ysn3 DL-Poi^ I L_I ASBESTOS NDIIFICATION 15 NOT APPLICABLE 70
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED CM5 SIGNATURE