HomeMy WebLinkAboutH2022-0688 - Permits�".'Po"'
City of Newport Beach
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Community Development Department- Building Division III I I I II
I II I II II III II I II Mechanical Permit
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No:
P==It Counter Phone: (949) 644-3288
Work Class : Other
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Inspection Requests Phone: (949) 644-3255
Issued Date :
oa
newportbeachca.gov/inspections
Inspection Area: 3/2022
H2O22-0688
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 : 1918 HIGHLAND DR Legal Desc : N TR.3057 BLK LOT 42
Description: MECH -INSTALL (1) HEAT PUMP UNIT *PROVIDE TAMPER -PROOF CAPS AS REQ'D*
Owner: FRANCIS BRYAN
Address : 1918 HIGHLAND DR NEWPORT BEACH, CA 92660
Phone:
Applicant: FIGUEROA HEATING & AIR CONDITIONING
Address: 1321 WEST 11TH STREET SANTA ANA, CA 92703
Phone: (714)597-0793
Owner/Builder:
Address
Phone:
Contractor : FIGUEROA HEATING & AIR CONDITIONING
Address :
1321 WEST 11TH STREET SANTA ANA, CA 92703
Phone:
(714)597-0793
Con State Lie :
944975
Lie Expire :
03/31/2024
Bus Lie:
BT3D079516
Bus Lie Expire:08131/2023
Workers' Compensation Insurance
Carrier :
CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy No:
CWC01033300
W. C. Expire:
8/4/2023
Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: AC PRO
Type of Construction : Model# : AVE-60HWFN1-M
Occupancy Groups: ,n o
Building Setbacks : Front: 20, 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:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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 hands)
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 to its issuance, also requires the applicant for
to 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
roteselons Code) or that he or she is exempt from (icansure and the basis for the alleged exemption. Any vlclabon of Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of
of morethenrive hundred dollars ($500)..
3 I, 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,
alsiness 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
nprovements 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
n roved for the purpose of safe).
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
ly 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),
J I am exempt from ticensure under the Contrectors' State License Law for the following reason _
Iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at leastone year prior to completion of the Improvements Covered by this permit, I.cannot legall,.
oil a structure that I have built as an owner -builder if it has not beenconstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Itofessions Code, is available upon request when this application is submitted or at the following Web site:http:iJwww.leginto.ca.gov)calaw.html..
signature of Property Owner or Authorized Agent Da
.ICENSEO CONTRACTOR'S DECLARATION
hereby affirm under penalty of pOury that I am Licensed under provisions o Ch t r ( fencing with Section 7000) of Division 3 of the Business and Prole@s a my license is fn foil torte
nd effect. LicensLicense No_`' -Date �-"p.`2' Contractor Signature 7C
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE T. OUSANO COLLARS {$100.ppd). Pi AeaTfION TO THE
c rT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COCE, INTEREST, Me ATTORNEYS FEES,
hereby affirm under penalty of perjury one at the following declarations:
have and will maintain a certificate of consent to serf -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ih
elf rmance 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:
Policy Number Expiration Date
na of Ayem
Car* that, inthe p
If I snnutd become
Of
of t k 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
Itors compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q Q
Date,. o� ���
FECLARR.TEON RE:'A Pbip�G CO'NSTRUCTtON LENDING AGENCY
hereby affirm under pen ty of perjury that there is a construction fending agency for the performance of the. work, for which this permit its Issued (Section 3097, Civil Code).
enders Name Lender's Address _
ly ray signature bstiow, I certify to -each of the followtngr
1 a n loe property owner unauthorized to act on the property owner's behalf.
I have. read 0-is applcation and the information I have provided is c ot.
I aj7 ca to comply with all applicable pity and county ordir/nces a s to laws relating to building construction.
I au'hortze re?resamatives of this city or county to enui he ala-I nlified property for inspection purposes.
ACTION I DATE f BY I CLARA'tN OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
f t�.IfGULAp(1JjNIS PART 61 OF71TLE 40AND AQMD RULE
PERMITEXXREO I I I L-t I SUBMITTED ASBESTOS NOT)FIGATiON TO
PERPAFTFINAL OWj2/z3 DL Par„ I UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERrEtCATE Of PROPOSED DEMOLITION
OCCUPANCY ISSUED CMS SIGNATURE: