HomeMy WebLinkAboutH2018-0362 - Permits�EWPORT City of Newport Beach III III IIII IIII II III IIIIIIIIII IIIII IIIIIIIII II COMB Permit : H2O18-0362
Community Development Department -Building Division H 2 0 1 B 0 3 6 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888
Issued Date : 06/11/2018
newportbeachca.gov/civic Final Date:
"4;FO0\\ Combination Type - Permit Status: Expired
Work Class - Other Inspection Area : 4
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: 96 OCEAN VISTA Legal Desc : TR 9676 LOT 13 UNIT 115 OF PROJECT LOCATED ON AP 442-361-31 TOGETHER WITH A N UND
1/181NT IN PAR 1 L.L.85-462782
Description: MECH/CHANGE OUT (E) A/C 53.5dB* (LENNOX; EL16XC1-042) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM & 7AM
Owner:
Address
Phone
Applicant:
ECONO AIR
Address :
1921 PETRA LN
PLACENTIA, CA 92870
Phone:
(714) 695-6661
Owner/Builder
:
Address :
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks :
Flood Zone: X
Use Zone: PC - Sea Island Apartments
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor: ECONO AIR
Architect
Address : 1921 PETRA LN
Address
PLACENTIA, CA 92870
Phone : (714) 695-6661
Phone
Con State Lic : 445220
State Lic
Lic Expire: 02/28/2026
Bus Lic: BT30064026
Engineer:
Bus Lic Expire : 08/31/2025
Address
Workers' Compensation Insurance
Phone:
Carrier: CAROLINA CASUALTY
INSURANCE
COMPANY
Policy No: BNUWC0156679
Designer
W. C. Expire : 4/7/2025
Address
Phone:
Fire Sprinklers : NO
Construction Valuation :
$0.00
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
No of Units :
Alteration sq. ft. Bldg :
0
No of Stories :
Add/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I hereby affiml under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(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, also requires the applicant for
1e 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
'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
of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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 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' Slate License Law does not
pply 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).
7 I am exempt from licensure under the Contractors' Stale 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 least one year prior to completion of the improvements covered by this permit, I cannot legalll
ell a structure that I have built 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
;Ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
no effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
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 ($100,0001, IN ADDITION TO THE
:OMPENSATION, 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
Date
IS of Agent Phone H
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
ignature of Applicant Date_
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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, Civil Code).
enders Name Lenders 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.
I agree to comply With all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ionature of Prooertv Owner or Authorized Agent Print ProDertv Owners or Authorized Aaent's Name
ACTION DATE BY I REGULATIONS PART 061 OF IITLE 40 AND AOMD RULERAL FOR OFFICE USE ONLY
(
PERMITEXPIRED ( i 1 LIISUBMTTED IASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMITFINAL I // 1aJ1[ U ASBESTOS NOTIFICATION IS NOT APPUCA13LE TO
CERTIFICATEOF /217 �v.R PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
Date
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