HomeMy WebLinkAboutH2023-0684 - PermitsCity of Newport Beach
Community Development Department- Building Division
f, j 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
u r. newportbeachca.gov/civic
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II I II II Mechanical Permit : H2O23-0684
Plan Check No : 1231-2022
Work Class : Other
Issued Date : 10/23/2023
Inspection Area: 1
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 : 326 ISLAND AVE Legal Desc : A TR EAST NEWPORT BLK A BLK LOT 73
Description: MECH INSTIL (2) ROOF MOUNTED A/C UNITS *TAMPER RESISTANT CAPS REQ*
Owner:
BRIAN & CATHY MARTIN
Address :
9 BAY ISLAND NEWPORT BEACH, CA 92661
Phone:
(949)280-8700
Applicant :
ERIC TRABERT
Address :
9521 IRVINE CENTER DR IRVINE, CA 92618
Phone:
(949)861-2244
Owner/Builder
:
Address
Phone:
Code Edition :
2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 9, Side: 3, Side: 3, Rear: 5
Flood Zone:
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : D L S HEATING & A/C
Address :
8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646
Phone:
(714)231-8002
Con State Lic
: 584220
Lic Expire :
01/31/2024
Bus Lic:
BT9804D420
Bus Lic Expire:12131/2023
Workers' Compensation
Insurance
Carrier:
STATE FARM FIRE AND CASUALTY CO
Policy No:
92GOK7865
W. C. Expire :
1/6/2024
Fire Hazard Zone : NO
Manufacturer: DAIKIN
Model# : 4MXS36RMVJU
TILERS PROHIBITED
ON HEAT PUMPS
OWNER -BUILDER DECLARATION
I hereby affiml under penally of perjury that I am exempt from the Contractors' Slate License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Tamils)
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
he 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
Irofessions 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
lo€ more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or (_) portions of the work., and the structure is notintended 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 (he
eprovemants 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
mproved 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 Coda: The Contractors' State License Law does not
ply to an owner of property who bulids or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensors under the Contractors' Slate License Law for the following reason
ly my signature below I acknowledge that, except for my personal residence in which I must have reslded for at least one year prior to completion of the improvements covered by this permit, I cannot legal
tell a structure that I have built as an owner -builder If it has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this application Is submitted or at the following Web site:http:llw .leginfo.ca.gov/calaw.html.
signature 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 Se 'on 700) f Dfvf on of the Busi ass and P ofe o s Co and and my If V' is in full fore�j
Ind effect License Class License No f tO Co t for Si tnatur wlG . 1//Aww /% `// wA/ .//
NORKERS' COMPENSATION DECLARATION \
IARNING: FAILURE TO SECURE WORx ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONI
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION SISfi OF THE LABOR CODE, INTEREST, AND ATTORNEY'a FEES.
b3reby affirm under penalty of perjury one of the following declarations:
IN ADDITION TO
I have. and w;A 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
xmcnce 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` componsa'
ranca carrier .md „oli;y number are:
Policy Number
Date
rou u, Agent _ _ _ _ Phone N
certify the(, in th^tpert ce the work for Ich s permit is I Led. I shall not employ any person in any manner so as to become subject to the workers' compensa on IS s of California, and agre
1, d 1 should raa cf to r S
'ens ti p 'sio of Secbon 3700 of the Labor Code, I shall fodhwith tomply with chose provisions. nablre of pl it CLARATIO#�GA't CONSTRU0 LENDING AGENCY__._...
areby affirm urdor ^rnaI of perury th there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, tivil Code).
)der s Name _ Lender's Address _
my signature baiow, 1 certify to each of the following:
I am the property owner or authorized to act on the p party owner's behalf.
I have read this application and the information hav provided isVs
I agree to comply with all applicable city an cou ty rdfn 'as vs relating € building construction.
I authorize representatives of Ehis 'ty or co r pro inspection purposes.
ii nature of Pro e Oavner or Author d . ant Print Property Owner's or Authoriz
ACTION DATE BY I ECtARATIO OF COMPLIANCE WITH CODE OF FEDERAL EOROEEICE USE
` REGUTATiONS PART El OF TITLE AO AND AQMD RUFF
PERMIT EXPIRED
t LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
OEPA
PERMIT EXTENDED
PERMIT FINAL
t ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
'�r qy)
q
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: