HomeMy WebLinkAboutH2023-0483 - PermitsOF'
City of Newport Beach Community Development Department- Building DivisionMechanical Permit:H2O2,3-U483
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Work Class : Other
newportbeachca.gov/civic Issued Date : 7/28/2023
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: 8 AUVERGNE Legal Desc : N TR 14588 BLK LOT 2 UN 133 TRACT 14588, LOT 2 OF
Description: MECH R/R 1 FURNACE AND HEAT PUMP AT (E) LOCATION. "`TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED"
Owner:
NATASHA BUCHANAN
Address :
8 AUVERGNE NEWPORT COAST, CA 92657
Phone :
(949) 767-7725
Applicant:
Aura Energy Compliance
Address:
4370 Palm Ave., Ste. D250 San Diego, CA 92154
Phone:
(714)804-8886
Owner/Builder:
Address:
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY
X
PC - Newport Ridge
SPECIAL CONDITIONS:
Contractor : CUBIC AIR CONDITIONING, ELECTRIC & SOLAR INC
Address :
15040 LASSEN ST MISSION HILLS„ CA 91345
Phone:
(818)924-7048
Can State Lic :
1043657
Lic Expire :
08/31/2024
Bus Lic:
BT30082231
Bus Lic Expire:07/31/2024
Workers' Compensation Insurance
Carrier :
FALLS LAKE FIRE AND CASUALTY COMPANY
Policy No:
FLA011030
W. C. Expire:
2/28/2024
Fire Hazard Zone : NO Manufacturer: GREE
Model#: FLEXX36HP23OVlAO
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the ContractorsState 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 permit to construct, alter, 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 provisionsofthe Contractors' State License Law (Chaptor 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 ($504).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 71M4,
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 properly, provided that the
nprovemenls 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
nproved for the purpose of Sole)-
3 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
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).
I am exempt from licensure under the Contractors' State License Law for the following reason: _ _......
y my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot legally
all 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 applicahle law, Section 7044 of the Business and
rofessions Code, is available upon request when this application is submitted or at the following Web site:hflp:llwww.leginfo.ca.govlcalaw.hfml,
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 Section 7000) of Division 3 of the Business and ProfessionGodie;-and my license Is in full force
nd effect. License Class License. No Date Contractor Signature 'Z _
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 (6100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
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
,mance 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
of Agent
Dale
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 became subiecl to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date__ --
veby affirm under penalty of perjury that thereis a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ider's Name Lenders Address
my signature below, 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 vAth all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to en/ter the above -identified property for inspection purposes, �
oaiwe of Prnoertv Owner or Authorized Auenl " I w�+— Print Prooertv Owner's or Authorized Aoent's Name /o r& W,
ACTION
YEi,MtT,XP,'RED
PERMIT CANCEL! ED
PFAMI' EXTENDED
'EA.4"I'.'INAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40AI AQ.MD Rt1LF.
I SU BMITTED A", 5TOS NOTI FICATION TO
On/13/23 I DL;o, LJASBESTOSNOIIFICATION15NOT APPLICABLE TO
DR PROPOSED DEMOLITION
SIGNATURE:
Civil Code).