HomeMy WebLinkAboutH2022-0506 - PermitsCity of Newport Beach III I I I II I
Community
II I II IIII II I) II
Mechanical Permit H2022-0506
p� Development Department - Building Division
:
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: 644-3255
Work Class: Other
CqG/FORN�P newportbeachca.gov(nspections
ons
Issued Date : 09/21/2022Inspection
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 VENETO Legal Desc : N TR 15078 BLK
LOT 17
Description: MECH CHANGE OUT HEAT PUMP & AIR HANDLER *TAMPE RPROOF CAP REQ'
Owner: SNIDER ERIC TR
Contractor :
ALPS AIR CONDITIONING & HEATING INC
Address : 9 VENETO NEWPORT COAST, CA 92657
Address :
1895 S SANTA CRUZ ST ANAHEIM, CA 92805
Phone :
Phone :
„(714) 633-8892
Applicant : ALPS AIR CONDITIONING & HEATING INC
Con State Lie
Lie Expire :
:;667953
04/30/2023 TIMERS PROHIBITED
Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 "
Bus Lie:
BT30047511
Phone: (714) 633-8892
Bus Lie Expire:06/3012023
ON HEAT
Workers' Compensation Insurance a PUMPC
Owner/Builder:
Carrier:
INS CO OFTHE WEST
Address :
Policy No:
'zWSD506854500
Phone: -
W. C. Expire:
'.12/25/2022
Code Edition : 2019 Fire Hazard Zone; YES
Manufacturer: LENNOX
Type of Construction :
"
".Model#: ELI8XPV-060
Occupancy Groups:
.• .
.•
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10..
• •
o• .•..®.
• ,
Flood Zone: X
•••. ,
Use Zone: PC -Newport Ridge
. •
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c•o a••. 000co
PROCESSED BY: ff
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SPECIAL CONDITIONS:
I hereby affirm under penally of perjuryt
otion 7031.5, Business and Professions
permit to rite a signed statement that he
fissions Code) or that he or she is ezen
more than five hundred dollars (S500):.
I, as owner of the property, or my amok
iness and Professions Code: The Contr
rovements are not intended or offered fi
roved for the purpose. of sale).
nati am exempt from the Gentractors` State License Law for the reason(s).inidicatE
Code: Any city or county that requires a permit to construct, alter, improve; demoiii
or she is licensed pursuant to the:provislons of the Controotors' State License Lam
ipt from licensure and the basis for the alleged exemption. Any violation of Section
Pith wages as their sale compensation, will do U all of or `) pardons
State Lioense law does not apply to an owner of property who, throt
If, however, the building or improvement is sold within one year of c
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section
ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Con
I am exempt from licensure under the: Contractors'State License Law for the following reason:
my signature belowi acknowledge that, except for my personal residence in which I must have resided for at teas
a structure that I have built as an ownerAbuildor if it has not been constructed 'frills entirety by licensed'contractoi
fessions Code, Is available upon request when this application is submitted Drat the following Web sitethttpJlww%
Property Owner or Authorized Agent..®
CONTRACTOR'S DECLARATION
'rounder penalty of perjury that I am licensed
License Class
C COMPENSATION DECLARATION
5 UNLAWFUL..AND SKALL SUBJECT AN. EMPLOYERTO CRIMINAL
OF THE LABOR CODE: INTEREST, AND ATTORNEYS FEES.
checkmark(s) I have placed next to the applicable item(s)
ystructure, prior to its issuance; also requires the applicant for
immencing with Section 7000) of Division 3.of the Business and
applicant for a permit subjects the applicant to a civil penalty of
work;and the structure is not intended oroffered for sale (Section 7044,
ployees' or personal effort,. builds or Improves the property, provided that the
ion; the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code; The Contractors' State LicenseLawdoes not
pursuant to the Contractors' State License Law).
year
AND CIYIL.FINES UP TO ONE
I.cannot
(yt C4,D00); IH ADerTION
hereby affirm under penalty of perjury one of the following declarations_
J 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 Libor Code, for
eiformance of the work for which this permit is issued. Policy No.
XI`haua_and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for th performance of theworkfor which this permit is issued. My workers' compensal
insurance carrier and policy number arw
:arrier. Policy Number_Expiration Date
Jame of Agent. Phone if
3 as to become subject to the workers`compensation laws of California, and agre
comply with those provisions. D / q J-
/ Lo2--
this permit is issued (Section 3097, CAI Code).
certify that, in the performance of
If I should become Vject to the
tfgpy Affirm under pen§tty of pariu canstructibn lending agency for the performance of the work I
riders Name • • • Lenders. Address
' my signature eaiiow, T certify to each of the following:
I eawt;e property owner or authorized to act on the property owner's behalf.
1 haYe read ttgs app%ation and the information:I have provided is CorrecL
I gyre to compig wiitt all applicable city and county ordinance, . laws relating to building construction.
j pytimoze, reli ftWQtives of this city or couryV en1erjh0q0bwvld0ntified: or i ion purposes.
or
BY
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TITLE
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