HomeMy WebLinkAboutH2022-0563 - Permits�EWPo�
City of Newport Beach III I I I II
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Community Development Department- Building Division
Mechanical Permit
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No:
}9 i
Permit Counter Phone: (949) 644-3288
Work Class : Other
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Inspection Requests Phone: (949) 644-3255
Issued Date
newportheachca.gov/inspections
Inspection Area : 1
H2O22-0563
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 : 125 G ST Legal Desc :
N TR=518 ELK ALOT 3
Description: MECH - R/R FAU. INSTALL NEW CONDENSER. TAMPER RESISTANT CAP'REQ'D
Owner: HARLOW RICHARD A JR TR
Contractor :
CONTEMPORARY AIR CONTROL INC
Address : 1918 SANTA ANA AVE COSTA MESA, CA 92627 .'
Address :
1599 SUPERIOR AVE B1 COSTA MESA, CA 92627
Phone :
Phone :
(949),877-04111
Con State: Lie
: 575613
Applicant: CONTEMPORARY AIR CONTROL INC
Lie Expire':
10/31/2024
Address : 1599 SUPERIOR AVE 31 COSTA MESA, CA 92627
Bus Lie :
BT30036259
Phone : (949) 877-0411
Bus Lie Expire:07/31/2023
Workers' Compensation
Insurance
Owner/Builder :
Carrier. '`
SIRIUS AMERICA V, CO-.`'
Address :
Policy .No:
WC75866
a ,
Phone :
W. C. Expire:
6/1/2023
Code Edition : 2019 Fire Hazard Zone :.. NO
Manufacturer: AC PRO
Type of Construction :
Model# : AULD60W2/A
Occupancy Groups:
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10'...
Flood Zone: X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
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afhnn tinder penalty of perjurythat lam exempt from the Contractors'State License. Law for: the
ia.5, Business and Professions Cade: Any city or county that requires a permit to constimt, alter
more than five hundred dollars:($500).:
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or t_) portions Of t
iness and Professions Code: The Contractors' State Ljaanse Law does not apply to an owner of property who, through 1
rovements are not intended or offered forsale. If, however, the building or improvement is sold within one year of comp
oved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,.
y to an owner of property who builds or improves thereon, and whocontracts for the projects with a licensed Contractor
I am exempt from licensure under the Contractors' State License Low for file following reason:.®
ny signature below I acknowledge that, except for my personal residence in which I must have, resided for at: least one y
a structure that I have built as an owner -builder if it has :not been constructed in its, entirety by licensed contractors. i un
ow try the checkmark(s) I have. placed next to the applicable Items)
repair any structure, prior to its; issuance, also requires the applicant for
pter 9 (commending. with Section 7000) of Division 3 of the Business and
d by any applicant for a permit; subjects the applicant to a civil penalty of
and the structure is not intended OF offeredforsale. (Section 7044,
s or personal effort, builds or improves the properly, provided that the
s Owner -Builder will have the burden of proving that it was not built or
; and Professions Code: The Contractors` State License Law does not.
t to the Contractors'. State License Law):.
to completion of the: improvements covered by this permit, I.cannot legalh
of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and P o salon�/C da, and my license is in full force
COMPENSATION DECLARATION
hereby affirm under penalty of perjury am of the Following declarations_
I have and'. will maintain acertficate of consent to .self -insure for workers'. compensation,issued by the Director of
e rmance of the work for which this permit: is. issued. Policy No.
]I ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
Isur nee carrier and policy number are.
ier. policy Number
no of Agent
certify that, in the
, If I should becom
iature of Applicant
:LARATION RECrt
reby affirm under f
my signature below, 1
I am the property ow
I have read this spill
I agree to comply wit
I authorize represeril
nature of Prooertv Ov
PERMIT
PERMIT
permit Is issued, ( shall not employ any person In any
i provislons_of Section 3700 of the Labor Code, 1-shalt
is a construction fending agency forthe performance of the work for which
file following:
building-canslrucUon.
DATE BY C ARATION OF COTAIElANCE WITH CODE OF FEDERAL FOROFFICE
REG LATION3 PART" 63 OF TITLE 40 AND AQMD RULE
CIVIL FINE r UP TO ONE HUNDRED T
f$l KOW),: IN. ADDITION TO THE
provided for by Section 3700 of the Labor Code, for
the workfor which this permit is issued. My workers'
Date
to become subject to the workers` compensation laws of California, and agree
ply wlththose provisions.
a
iermitis. issued (Section 3097 ode).
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N07 APPLICABLE TO••• • •�• j
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