HomeMy WebLinkAboutH2022-0175 - Permits��ti`%�PORT City of Newport Beach
p 6� Community Development Department- Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.govfnspections
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 03/3112022
Inspection Area : 4
H2O22-0175
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 : 23 RUE CANNES
Description: MECH/CHANGE OUT (E) F.A.0 & A/C UNIT
Owner: DWIGHT F AND CYNTHIA H RYAN 19891
Address : 23 RUE CANNES NEWPORT BEACH, CA
Phone:
Applicant: DYNAMIC AIR SERVICES
Address: 5330 S DURANGO DR, STE 100 LAS VEGAS NV
Phone : (949) 535-1355
Owner/Builder :
Address:
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
SPECIAL CONDITIONS:
Legal Desc : N TR 7519 BLKLOT 11
DUPLIPA
3.5dB (GOODMAN; GSX160600601)
CATE 1
TRUST Contractor;:
DYNAMIC: AIR SERVICES-
Address:
5330 S DURANGO DR, STE 100 LAS VEGAS NV 89113, CA
Phone :
(949) 535-1355
Con State Lie
: 1083864
-Lie Expire:
11/30/2023
89113, CA Bus Lie:
BT30064634
Bus Lie Expire:10/31/2022
Workers' Compensation
Insurance
GOODMAN
GSX160601
ravements are not intended or offered for sale. if, however, :the -building or improvement is sold Within one year of completion, the Owner-Builderwill have :the burden of proving that itwas not built or
roved for the purpose of sale)...
L as owner of the property, am exclusively contracting with licensed Contractorstoconstruct the project (Section 7044,. Business and Professions Code: The Contractors' State License Law does not.
ly to an owner of property wha 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 Lawfor the following reason:
ny 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 lec
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, Section7044 of the: Business and
deby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 7000)11 Division 3 of the Business and Professions Code, and my license is in full force
I. effect. License Glass License No Dater Contractor Signature.
)RKERS' COMPENSATION DECLARATION
(HIND: FAILURE TO SECURE WORKERS' COMPENSATION OVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUNDREDTHOUSANDDOLLARS (000.001)j, IN. ADDITION TO THE
T OF COMPENSATION, DAMAOES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirmreby I ha ea a wiill maintaitfollowing declarations: n A Certifi of co consent self - insure forworkers'. compensation, issued by the Director of Industrial.: Relations asprovided for by Section 3700 of the. Labor Code, for th
formance 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' compensatiol
Trance carrier and policy number, are:
tier Policy Number Explrarhon Date
no of Agent Phone #
certify that, in the performance or the work for which this permit Isissued, I shall not employ any person many manner so as to become subject to the workers' compensation laws of California, and agre
C,. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I -shall forthw tE!t comply with those provisions.
nature of Applicant _ Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY.
Idebr s Name under penally Of perury that there is a construction lending agency for the per Amance of the work for whit 1, this permit'is issued (Section 30U, Civil Code):
my signature below, ICertify to each of the following:
I am the property owner orauthonzed 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 with all applicable cityand 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.
NOTIFICATION IS NOTIAPPLICA13LE. TO