HomeMy WebLinkAboutH2022-0418 - Permits�`� Wp" - City of Newport Beach
0 A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
rM z Permit Counter Phone: (949) 644-3288
a.Inspection Requests Phone: (949) 644-3255
°94roa�'P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 0811112022
Inspection Area : 1
H2O22-0418
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 : 127 G ST
Description : MECH A/C INSTALL
Legal Desc : N TR 518 BLK A LOT 2
Owner: DANA MCCUNE
Address: 4277 OAKWOOD AVE LA CANADA FLINTRIDGE, CA 91011
Phone:
Applicant: D L S HEATING & A/C
Address: 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646
Phone : (714) 231-8002
Owner/Builder :
Address
Phone:
Code Edition: 2019
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10. Side: 3, Side: 3, Rear: 10
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: q—,
Fire Hazard Zone: N
I S 1 i.. U I
NO CONSTRUCTION NOISE
ON THE WEEKEND
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:
BT98040420
Bus Lic Expire:12/31/2022 c _�
Workers' Compensation
Insurance
Carrier:
STATE+FARM+FIRE+AND+CASUALTY+COMPANi�
Policy No:
92GOK7865
W. C. Expire:
1/6/2023 -
Manufacturer : TRANE
Model# : 4TTX606DJ1000C - -
Do
SUBJECT TOFWLD INSPECTOR'S
R EVLEWANDAPPROVAL
TIMERS PROHIBITED
ON HEAT PUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for [he 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
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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
1, as owner of the property., or my employees with wages as their sole compensation, will do L) all of or U portions of the work, arid the structure Is not intended or offered for sale (Section 7044,
3usiness 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 [hat the
mprovements 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 sale).
1 1, 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
Ipply 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 I am exempt from licansure under the Contractors' Slate License Law (or the following reason,
ly my 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 legal
ell a structure that I have built as an owner-buildar if it has not been constructed in its enfirety by licensed contractors. ) understand that a copy of the applicable law, Section usinass and
'rofessions Code, is available upon requestwhen this application is submitted or at the following Web site:http:ffwww.leginto.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) iyiio 7�f the Businessores ons Co d my lic s in fuh force
Ind effect. License Class License No Date LL -! Conbactor Si e
VORKERS' COMPENSATION DECLARATION
DARNING: 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 16100,0001. IN ADDITION TO THI
IOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
III 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 it
e o nne the work for which this permit is issued. Policy No.
va and wi 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' compensa k
ISOrance carrier Fuld policy number are:
'lei Number Expiration Date
to of Agent _ o Phone #
certify that, in P- a performance of thewto lc
this sued, I shall not employ any person in any mender so as to become subject to the workers' compensation laws of California, and agre
, If I should beccme subjec the work COmpensallon provislo of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. }
IriureofApplicant ,______,_,-_� - Da� v
a AOATLnu oen_e^" ur _ rn�eT•ennnnu i ee�nur n_ nneelnv
!!I fs:Eby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
Lenders Name Lender's Address _
By my signature below, I certify to each of the following:
I am the property owner or authorized IG act on the property ow if
1 have read this application and the information I have provided is
c�a
I agree to comply with all applicable.pty and fpprity{:6dinarlces and slat relating to ' ding construction.
I authorize representatives of this city or tour _ an ,file above-i fed property for !nap cten purposes. 16 N vim. l I /a�
Signature of Property Owner or Autho�izedAgenf Hit Property Owner's or Authorized Agent 9 Nam I�
ACTION
DATE
BY
RATION OF COMPLIANCE ODE OF FEDERAL
FOR OFFICE USE ONLY
j
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT FXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
PERMITCANCELLEo -
-
EPA
PERMrEEXTENDED
LIAQMD
PERMITFINALASBESTOS
NOT IFICATION IS NOT APPLICABLE 70
CERTIFICATE OF
V4..JJ
PROPOSED DEMOLITION
OCCUPANCYiSSUED
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