HomeMy WebLinkAboutH2023-0054 - PermitsaEWPc`,
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City of Newport Beach
Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 01/24/2023
Inspection Area : 2
H2O23-0054
PERMITS EXPIRE 190 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 : 206 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 2 BILK 7 LOT 15
Description: MECH: INSTALL HEAT PUMP @ SIDE*** TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED *'*
Owner:
BANKERS JOHN L TR
Address :
206 CORAL AVE NEWPORT BEACH, CA 92662
Phone:
(949)463-8002
Applicant:
VELASCO AIR
Address :
8855 BUCHANAN CIRCLE ANAHEIM, CA 92805
Phone:
(714)390-4253
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone: R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY: 65
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Contractor : VELASCO AIR
Address :
8855 BUCHANAN CIRCLE ANAHEIM, CA 92805
Phone:
(714)390-4253
Con State Lie
: 836118
Lie Expire :
09/30/2024
Bus Lie :
BT30074136
Bus Lie Expire:01/31/2024
Workers' Compensation
Insurance
Carrier :
CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy No:
CWC00101200
W. C. Expire:
8/30/2023
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Manufacturer: MITSUBISHI
Model#: MXZ-SM60NAM-Ut
NO k0ONS.4OeSE
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicabla item(s)
3eclion 7031.6, Business and Professions Code: Any City or county that requires a permit t0 construct, alter, Improve, demolish, or repair any structure. prior to its Issuance, also requires the applicant for
In 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
'rofessions Code) or that he or she is exempt from licensure andthe 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 ($500).
11, 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, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Stater License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 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),
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
ly to an Owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law)..
I am exempt from licensure under the Contractors' State License Law for 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 legall,
ell 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, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 0
signature of Property Owner or Authorized Agent ate
.ICENSED CONTRACTOR'S DECLARATION \
hereby affirm under penally of (}gry'u}+A tfja{ I am licensed under provisions of Striping with Section 700 of ' 'si of the Business and Professlo Y e is in full farce
nd effect. License Class i rNV License No U 11--`�dC DaL ' Contractor Signature 111
VORKERS' COMPENSATION DECLARATION
'ARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5 ,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
] I have and will maintain a certificate of consent to sel6lnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erformance of the work for which this permit is issued. Policy No..
191 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 arm't is Issued. My workers' compensatioi
insurance artier a d polly number art �) ,.y �r n
Carley Q it (1 �— Policy Number C. —VIZ On 101 �, Expiration _.
Name of Agent `AYT Ohl I, L
If
Ell certify that, in the performanc of thwor for hich 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 agre
that, if I should become subject to he worker p('e),r�\lion/provisions of Section 3700 of the Labor Code. I shalt forthwith comply With those provisions.
Signature of Applicant V' _ - ®Dale! v
DECLARATION REG NG NSTRUCTI N L LADING AGENCY
I hereby affirm under penalty of erjury that there is .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 author -zed to act on the property owner's behalf.
I have read this application and the information 1 have rovided is co et.
I agree to comply wr•h all applicable City and county o di ances a1 f�jd ate IBM relating to building construction.
I authorize represewativet' of 'his city or county to enter he a qq f party for inspection purposes.
Signature of Proper Owner or Authorized Anent P/Iv VVV Print Property Owner's or Authorized Agent's Name
ACTION _ D4l E I BY D ARATION OF C PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i I REGUL0.TIONS PART OFTITLE40ANOAQMD RULE.
PERMITEXTENDE7
PfRMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUEO
I SUBMITTED ASBESTOS NOTIFICATION TO
L-I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION