HomeMy WebLinkAboutH2022-0707 - PermitsQ ��WPORT City of Newport Beach
Community Development Department- Building Division
F S" 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
U S Inspection Requests Phone: (949) 644-3255
°qq FonN`P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 12/14/2022
Inspection Area : 1
H2O22-0707
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 : 1116 BALBOA BLVD W Legal Desc : N TR 234 BLK 111 LOT 5
Description: MFR - INSTALL (2) NEW HEAT PUMPS FOR UNIT "A" / "C" *PROVIDE TAMPER -PROOF CAPS AS REO'D*
Owner: 1116 BALBOA LLC
Address : 1116 W BALBOA BLVD NEWPORT BEACH, CA 92661
Phone:
Applicant: PRO BUILDERS ENTERPRISES INC
Address: 7411 EDINGER AVENUE NO 314 HUNTINGTON BEACH, CA 92647
Phone: (714)951-4077
Owner/Builder :
Address:
Phone:
Contractor : PRO BUILDERS ENTERPRISES INC
Address :
7411 EDINGER AVENUE NO 314 HUNTINGTON BEACH, CA 92647
Phone:
(714)951-4077
Can State Lic
: 1052872
Lic Expire :
01/31/2024
Bus Lic :
BT30072481
Bus Lic Expire:10/31/2023 '
Workers' Compensation
Insurance
Carrier:
STATE FUND.
Policy No:
9303183
W. C. Expire:
8/5/2023
Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: AC PRO
Type of Construction : Model# : AWHD (10/24) ND3GO
Occupancy Groups : °
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 0
Flood Zone : AO 1; X Use Zone: R-2 - Two -Unit Residential
PROCESSED BY: fe-e A0 CONSTRUCTION
SPECIAL CONDITIONS:
ON THE V'VF_FKFINi ,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the 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
)a permit to rile a signed statement thathe or she is licensed pursuant to the provisionsof the Contractors' Stato 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 licensors and the oasis 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 then five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do O all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;usiness 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 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
n roved 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' State License Law).
I am exempt from licensors under the Contractors' State License Law for the following reason:
y 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:liw .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION p
10
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Profs •ion ✓C d �y d my license is in full force
nd effect. License Class License.No Date r J_�`�1 !_ /%,&a4bactor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING! 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 ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and w;li ma:nlain a certificate o[ consent to selNnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
or nce of the wod: for which this permit is issued. Policy No.
havN and wil, marn•ain 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' compensatioi
Trance carrier a, Id policy number are:
Or Policy Number Expiration Date
ne of Agent - , _ - , Phone #
cnnify that, in the performance of the work for which 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
I( I shouldbecomesubject to he w nm ensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
,
P �—
[,lureo(A licant_. Data
I hereby affirm under peiaity, of perjury thatihere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Lender's Name Lender's Address _
Ey my signature below, . certify to each of the following:
I am the propri ty ovrner or authorized to act on the properly owner's behalf.
I have mad this application and the information I have provided is correct.
I agree to comply with all applicable city and county prdinan s and state laws relating to building construction.
I authorize representatives of this city or county to ante entifled property for Inspection purposes. /q
Signature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name dd Z- Dale r 2—
ACTION DATE BY D CIARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY e7
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE G'�
1403
PERMtT£XP1RE0 i ISUBMITTEDASRFST05NOTIFICATIONTO
PERMIT EXTENDED UAQMD
PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
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