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HomeMy WebLinkAboutH2022-0485 - Permitsrt Beach City ory Deeloppment Permit H2U22-0485 Depament- Building DivisionMechanical 00". 100 Civic Center Dnve, Newport Beach, CA 92660 Plan Check No : 1917-2021 Permit Counter Phone: (949) 644-3288�Work Class :Other Inspection Requests Phone: (949) 644-3255newportbeachca.gov/inspections Issued S� A ion ADate rea Inspection Area : 1 PERMITS EXPIRE 1 BO 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 : 39D6 RIVER AVE Legal Desc : A TR CANAL SECTION.BLK 239 LOT 4 Description: MECH: INSTALL (2) HEAT PUMPS @ 3RD FL MECH WELL. **.TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (X2021-2217) Owner: RICHARD ROSEN Contractor BASIC AIR INC Address: 3906 RIVER AVE NEWPORT BEACH, CA Phone: (714)345-0575 Applicant: BASIC AIR INC Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714)469-4542 Owner/Builder: Address: .. Phone: Code Edition: 2019Fire Hazard Zone : NO Type of Construction Occupancy Groups: - Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714)469-4542 Con State Lic: 909634 Lic Expire ;. 01/31/2024 Bus Lic: BT30045172 - Bus Lic Expire:10/31/2022 Workers' Compensation Insurance Carrier: PREFERRED PROFESSIONAL INSURANCE COMPANY Policy No : ON1196401 - W. C. Expire: 10/22/2022 '. Building Setbacks: Front: 4, Front: 20, Side: 3, Side: 3 - Flood Zone: AE, B FT; X Use Zone : R-2 - Two -Unit Residential - - PROCESSED BY: SPECIAL CONDITIONS: TIMERS PROHIBITED ON HEAT PUMPS Manufacturer: AC PRO Model#: AULD36W2/A-D(U) NO UIONSTRUCTION NOISE ON THE WEEKEND 9 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the resson(s) indicated below by the checkrnark(s) I have placed next to the applicable Items) Section 7031.5. Business and Professions Code! Any city or county the requires a permit to construct, alter, Improve, dornollsh, or repair any structure. prior to Its IS Buenos, also requires the applicant for he permit to Ills a signed.. statement that ha or she is licensed pursuant to the provisions of the Contractors' State Licenso Law (Chaptar 9 (commencing wllh Section 7000) of Division 3 of the Business and )rofesslons Code) or that he or she Is exempt from lcensure and the beefs for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant too civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or(_) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, lusiness 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 nprovemants are not Intended or offered for sale. IF, however, the building or Improvement is sold within one year of completion, tlta Owner -Builder will have the burden of proving that it was not built or m roved for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not I,Epty to an owner of property who builds or Improves thereon, and who contracts for the projects with it licensed Contractor pursuant to. the Contractors' Slate License Law). _I I am exempt from licanaure under the Contractors' Slate License Law for the following reason: _ ...... ____,_�__„_____,____ ly my signature below t acknowledge that, except for my personal residence in which I must have resided total feast one year prior to completion of the Improvements covered by this permit, I cannot legally 04 a Structure that I have built as an owner-bullder if it has not been constructed in its entirety by licensed contreclors. I understand that a copy of the applicable law. Section 7044 of the Business and )rofesslons Code, Is avallabla upon request when this application Is submitted or at the following Web site:fattp://www.leginic-.oa,govlcalaw.html. ;Ignature of Properly Owner or Authorized Agent Dale .ICENSED CONTRAGTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 oaf` O�vi�i�3 of the Business end Professfons9 [ license is in full force Ind effect License Class License No Date 4r "I 11 'al /`-Y Contractor Signature /TC-----1% VORKERS' CGMPENSATION DECLARATION IARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CnaL FINES UP TO ONE HUNDRED THOUSAND DOLLARS fit00,0001, IN ADDITION TO THE '.OST of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION a709 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: ] I have and will maintain a certificate of consent to self -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 or the Labor Code, for th1 erformance of the work for which this permit 1s. Issued. Policy No. have and will maintain workers' compensaton Insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is Issued. My workers` rance, carder and policy number are: ne of Agent Gerrity that, in Ore performance of the , If I should become subject to the /J talureorApplicant Policy Number Date this permit is Issued, t shell not employ any person In any manner so as to become subject to the workers' compensaton laws of California, and agree allon proyglons of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. hereby affirm under penalty of perjury that there is a consTruction lending agency forihe performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address �y my signature below, I certify to each of the followfng: I am the property owner or authorized 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 wish all applicable city and county ordinances and state laws raising to building construction. I authorize representatives of this city or ceunV to enter the above-Iderttlffed property for inspection purposes. l j, DATEDECRATION OF CMPLIANCE WITH CODE OF FEDER I 9Y I RE43UL IONS PART061 OrT IF F 40 AND AQMD RULE AI I FOR OFFICE USE ONLY ?Ef,Mf7;XP1REO (El I SUBMITTED ASBESTOS NOTIFICATION TO _ 4—IH4IWU PFRWJTFINAt ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO LECI7FICATE OF - y 2' PROPOSED DEMOLITION OCCUPANCYISSUrf) V SIGNATURE: <y \ \ ■■ - . § � 7 � # e _ { « w \ f . \ . \m 0 )co J \ . ƒ U) < _ \ ) -1 / ( ) / / o i g o C.){ o § } ( ( < ) ! § G \ \ e ) q § a-kCD ° ® ° } > ° \ §{ (3 �a 0 i E I u LL E Lu «` �2 § [( k \ \ \ \ $ 0 o < \ \ § § cq (D 0 Co ) ) ! - ! « § § z LL C) S� R� \ \ \ \ \ \ \ \ \ E \ \ \ f ) ; ; G $ $ k }\ \2 }R }� \\ }� ■ ,(D& �) �7o �1 ,77 �77 ` \ /�{) kf» \f» kƒE k/& _E< SE< ,E< aE ,E< 0E< )]2 )]9 §]® k7°Fn )]»Fn k22 N< §< §ƒ/ d< N< §< kLP 7 m co \ \ § \ j j \ \ k § \){ MM }\\ 2! / \m 2§ �� /f$ k) 0< () /j §) ■ ) ) i $ ) ` i i { i k k § $ § 9 \ ( ( \� } \ /C \{\ ) ) I=- E E al (!/ { \ ) ) / § § § \ 0 E E § § ƒ )[ 0 ® �[ /ƒ {)j0 /§ƒ§ } 1 ± w )\(\ f k§§§ « « « a « 7 » \ \ , \ { ) § ) ) ( § ( ( ( d � §§§ ) )f )# )§c ) ) \k) \ ) \/\§/j j)\ / )\\ ` )2}\ ) (§ j//j// \\ \\ \ Cl 0 \\ \ \\ \\ kA \ A8 q;0- q«a- q«E g40- gwE qiE In \ \ ! \ § § \ \ \ § 6-6( )« §7 ) )& %! §e ±% (, i« $t b( b± b{ b4 §± b{ { \ \ \ j j j \ \ \ \ \ \ PERMIT FEE DETAILS FOR PERMIT H2O22-0485 Fee Name Transaction Date Payment Method Building Building Plan Check Fee Heat Pumps Package Units 0-100,000 BTU/H Fee Issuance Fee OTC Plan Check Fee - Planning Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $38.28 $0.00 $44.00 $0.00 $39.00 $0.00 $53.00 $0.00 GRAND TOTAL: $174.28