HomeMy WebLinkAboutH2022-0717 - Permits4 eWPoRr City of Newport Beach
A Community Development Department- Building Division
cc. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
z Inspection Requests Phone: (949) 644-3255
°gciroaN'P newportbeachca.gov/inspections
II III I II II Mechanical Permit : H2O22-0717
Plan Check No: 2601-2018
Work Class : Other
Issued Date:
Inspection Area : 3
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 : 112 KINGS PL Legal Desc : N TR 1219 BLK E LOT 3
Description : MECH - INSTALL 3 HEAT PUMPS (INCL 1 WINE CHILLER), 4 A/C CONDENSERS TAMPER -RESISTANT
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Owner: JOSEPH DELSIGNOVE �` Contractor : �TH C NT Y IR INC
Address : 112 KINGS PL NEWr-A 92663 � 2'ldcess : WO "WAVE #A ANAHEIM, C,.92807
Phone: Phone: 714)514-9426con ste Llr : 55 180% or ❑ 100% refund
Applicant: 20TH CENTURY AIR Lic Expe : 06/30/2023
Address : 4061 E LA PALMA ACA 80 _ Bus Lic �Phone : (714) 514-9426 . � °' "Y' Bus LicE-iE*e: / /
Workers Compensation Insurance
Owner/Builder : Carrier INS CO OF THE WEST
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Address : €1 Policy No _; WSA55038606
Phone :_a µ W C. Expir `' 12t18/2022
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Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: SAMSUNGlCELSEON
Type of Construction : Model# : REFER TO PLANS
Occupancy Groups
Building Setbacks : Front: 10, S e: 4, rC9� ❑ ®i s ca r P a,
Flood Zone : X
(no work started)
Use Zone: R-1 - Single nit Residential (Work Started)
Note.,
PROCESSED BY :,. ,� l L insp. initial
SPECIAL CONDITIONS:
I hereby affirm under penally of perjury that I am exempt from the Contractors` state License Law for the reasons) indicated below by the oheckmark(s) I have placed next to the applicable tennis)
ctidn 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
permit to Tile 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
fessions Code) or that he or she is exempt from libaroure and the basis for the alleged exemption. Any violation of Section 7031.5 by any appiic a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($600).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U Portions; Of i and the structure Is ITintended or offered for sale. (Section 704,
s :mesand Professions Code! The Contractor,' State License Low does not. apply to an owner of property w gptflCf�fr employees' or personal effort, In "Ids or improves the property, provided (hat the
movements are not intended or offered for sale. If, however, the building or improvement is Sol a year of complet on,the Owner -Builder will he a the burden of proving that it was not built or
moved for the purpose of sale). r•TC1 I t ve • d k
1, as owner of the property, am exclusively contracting with licansad - ors to construct the project ykJa��ir�,�4, Business y '�fa$ �Gtode: a Gontractors' State License Law does not
rly to an owner of property n4to builds or improves there o contracts for the projects with a licensed Contractor��rr u nl`1Mttb'Gontractors' State�lfcense Law)..
I am exempt from licenaure under the C UC e L he Iona ason — .. nOI;, -
my signature' below I aekno except form IiesiGa ich I must haver deo f
a structure that I h as an owner-bulider if it IT �tructed in its en"rety by i"' ed'r
,tessians Coda, Is a liable upon rogpest whe ication Is submitted cr at the fc Mowing Web, ita9
nature of Property Omer cn ant____..._....___1.._...._....�,�............�
of the applicabllt law, Section 7044 of the Business and
hereby affirm under pe1"TION
of penury,fkt yj am Goer,=ell under provisions of Chapter 9 (comnren,,log �.vith SoDPon 7 0) of Division 3 of the 9usiness and Profe -'i
Ind affect. License Cl License No _ - ,K�.. -' � Con&actor Signatu
VORICERS' COMPEDECLARATION .>
YARNING: FAILURE TO SECURE wORNERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUaJECI AN EMPLOYER TO CRRAtNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THE
*STOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LAaOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penaft.' f perjury one of the follov>;ti4y"orrfamtlonc- +C'i
r= )) }y yy
have and will maintain cer r, bf Consent tO SPlf iflSpfa @I Wtlrk®rs compensation Issued by the Director of indu i� Ito 4aO for by
e of the work for letiq s IssuedP ^ mw'Ve and will maintain woos' o t{pn insurance. as required by Section 3700 of te a r di tol IsQanoe + �> Ode for which this Petl
r nee carrier and Policy nu bar r���i
orI. Policy Number n (no Work Explratton Date
Name of Agent
I certify that, in the performanc of
r
that, if I should become subject to
rs mmt1
Signature of Applicant
_
'... DECLARATION REG DIN UCT10N LINE
. I hereby affirm under penalty of peo that there Is a c
Lenders Name
ay my signature below, loadify to ea r
® wirRj
I am the property owner or opinion !
to act on the
I have read this application and th nformatlo
1 agree to comply with all applicab
It and C
I authorize representatives of this ci.
my to i
Si nature of Pro ed Owner or AuthorizedAgernii
ACTION
DATE
BY
PERMIT EXPIRED
- •Z
I
FERMIT CANCEtLED!S-
PERMiTEXtKNDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
m
_ • �_
not employ any person in any manner
3700 of the Labor Code, I shallforIAPi if
the
state laws relating to building construction,
lentified property for inspection purposes.
OF COMPLIANCE WITH CODE OF FEDERAL
PART St OF TITLE 44 AND ADMD RULE
LJ ASBESTOS NOTIFICATION I5NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
my license is in full force
DOLLARS di".000), IN ADDITION TO THE
issued (Section 3097, Civil Code),.
-3700 of the Labor Code, for
My workers'
of California, and