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HomeMy WebLinkAboutH2022-0350 - Permits��WVO�T City of Newport Beach III I I I II I II I II IIII II II II Mechanical Permit : H2O22-0350 Community Development Department- Building Division > My 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: � n Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : c94 a�a�`P newportbeachca.gov/inspections Inspection Area : 4 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 : 2647 VISTA ORNADA Legal Desc : N TR 7082 BLK LOT 36 Description: MECH - R/R F.A.U. & A/C CONDENSER. TAMPER -RESISTANT CAP REQUIRED Owner: FRANCIE GRENIAS Contractor : TRUE HOME HEATING A/C Address : Address : 4 FARADAY IRVINE, CA 92618 Phone : Phone : (949) 382-6337 Con State Lic : 1025397 Applicant: TRUE HOME HEATING A/C Lic Expire ; 04/30/2023 Address : 4 FARADAY IRVINE, CA 92618 Bus Lic : Phone : (949) 382-6337 Bus Lic Expire Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 X R-1 - Single -Unit Residential Fire Sprinklers : NO Fire Hazard Zone : Y Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Manufacturer Model# : /,��,3,1, ,^� QU?�CIR I hereby affirm under penally of perjury that , am exempt from the Contractors' State License Law for the reasonts) indicated balm 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 the 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 Professions Code) or that he or she is exempt. from ficensure and the 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 not more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do f_) all of or ( ) portions of the work, and the structure Is not intended or offered tar sale (Section 7044, Business and Professions Cade: 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 Improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of temptation, the Owner -Builder will have the burden of proving that it was not built or Improved for the a ose of safe) ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and. Professions Code: The ContractorsState License Law does not apply 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), Q I am exempt from Ifcensure under the Contractors' State License Law for the following reason By 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 iegalh sell 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 copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:fhvww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section TO ' ' f the Business and P f . and my license is G4 full farce and effect. License Class License No Date Contractor Signatu e NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS pluJi 004L IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ^- hereby affirm under penalty of perjury one of the following declarations: :3 1 have and will maintain a certficate of consent to self -insure for workers' compensation. Issued by the Director of Industrial Relattons as provided for by Section 3700 of the Labor Code, for th JJqornance of the work for which this permit is issued. Policy No. _I av and will 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' compensadot ence carder and policy number are: �arriar Policy Number Expiration Date 'Jame of Agent Phone If �I certify that, in the performance of the work for which this permit is issued, I shall not employ any person In anymanner so as to become subject to the workers' compensation laws of California, and agre !Mat, if I should oeeGma s )act to the wo wmparIsatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply Will these provisions_ 3lgnature of AppRoant DECLARATION REGA§G� STRU AGENCY hereby affirm under pen ere is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _enders Name Lender's Address 3y my signature i3elow_'�f Canty to each of the following; I am Ina property owner or authorized to act on it) a pro party owner's behalf. I have read this application and the information I have provided is corrod. I agree to comply with all applicable city and county ordinances ate laces relatin ing Construction. I authorize representatives of this city or count to enter th ove party for inspection purposes. Si nature of Pro ertOwner or Authorized A ent Print Pro ertOwner's or Authorized A ent's Name V l oatLL: ACTION DATE RY - COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGtJiARATI QNS PART 61 OFTITLf 40 AND AQMb RULE PERMIT EXPIRED U I SURMITTFDASBESTOS NOTIFICATION TO PERMITCANCELLEO _ EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMtt FXTCN ED qM� be in place prior to approval to fill pool/spa & shall remain In place & be maintained for the PERMIT FINAL. {t-w�" j([ ASBE5T05 NOrifdCATIOiN 65 NOT APPLICABLE TO hie of the pool. CEPTiFICATCOF OCCUPANCY 155615 / i'�Q, i SIGNATURE: EMOLITCON