HomeMy WebLinkAboutH2023-0315 - Permits42�WPORT City of Newport Beach
Community Development Department- Building Division
0
100 Civic Cen(�r Drive, Newport Beach, CA 92660
6 = Permit Counter Phone: (949) 718-1888
.s., newportbeachca.gov/civic
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Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 05/10/2023
Inspection Area : 3
H2O23-0315
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 : 126 BAYCREST CT Legal Desc : N TR 12362 BILK LOT 2 UN 1 TR 12362 LOT 2 UNIT 1 OF PROJECT L OCATED ON AP
Description: MECH - MFR INSTALL (1) AC UNIT *PROVIDE TAMPER -PROOF CAPS AS REQD
Owner: BRUNELLE NICOLE A TR
Contractor :
VELAVI HEATING AND COOLING INC
Address : 126 BAYCREST CT NEWPORT BEACH, CA 92660
Address :
13821 SAN ANTONIO DRIVE NORWALK, CA 90650
Phone :
Phone:
(562) 474-8333
Con State Lip
: 1004945
Applicant: VELAVI HEATING AND COOLING INC
Lic Expire :
05/31/2025
Address : 13821 SAN ANTONIO DRIVE NORWALK, CA 90650
Bus Lic :
BT30081512
Phone : (562) 474-8333
Bus Lic Expire:05/31/2024
Workers' Compensation
Insurance
Owner/Builder :
Carrier :
STATE FARM GENERAL INSURANCE COMPANY '
Address:
Policy No :
92KGC2574
Phone :
W. C. Expire:
1/6/2024
Code Edition : 2022 Fire Hazard Zone : NO
Manufacturer : TRANE
Type of Construction :
Model# : 4TTR503ON
Occupancy Groups:
Building Setbacks
Flood Zone : X
Use Zone : PC - Bayview
PROCESSED BY: FP
SPECIAL CONDITIONS:
TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
4
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perury 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 Item(s)
(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) oP Division 3.of the Business and
Professions Code) or that he or she is exempt from lieensura 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (, all of or L) portions of the work., and the structure is not intended or offered for sale (Section 7044,
Business 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 properly, provided that the
improvements 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
improved for the purpose of sale).
rl 1, 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
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).
13 1 am exempt from licensure 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 legally
sell a structure that I have built as an owner -builder if ithas not been constructed In itsentirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submittedor at the foilowmg Web site:http:/Aw w.leginfo.ca..gov/calaw.html.
Signature of Property Owner or Authorized Agent
DIAS—
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000]. f Di 'sio 3 of the Business and Prof at d my license is in full force
and effect. License Class License No Date Contractor Signature '
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$100,000), IN ADDTfION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES.
I hereby affirm under pe,oalty of perjury one of the following declarations:
n I have and rv09 mrintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
rarformance of hTowork for which this permit is. issued. Policy No.
Save and will claintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
fence carrier Frio po'Ipy number are:
Policy Number
is of Agent
Date
I certify that, in the performance of ' rk 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 agree
t, if I should beccma su ' cWAMEC"ume,
ensation provisions of Section 3700 of the Labor Code., I shall forthwith comply wtth those provisions.
nature of App'ican, _ Date
CLAR4TION REGA. CNDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued'. (Section 3097, Civil Code).
Lenders Name Lenders Address
By my signature below. I Certify to each of the following:
I am the property owner or authorized to act on the property Owner's behalf.
1 have read this application and the information 1 have p 1 a orrect.
1 agree to comply with. all applicable city and county n state Taws relating to building construction.
I authorize representatives of this city or county to to ve-i notified property for inspection purposes.,
Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized A ent's Name Cv�✓t Ill IL f l
ACTION DATE RY ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AgMD RULE
PBRMIT'EXPIRW I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO.
PERMIT EXTENQEQ I I I L[AQMD
PERNMTFINAL (a-�_'L2f s6ESTos NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF i PROPOSEt111 y1 N�
OCCUPANCYISSUED E SIGNATURE-i
Date