HomeMy WebLinkAboutH2022-0446 - Permits�gWPORT City of Newport Beach III I I II I II I II II II IIII II Mechanical Permit
Community Development Department- Building Division
O
y `y" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 644-3288 Work Class : Alteration
O x Inspection Requests Phone: (949) 644-3255 Issued Date : 08/2612022
Cq(�copN�F newportbeachca.gov/inspections Inspection Area :3
H2O22-0446
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 : 1615 LINCOLN LN Legal Desc : N TR 3702 BLK LOT 1
Description : MECH CHANGE OUT (2) A/C'S AND (2) FAU'S
Owner:
WALTER KOSICH
Address :
1615 LINCOLN LN NEWPORT BEACH, CA 92660
Phone:
Applicant :
LUKE VUJNOVICH
Address :
311 COLLEEN PL COSTA MESA, CA 92627
Phone:
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction ;
Occupancy Groups:
Fire Hazard Zone : N
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY
Contractor : ABC HEATING AND A/C
Address :
306 COLLEN PL COSTA MESA, CA 92627
Phone:
(949)756-0064 "
Con State Lie :
940181
Lie Expire :
11/30/2023
Bus Lie:
BT30043258 '
Bus Lie Expire:03/31/2023
>
Workers' Compensation Insurance
Carrier:
STATE+FARM+FIRE+AND+CASUALTY+COMPANY"� ,
Policy No :
92GOG2871 >
W. C. Expire:
9/24/2022 ' ' • . • >
Manufacturer : AC PRO >
Model#: AULD36W2/A-D(U)!S<ALICD60W -
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TIMERS PROHIBITED
ON HEAT PUMPS
gCTBJECT TO"MDINSPBCTOR'S
K E\' I I-W AND .APPROVAL,
OWNER -BUILDER DEC
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 placednext 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
1e permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section TOGO) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption, Any violation. or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than fire hundred dollars ($500),
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usnoss 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
npro'aements arenot 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
hiproved for the purpose of sale).
J 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
ply 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 Heensure under the Contractors' State License Law for the following reason; _-..____..._...-_ .._-...-_.._..
ly 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
ell a structure that I have built as an owner builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable la%, Section 7044 of the Business and
'rofesslons Code, Is available upon request when this application is submitted or at the following Web site:http:liwww.leglnfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professions C�pde, yid y item in full force
nd effeci. License Class License No Date Ir 249-22 Contractor Signatur '-�i(i(
VORKERS' COM'.PENSATION DECLARATION
1ARNING: FAILURL TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,0001. IN ADDITION TO THE
DST OF �CMPENSA nON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm Linder penalty of perjury one of the following declarations:
I 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 of the Labor Code, for th
arfic mance of the work for which this permit is issued. Policy No,
ve 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'
.ce carrier and policy number are:
Policy Number Expiration Date
4.w1 if Agent _ Phone #_
certify that, in the rierfornance 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
, If I should uaco',ne subject. to the wotkers'- compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
a of
hereby 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).
Dinner's Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to acton the property owner's behalf.
I have read this applicalvon and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter e a/bdave�-i lifted party for Inspection purposes. 1 _ / L- 1 L r O
lionature of Property Owner or Authorized Agent d+-rX�ri = Print Property Owner's or Authorized Aaents Nam3iC Lid (Ake Va 0
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
_�
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
�� Z
. .
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
1403
00MI041KNOiTifi67
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0EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
QMD be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO fife of the pool.
PROPOSED DEMOLITION