HomeMy WebLinkAboutH2022-0716 - Permits��EWPo City of Newport Beach ,
A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-:3255
cgs�coa�`P newportbeachca.gov/inspections
III I I I I II I II II III III II Mechanical Permit : H2022-0716
Plan Check No:
Work Class : Other
Issued Date : 12/16/2022
Inspection Area : 2
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: 650 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 56
Description: MECH -INSTALL (1) NEW AC UNIT -PROVIDE TAMPER -PROOF CAPS AS REQ'D
Owner: RICHARD SWATT
Address : 650 VIA LIDO NORD NEWPORT BEACH, CA 92663
Phone:
Applicant: FOLGER HEATING & AIR INC
Address : 8842 LUSS DR HUNTINGTON BEACH, CA 92646
Phone: (714)334-4433
Owner/Builder :
Address:
Phone :
Code Edition : 2019 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups :
Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3
Flood Zone : AE, 8 FT, X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : FOLGER HEATING & AIR INC
Address :
B842 LUSS DR HUNTINGTON BEACH, CA 92646
Phone:
(714)334-4433
Con State Lic
: 763312
Lic Expire :
04/3012024.
Bus Lic:
BT30047641
Bus Lic Expire:06/30/2023
Workers' Compensation
Insurance
....,>;
Carrier :
CLEAR SPRING
Policy No:
CWC00194500
W. C. Expire:
10/1/2023
Manufacturer : AC PRO
Model# : AULD60W2/A-D(U)
NO CONSTRUCTION WORK
ON SATURDAYS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I. am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Chun 7031.5, Business and professions Code: Any city or county that requires a permit to conatn+et, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or She is licensed pursuant to the provisions of the Contractors' Stale License Low (Chapter.9 (commencing with Section 7000) of Division 3 of the Business and
(essions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7Q3i.6 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will doh-) all of or U portions of the ark, and the structure is not intended or offered for sale (Section 7044,
0ess and Professions Code The Contractors' Stale License Law does not apply to an owner of property who, through am luyeesI or personal effort, builds or Improves the. property, provided that the
Kovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complet n, the Owner -Builder will have the burden of proving that it was not built or
,roved for the purpose of sale).
J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 1
5ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor
f am exempt from licensors under the Contractors' State License Law for the following reason
,y my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one y
ell a structure that I have built as an owner -builder If it ties not been constructed In Itsentirety by licensed contractors. I one
'rofessions Code, Is available upon request when this application Is submitted or at the following Web site:1THIII/www.logirif
signature of Property Owner or Authorized Agent-
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
nd effect. License Class License No Date II
UORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION e706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I I have and wiP malrtain a certificate of consent to self -insure for workers' compensation, issued by the Director of
SPOT ce of ti Ie wwn for which this permit is issued. Policy No.
_LA and Will .nairt,in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the Do
Isurance carrier and po^cy number are:
:arr* Policy Number
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
that a copy of the applicable law, Section 7044 of the Business and
y� Date
3 of the Business and Pros Code, an nee ism full force
.Contractor Signature
CIVIL FINES. UP TO ONE HUNDRED THOUSAND DOLLARS t iu W.000), IN. ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is Issued. My workers'
Date
me of Agent Phone #
certify, that, in the performance of the work for which this permit is issued, t. shall not employ any person in any manner so is to became subject to the workers' compensation laws of California, and agre
at I should beun,t. '. to thewD mpensation provisions of Section 3700 of the Labor Code, I shell Forthwith CT reply With those provisions. ('
of Applicant Data g Z-'-� % -"�
ireby4irm under oel,alty of perjury that there is a construction lending agency for the performance of the work for which
Ider's Name _ Lender's Address
my signature b^low.. I certify to each of Ole following::
I am the proper!y owner or authorized to act on the property owner's behalf.
I have read this application and the information t 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 ea-�' }o\enter th0 abo -identified properly for inspection purposes.
natures of Prnnurty r tanar or AtilthoriYad Arrant h-- —��' �s Print Pronnrty OVenar`s nr Aut
iellisilahla
PART SS OF TITLE 40 AND ADMIT RULE
EXPIRED
UAQMD
CERPtRTIFICATEEU OF I � 1� �� PRO 1IS NOT
DEMOLITION
APFLICABLE TO
SIG
OCCUPANCY ISSUED
ONLY
is issued (Section 3097, Civil Code),