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HomeMy WebLinkAboutH2023-0265 - Permits¢��W PoRT City of Newport Beach p 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 cqp c�RN�P newportbeachca.gov/inspections Mechanical Permit : H2O23-o265 Plan Check No : 0603-2022 Work Class : Other Issued Date : 04/21/2023 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 : 79 OCEAN VISTA Legal Desc : N TR 9676 BLK LOT 12 UN 55 TR 9676 LOT 12 UNIT 55 OF PROJECT LOCATED ON AP Description: MECH - MFR INSTALL (1) NEW A/C UNIT *PROVIDE TAMPER -PROOF CAP AS REQ'D/TIMER REQ'D Owner: ETHNE TODES Address: 79 OCEAN VIS NEWPORT BEACH, CA 92660 Phone : Applicant: CAPISTRANO HVAC Address : 2301 MOULTON C-13 LAGUNA HILLS, CA 92653 Phone: (949)481-9605 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone : PC - Sea Island Apartments PROCESSED BY: P Fire Hazard Zone : NO SPECIAL CONDITIONS: NOISE AGREEMENT ATTACHED Contractor : CAPISTRANO HVAC Address : 2301 MOULTON C-13 LAGUNA HILLS, CA 92653 Phone: (949)481-9605 Con State Lic : 910228 Lic Expire : 09/30/2023 Bus Lic: BT30073657 Bus Lic Expire:12/31/2023 Workers' Compensation Insurance Carrier; EMPLOYERS PREFERRED INSURANCE COMPANYr Policy No: EIG4952060 W. C. Expire: 5/4/2023 Manufacturer: ALLIED AIR Model# : 4AC17L48P TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. 5 ! F I hereby affirm under penalty of perjury that I am exempt from. the Cuntractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Item(s) ,action 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 to 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 rofessiens Code) or that he or she is exempt from licensors 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 at more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do (_} all of or O portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completlon, the Owner -Builder will have the burden of proving that it was not built or oproved for the purpose of sale). 3 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 ly to an owner of property wft builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from licensure under the Contractors' $Rate License Law for the following reason y 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 legaiii ell a structure that I have built as an owner -builder if it has not been constricted In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, Isavailable upon request when this application Is submitted or at the following Web site:httpillw .leginfd.ca.govlcalaw.html, Sgnature of Property Owner or Authorized Agent Date .ICENSER CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o Div si 3 of the Business and Profess r s C e d m1g1i'ens 'Sre in 11 force nd effect. License Class License.. No Date Contractor Signature PORKERS' COMPENSATION DECLARATION' 'ARNINrP FAILURE TO SECURE WORRIERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH SAND DOLLARS 15100.0001. IN AODYnGN TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES, hereby affirm under penalty of perjury One of the following declarations: 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 erft?,unznce of the work for which this permit is issued. Policy No. have and will meintsin workers' compensation Insurance. as required by Stollen 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ran :o carrier and policy number are: Policy Number 61 Agent _ Date certify that, In ',he performance 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 agre , it I should become rapt . 04 to the workers compensation isions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. — I I istureofApplicant—..�_^.,w...".i hereby affirm und3 per; of perjury that ther>(r4s7a construction lending agency for the performance of the. work for which this permit is issued (Section 3097, Civil. Code)„ under s Name _ Lender's Address y r'a/ a'gnatutB [slow, t cBrtify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the Information.I have provided is correct. I agree to comply with all applicable pity and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to t ha abeSgntifigdDroperty for inspection purposes. ionature of Property Owner or Authorized'Aoent ( - G �� Print Property Owner REGULATIONS PART 51 OF TTLE 40AND AQMD. RULE P€RMff EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 01PA _.. ---___ PERMITEXTENDED .._..._.._ qMD PERMITFINAL 9� ,y3 ?C,I ASBESTOS NOTIFICATION iS NOT APPLICABLE FO CERTIFICATE of OCCUPANCY ISSUED 1 €1€ PROPOSED DEMQL{TION�/ "7 3 SiGNA'rtfaE: I AFJfC `.,(,, "PW