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HomeMy WebLinkAboutH2023-0629 - Permits-p'RCity of Newport Beach°E III I I I it I III I I I I II I II Mechanical Permit . ommunyeveopmentDepartment- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 r ' _ p eacPlan Check No Permit Counter Phone: 949 718-1888 Work Class :Other newportbeachca.gov/civic i a Issued Date : 0912812023 'WC9F�P' 3 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 : 1 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 1 Description: MECH R/R A/C UNIT AT SIDE **TAMPER RESISTANT CAPS AND TIMER REQUIRED** Owner: ANDERSON GARRET J JR TR Address : 1 LINDA ISLE NEWPORT BEACH, CA 92660 Phone: (949) 420-1321 Applicant: BRIAN BALDRIDGE Address : 27126 paseo Espada, 1604 san Juan capistrano, CA 92675 Phone : (949) 542-4274 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: �9� x�lf_IIdi7il]YIIi7��.1[�1d1��9��'C��]gl Contractor : OASIS AIR CONDITIONING Address : 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 420-1321 Con State Lie : 767272 Lie Expire : 08/31/2025 Bus Lie : BT97027460 Bus Lie Expire:11/30/2023 Workers' Compensation Insurance Carrier : INSURANCE COMPANY OF THE WEST Policy No: WSD504539303 W. C. Expire: 12/31/2023 Manufacturer: BRYANT Model# : 38MURAQ60AA3 NO G®NSTRUCTION "J: ..., ON SATURDAYS TIMER REQUIRED ON EQUIPMENT BETWEEN 10 P.M. AND 7 R;M% TO SHUT OFF OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 koensure 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 lot more than five hundred dollars ($500). 1, as owner of the property, or my employees wRIT wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usi..ness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal affart. builds or improves the property, provided that the mprovements 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 mproved for the purpose of sale). 7 1, as owner of the properly. 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), DI am exempt from licensure under the Contractors' Slate License Law for the following reason ........... . .......... ....._....—_._. _ , _..... _._..._.._.. ._.. By Ivy 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 cwner-builder if It has not been constructed in Its entirety 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 submitted or at the following'A/eb site:httpt//www.leginfo-ca.govlcalaw.fri Signature of Property Owner or Authorized Agent _. . .__._____--_—._.__.._....._.............Dats­._,_ _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Divi ion 3 of the Business and P bi n+.ry��,�rya and my license is in I force and effect License Class License No Date-C} C➢otractor Stgneturr� WORKERS' COMPENSATION DECLARATION NARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS fS1o4aWj. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.. INTEREST, AND ATTORNEY'S FEES. I 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 Coda, for in performan of the work for which this permit is issued. Policy No. ave 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' compensatiol insurance carrier and policy number are: Policy Number Date ce of Agent Phone if certify that, in the 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 if I should become subject workers' comPwsfor ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date / ZP �z •% raters of Apolicant -- 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). order's Name �,_�„�__,_ Lender's Address ty my signature below, I certify to each of the following_ l 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 cc-rp'Y with all applicable city and co ordinances and state laws relating to building construction. I authorize r-1 r�senlatives of this city or coo ty toe the hove-idontihe or inspection purposes. F.v,r lure of Pr,,,rerty Owner or Authorized Aoent \ .. Print Property Owner's or Authorized Agents Name - /CTNM DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART fit OF TITFf 40 AND AQMD RW F 1403 PER6JhXPIh ED ISURMITTED ASBESTOS NOTIFICATION TO PPNVIT CANCFIIFD I EPA PERM,ITEXT6NOcD t �AQMD � PERM{7RNAI l ❑A58E51O$ NONFICATION IS NOT APPLICABLE TO CERfrFjCATCOF pHdPb5E00EMOLiTiON OCLUPANCFf551A:D: 53GNATURE•. rEwPot, City of Newport Beach C� t '9 Community Development Dep.:itmen' - Building Division > y. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic -�9(/cOAN�P III II Mechanical Permit Plan Check No: Work Class : Other Issued Date : 09/2812023 Inspection Area : 2 H2O23-0629 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 12 os'loti� Job Address: 1 LINDA ISLE Legal Desc : N TR 4003 BILK LOT 1 d1'�crw}� , v�-'-c-�'� � = r-+ .m-.. r--.,en7-:`1, Description: MECH R/R A/C UNIT AT SIDE **TAMPER RESISTANT CAPS AND TIMER REQUIRED** REPLACE FURNACE Owner: ANDERSON GARRET J JR TR Address : 1 LINDA ISLE NEWPORT BEACH, CA 92660 Phone: (949) 420-1321 Applicant: BRIANBALDRIDGE Address : 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 542-4274 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED SPECIAL CONDITIONS: HIGH DENSIT ONE Contractor : OASIS AIR CONDITIONING Address: 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 420-1321 Con State Lic : 767272 Lic Expire : 08/31/2025 Bus Lic : BT97027460 Bus Lic Expire:11/30/2023 Workers' Compensation Insurance Carrier : INSURANCE COMPANY OF THE WEST Policy No: WSD504539303 W. C. Expire: 12/31/2023 NO Manufacturer : BRYANT Model#: 38MURAQ36AA3 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury 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 items) 3eclion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structt-e, prior lb 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' Slate License Law (Chapter 9 (commencing with Section 7000) 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 of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or [_) 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 property, provided that the mprovements 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 nproved for the purpose of sale). 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 pply 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 licensure under the Contractors' State 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 legaill ell 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 a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hHp:lh w .leginfo.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 7000) of Division 3 of the Busines"nd Prof ull force nd effect. License Class License No tX 11— Contractor SWrature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'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 Ih erformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: to of Agent certify that, in the performance of the work for if I should becom`ec workers mture of AooliWfit Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and �Pns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. oStA 12-5— Z3 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) ender's Name Lender's Address y 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and cou '0 nces and slate laws relating to building construction. I authorize representatives of this city or coun to above -identified e�y/, for inspection purposes. 'icnature of PfODedv Owner or Authonzedlikelent L Print Property Owner's or Authorized Agent's NN��a-JI­64 ACTION DATE i BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 rPERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I IAQMD PERMITFINAL j ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF 1� 1 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: