HomeMy WebLinkAboutH2023-0056 - Permits��EWPORT City of Newport Beach
0 @ Community Development Department- Building Division
r n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
U } x Inspection Requests Phone: (949) 644-3255
CqC/FepN�P newportbeachca.gov/inspections
II II Mechanical Permit : H2023-UU56
Plan Check No : 0703-2021
Work Class : Other
Issued Date: 01/24/2023
Inspection Area : 3
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: 411 EL MODENA AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BILK 26 LOT 22
Description: MECH 4 NEW HEAT PUMPS *TAMPER PROOF CAP REQ*
Owner: GONZALEZ JOSE
Address : 25878 SHADY OAK LN STEVENSON RANCH, CA 91381
Phone: (949)975-0123
Applicant: BASICAIRINC
Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626
Phone: (714) 469-4542
Owner/Builder:
Address
Phone:
Code Edition :
2019 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
Contractor: BASIC AIR INC
Address :
1157 SALINAS AVENUE COSTA MESA, CA 92626
Phone:
(714)469-4542
Con State Lie :
909834
Lie Expire:
01/31/2024
Bus Lie :
BT30045172
Bus Lie Expire:10131/2023
Workers' Compensation Insurance
Carrier:
PALOMAR SPECIALTY INS CO
Policy No :
PSIC1196402
W. C. Expire:
10/22/2023
Manufacturer: AC PRO
Model# : AUD36W
OWNER -BUILDER DECLARATION
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. placed next 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
io 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
`rofessions Code) or that he or she is exempt from iicensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant forapermit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500),.
1 I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or U 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 theproperty, provided that the
nprovements 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
irproved 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
p€y 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason: _ _
y my signature below f 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 legail
ell a structure that I have built as an owner -builder If it has not been constructed in itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7044 or the Business and
'rofessions Code, is available uponrequest when this application is submitted or at the following Web site:hftp:/lwww.I 1nfo.ca.gov/calaw.html..
ignsture of Property Owner or Authorized Agent ,Date
.ICEN'SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed Under provisions of Chapter 9 (commencing with Section 00) 8v'',(r,;.pf the Business and Prof, an my I' in full force
Ed effect. License Class License. No Date ,L `ry Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND $HALL SUBJECT AN EMPLOYER TO CFrMI AL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED TH VSAND DOLLARS b,b00), IN ADDITION TO THE
:CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
-11 have and Wit 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 the
VdImance 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 La eor Code, for the performance of the work for which this permit is issued. My workers' compensation
nsurai carrier and policy number are:
3anier Policy Number Expiration Date
Jame of Agent Phone #
-1I certify that, in the rfor ranee 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' mpensation laws of California, and agree
hat, if I should b,come u'. lect to the
/wp er' mpensatlen provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. )
signature of Applicant ✓ , Date
)ECLARATION Fi IN ONSTRUCTION LENDING AGENCY T—
hereby affirm under nalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Ci tl Code).
_ender's Name Lender's Address
3y 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 c unity idinances and state laws relating to building construction. ^
I authorize representatives of this city or county o niter the a ove-identified property for inspection purposes. '
3i .nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION GATE BY ARA-ION OF COMP'.IANCE N'ITf CODE hF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AAD AUTAD NULF
140S
PERMIT EXWRED I SUBMITM" A513FST05 NOTIFICATION TO
PERMIT CANCELLED OEPA
PERMIT EXTENDED OMD
PERMIT FINAL ),., -rTASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE or /O �.3D'Z2 PROPOSED DEMOLITION
OCCUPANCY ISSUED SiGMAMIRF-