HomeMy WebLinkAboutH2022-0704 - PermitsCity of Newport Beach III I I I III II I II II II D @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
M$ Permit Counter Phone: (949) 644-3288
.>. Inspection Requests Phone: (949) 644-3255
c�<�F00.N�P newportbeachca.gov/inspections
Mechanical Permit : H2022-0704
Plan Check No : 1320-2021
Work Class : Other
Issued Date : 12/13/2022
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:
361 VIA LIDO SOLD
Legal Desc :
N TR 907 BLK LOT 923 TR 907 LOT 923 AND SELY 10 FT LOT 922 A ND NWLY
Description:
MECH: INSTALL (2) ROOF
MOUNTED & (1) GROUND
MOUNTED HEAT PUMPS "TAMPER RESISTANT CAPS REQUIRED & TIMERS
(X2021-1506)
Owner:
Address
Phone:
Applicant: PRO WEST MECHANICAL INC
Address : 15431 RED HILL AVE #F TUSTIN, CA 92780
Phone: (714)651-8737
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Front: 4, Side: 4, Side: 4
X
RM - Multiple Residential
I
Contractor : PRO WEST MECHANICAL INC
Address :
15431 RED HILL AVE #F TUSTIN, CA 92780
Phone:
(714)651-8737
Con State Lic
: 974570
Lic Expire :
06/30/2024
Bus Lic:
BT30051314
Bus Lic Expire:05/31/2023
Workers' Compensation
Insurance
Carrier :
INSURANCE COMPANY OF THE WEST
Policy No:
C69981331
W. C. Expire:
11/1/2023
Fire Hazard Zone : NO Manufacturer: CARRIER
Model#: 38MARB024AA3
SPECIAL CONDITIONS: HIGH DENSITY ZONE; LIQUEFACTION
--
ON THE WEEKEND
TIMERS PROHIBITED
`7 N HEAT PUMPS
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 applicableitem(s)
(Section 7031.5. Business and Professions Cade: 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
the 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
Professions Code) or that he or she is exempt from licensureand 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
not more than five hundred dollars ($500).
❑ I, as owner of the property,or my employees with wages as their sole compensation, will do U 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 theproperty, provided thatthe
improvements are not intended or offered for sale. If, however, the building of improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
�Irn roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct Ilia 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).
❑ I am exempt from Bcensure, under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence In which I must have resided forat least one year prior to completion of the improvements. covered by this permit, I.cannot legall,
sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available uponrequest when this application is submitted or at the following Web site:http:iiwww.leginfo.ca..gov/calaw.html.
Signature of Property Owner or Authorized Agent s
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 7000) f ivislon 3of the Business and Profs full force
and effect. License Class License.No Date f'2 /3 2Z Contractor Signature -
INORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FORiN SECTION 3706 OF THE LABOR CODE. INTEREST, "a ATTORNEY'SFEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 1 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, forth
)arformance of the work for which this permit is issued. Policy No. _.
4 have 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' compensation
nsurance carrier and policy number are:
;•arrier Policy Number Expiration Date
Vame. of Agent 11 J Phone #
DI certify that, in the perfor e-ef-th or which this permit is issu I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
.hat, if I should become ee3Znn. P th____. Labor Code, I shall forthwith comply with those. provisions.
Signature of Applicant Date 72 e3/22
XCLARAVON REGAR O C ST CTION LENDING AGENCY
hereby affirm under pen p "t 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 Lenders Address
By my signature below_ I Certify to each of the following:
I am the pruperty owner or authorized to act on the propert owe 's behalf.
I hate read thisanplicatiori and the information I have nevi is orect.
f agree to c,,mciy wdlr all applicable city and count ordin ce rid state laws rela/for�nspection
ing. construction.
I aphorize representatives of this city or county an a ve-identified prop purposes.
-ign-e rre of Property Owner or Authorized A en{ Pdnt ro Owner's or Authorized Agent's Name 1��. ��+ t �z�••4 S Date
ALTldf. DATE BY CL ATION OF CO NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
!r RE CATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PFRM'F kXPREr7 U I SUBMITTED ASBESTOS NOTIFICATION TO
P5RM7CANCELLED I DEPA
P'.RIIAIT E UFNDEU I LJAQMD.
P6'GL F F,NAL AS8EST05NOTIFICATION15NOTAPPLICABLE TO
CEPTF'CATEOF/1 PROPOSED' DEMOLITION
OCCUPANCYISSUED I 1 �IJI [ CrunTI ar.