HomeMy WebLinkAboutH2022-0403 - PermitsCity of Newport Beach
'.�. Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
U x Inspection Requests Phone: (949) 644-3255
Cq[[p[�pN�P newportbeachca.gov/inspections
Mechanical Permit : H2O22-0403
Plan Check No : 2956-2021
Work Class : Other
Issued Date : 08/04/2022
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 : 387 VISTA BAYA Legal Desc : N TR 2609 BLK LOT 15p \_ �,,,- nX
Description: MECH (2) HEAT PUMPS & DUCT WORK *TAMPER PROOF CAP REQ* Cz� Pf �'\C"""`" ��
Owner: DANIEL RISCALLA
Address : 387 VISTA BAYA NEWPORT BEACH, CA 92660
Phone:
Applicant : AIR MAX H V A C INC
Address : 3000 FLOYD ST BURBANK, CA 91504
Phone : (818) 438-2209
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups :
Fire Hazard Zone : N
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20
Flood Zone : X
Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area)
PROCESSED BY
MAX H V A C INC M
Contractor :
Address :
AIR
3000 FLOYD ST BURBANK, CA 9140
Phone :
(818) 438-2209 e
Con State Lic :
865274
Lic Expire :
03/31/2024 " d
Bus Lic:
Bus Lic Expire:
Workers' Compensation Insurance
Carrier:
SECURITY+NATIONAL+INSURANCE+COMPANY
Policy No:
SWC1363818
W. C. Expire:
12/6/2022
Manufacturer
Model# :
.1ECT Tp LLD
kBVLEby,�D�PROV.� `'''
TIMERS
ON HEAT PUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the ressor(s) indicated below by the checkmark(s) I have placed next to the applicable items)
clion 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
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
fessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 70",
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, bui€d$ or Improves the property, provided that the
rovements 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 builtor
roved for the purpose of sale).
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
ly 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),
IJ I am exempt from lcensure 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 for at 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 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 Web site:httpaiwww.leginfo.ce.gov/calaw.html.
Signature of Property Owner or Authorized Agent, rodr
LICENSED CONTRACTOR'S DECLARATIONrR/M0U/SAJND
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 of Divlwon 3 of the Business and . and my license is in full force
and effect. License Class License No Da Contractor Signat
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN DOLLARS 15100,0001• IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 1 have and will maintaina 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
3erformance of the work for which this permit is issued. Policy No.
andwill maintain workers' compensationinsurance, 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 area:
Policy Number
of Agent
Date
certify that,in the performance a 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
I, If I should become s bject t workers' compensation provisions of Section 3700 or the Labor Code, I shall forthwith comply With those provisions.
nature of Applwar t D e
CLARATION 52_ IN ONSTRUCTION LENDING AGENCY
Ireby affirm u7r'e4, Pena a ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code).
Oprs Name. Lender's Address
my signature t.elow, I Certify to each of the following: --
I tlm me properly owner or authorized to act on the property owner's behalf.
Lave read this application and the information I have pro ' ed is correct..
I ugree to Comply ',ilh all applicable city and county or as and slate laws relating to building construction.
authorize representatives of this city or cD nt% toe a above -identified property for inspection purposes. Al?6(s Ht Mt 4µ£6
a'ure of Properly Owner or Authoded zAge�t/ - Print Prooerm Owner's or Authorized Anent'e Nar„B//// 0 1 2 2 /I//
.<LTiLN I DATE
"f;R"✓'11 LXPIREO
: TR, 19T CANCC LED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY I55UE0
OF COMPLIANCE WITH CODE OF FEDERAL
PART Ft OF TITLE. 40 AND AQMD RULE
1403
EJ { SUBMITTED ASBESTOS NOTI FICATiON
LJASSESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
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