HomeMy WebLinkAboutH2022-0732 - PermitsCity of Newport Beach
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Community Development Department -Building Division
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100 Civic Center Drive, Newport Beach, CA 02660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date: 12121/2022
Inspection Area : 5
H2O22-0732
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: 211 IRIS AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 35 LOT 13
Description: MECH -INSTALL (2) A/C CONDENSERS @ 2ND FL DECK. **TAMPER -RESISTANT CAPS REQUIRED**
Owner: ROBERT DUNCAN
Address : 920 GRANITE DR UNIT315 PASADENA, CA 91101
Phone:
Applicant: R C AIR CONDITIONING & HEATING INC
Address : 169 N MAPLE ST STE D CORONA, CA 92880
Phone : (951) 735-8046
Owner/Builder :
Address
Phone :
Contractor : R C AIR CONDITIONING & HEATING INC
Address:
169 N MAPLE ST STE D CORONA, CA 92880
Phone:
(951)735-8046
Con State Lic
: 657924
Lic Expire :
06/30/2023
Bus Lic :
BT30066849
Bus Lic Expire:04/30/2023
Workers' Compensation Insurance
Carrier:
STATE COMPENSATION INSURANCE FUND
Policy No :
1354374
W. C. Expire:
7/1/2023
Code Edition:
2019 Fire Hazard Zone : NO
Manufacturer :
AC PRO
Type of Construction :
Model# :
AULD36W2/A-D(U)
Occupancy Groups:
Building Setbacks :
Front: 18, Side: 3, Side: 3, Rear: 5
,
Flood Zone:
X
"
Use Zone :
R-1 - Single -Unit Residential
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PROCESSED BY:
SPECIAL CONDITIONS:
HIGH DENSITY ZONE
NO CQNSTRUCTBON
NOISE
ON THE WEEKEND
I hereby affirm under penalty penury that l am exem
pt From the Contractors' Slate License Law for the reasor(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(s)
Section 7031.5, Business artd Professions
fessions 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' Stalo License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
oTofessions Code) or that he or she is exempt from licensure and the basis for line alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
iot more than five hundred dollars ($500).
I, as owner of the property, or my employees withwages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Coda: 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
mprevements are not inlenciad 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 bunt or
mproved for the purpose of sale).
I, as owner or 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
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).
1 am exempt from licensure under the Contractors' Stale 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 enfrety by licensed contractors- I understand that a copy of theapplicable law, Section 7044 of the Business and
Professions Code, Is available upon request when this application Is submitted oral the following Web site:http:liw .leginfo.ca.govlc law.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Seclio QO of Di io 3 of the Business and Prof��y s Code, and �my�Icense i full force
and effect. License Class License No Dat �) Contractor Signatun
iNORKERS' COMPENSATION DECLARATION
MARRING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUWECT AN'EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UPTO ONE HUNDRED THOUSAND DOLLARS gtWL0001, IN AODnION TO THE
COST OF COMPENSATION., DAMAGES A$ PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
ZI 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
performance of the work for which this permit Is issued. Policy No.
have and will maintain werkers 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
Insurance carrier and policy number are:
Carrier Policy Number Expiration Date
is of Agent —enone n
certify that, in the performance of the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become.eebieeVdo the workers' wmper satiorLarovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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Date-11--Z
�reLy 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 Coda).
do's Nam= Landers Address
my signature Lelcv., I Certify to each of the following:
I am the propary owner or authorized to act on the properly owner's behalf.
I have read this ar.plication and the information I have provided is correct.
I .cgree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize epresgntatives of this city or count '+9-enS/epthe abo�v `� ''flleedd petty for inspection purposes. y
nature of Procertv.Owner or Authorized AQN;tX�L��I", X `— Print Property Owner's or Authorized Agent's No
DATE BY f-DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
{ I REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
Y"If97
PERM17FINAL 7,3-t U ASBESTOS NOTIRCATION IS NOT APPLICABLE TO
CERTIFICATEOF 'V ` PROPOSED DEMOLITION
OCCUPANCY I55UE0 SIGNATURE:
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