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HomeMy WebLinkAboutH2023-0247 - Permits�E.vaoRT _ City of Newport Beach IIIIIIIIIIII I III IIII II I I III IIIII Community Development Department- Building Division Mechanical Permit : �" �2023-0247 100 Civic Center Drive, Newport Beach, CA 92660 p S Permit Counter Phone: (949) 644-3288 Plan Check No Inspection Requests Phone: (949) 644-3255 Work Class : Other c94coaN�P newportbeachca.gov/inspections Issued Date : 04/13/2023 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 : 1621 INDUS ST Legal Desc : N TR 4307 BLK LOT 18 Description: MECH CHANGE OUT A/C AND FURNACE; TAMPER PROOF CAP AND TIMER REQUIRED Owner: MERRELLJOSHUATR Address : 2182 MESA DR newport beach, CA 92660 Phone: (714)742-5552 Applicant: ADVANCED PERMIT SERVICES INC Address : 24310 MOULTON PKWY, 0137 LAGUNA HILLS, CA 92637 Phone: (949)207-3468 Owner/Builder : Address Phone : Code Edition : 2022 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: SPECIAL CONDITIONS: Contractor : COMFORT KING HEATIN AND AIR CONDITIONING Address : 14062 QUAILRIDGE DR/ RIVERSIDE, CA 92503 Phone: (714)759-7838 Con State Lie : 1051113 Lie Expire : 03/31/2025 Bus Lie: BT30081237 Bus Lie Expire:04/30/2024 Workers' Compensation Insurance Carrier : Policy No: TWC4215960 W. C. Expire: 1/24/2024 NO Manufacturer: ALLIED AIR Model# : 4AC171-60P TIMER REQUIRED ON EQUIPILIENT TO SHUT OFF BETWEEN 10 P.M. AND 7A.M. { risJEC1' TO FTFLD TNSPF_CTOR :9 1:UVIi1V ANDAPI'ROVALI OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contra Uloes a State aermit konconstruot se Law ratetheeeimprove, Idemo! sh orndicated orepairtany structure, prior to its issuance, also frequ es the appl aa` for Section 7031.5. Business and Professions Code: Any city or county that requires p ,a 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 lioensureand the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500).. i, es owner ro the property, or he Contractors' with wages as Licenseheir sole Law does not applytton, will do an Owner of property who, through all of or U PodiOns of the or personal erffort, builds or improves the property, sprovided that the 3usinees and Professions Code: The Contractors' state mprovements are not intended or Offered for sale. If, however, the building or improvement i5 SAId within one year of completion, the Owner -Builder w111 have the burden of proving that fl was not built or mproved 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' Stale License Law does no ipp€y to an owner of property who bulids 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: _ 3y my signature below I acknowledge that, except for my personal residents in which I must have resided for at least one year prior to complation of the improvements: covered by this permit, Lcannol Iegall ;all a structure that I have built asan 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 orofesslons Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.govlcalaw.html.. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION license is in full force I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of '!T 3 of J Contractor S and Pre es ' o a and effect. License Class License No .3 WORKERS' COMPENSATION DECLARATION AN EMPLOYER TO CAST WARNING: COMPENSATION. TO SECURE E WORKERS' S' COOED SA IOSECTION AGE IS UNLAWFUL. ❑F THE LABORAND SHALL E NTE EST, aCT ATTOR EY's FEES PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS (510U,ee4), IN ADDITION F6 THE GES Ihereby affirm undcr Tz.-alty of perjury one of the following declarations: u 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 Ih '.De,f❑Ia anoe of the Ao.k for which this permit is. issued. Policy No. fo h' h this ermit is issued. My workers' compensatioi Ic. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work r IN p rancecarrier ano policy number are: Expiration bate Policy Number y no f Agent , �n,i y that. in the performance of the wofj)�� for which this permit is Issued, k shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre 1" should become sub' cl to the wor ors' cc n visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. na'ure of ARplicnnt CLARATION REGAR i TRUCTION LENDING AGENCY r me work for which this ennuis issued (Section 3097, Civil Code). a,ea/ affirm under ^malty of perjury that there Is a construction lending agency forLender's pertormance Address p Ider3Name — my signature ltelovW 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 } have provided is correct I agree to comply witl,. all applicable city and county ordinances and state laws relating to bullding. construction. 1 authorize representatives of this city or county to,enter the above- ec l reify for in❑spa, n purposes. Pr❑ Rrty Owner's or Authorized Agent's Nan Dat DATE BV I DE, OF COMPLIANCE WITtI CODE FFEDERAL 1011O€€ICE USE ONLY ( TIONS PART 61 OFTITLE40ANDAOMD RULE EXP7R6U I SUBMITTED ASBESTOS NOTIFICATION PERMITFINAL �.n�y SSS ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CER71FICA7E Of V/ PROPOSED DEMOLITION OCCUPANCY ISSUED _ :SiGNATUBE: _ Z_� %z to -0 W { 5~ 2} �§«2 � z2#£ 2\}0 z}7 § W �Sa■ \ /§{ � ■ �! � \ \ w Z 0 \® \� 3q z2 �z =w 00. 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