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HomeMy WebLinkAboutH2022-0625 - Permits��EWPORT City of Newport Beach Community Development Department- Building Division �i 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 �s< Inspection Requests Phone: (949) 644-3255 CgCfFOM1N`r newportbeachca.gov/inspections Mechanical Permit : H2022-0625 Plan Check No: PC2022-2325 Work Class : Other Issued Date : 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: 1722 ORCHARD DR Legal Desc : N TR 456 BLK LOT 19 TR 456 LOT 19 NWLY 62 FT SELY 120 FT NEL Y 290 FT Description: MECH - R/R A/C CONDENSER. TAMPER -RESISTANT CAP REQ'D Owner: STIEVE DAVIS P TR Address : 1731 ORCHARD DR NEWPORT BEACH, CA 92660 Phone: (949) 278-1174 Applicant: ABC HEATING AND A/C Address: 306 COLLEN PL COSTA MESA, CA 92627 Phone : (949) 756-0064 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups : Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone: X Use Zone: SP-7 - Santa Ana Heights Specific Plan 000 PROCESSED BY: PI SPECIAL CONDITIONS: Contractor : ABC HEATING AND A/C Address : 306 COLLEN PL COSTA MESA, CA 92627 Phone : (949) 756-0064 Con State Lic : 940181 Lic Expire : 11/30/2023 Bus Lic: BT30043258 Bus Lic Expire:03/31/2023 Workers' Compensation Insurance Carrier : STATE FARM FIRE & CASUALTY CO Policy No: 92GOG2871 W. C. Expire: 9/2412023 Manufacturer: AC PRO Model#: AULD60W2/A-D(U) a p. 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 applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires permit to construct, alter, improve; demolish, or repair any structure, priorto its Issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuantto 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 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 pt more than five hundred dollars ($500).. ] I, 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 proffered for sale (Section 7044, ,usineseand 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 oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 3 1, 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason:. __ y 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 Cowered by this permit, I. cannot legall) ell a structure that I have built asan 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 'rofessions Code, is available upon request when this application Is submitted or at the following Web sita:bhp;Hwww.leginfo.ca.govicalaw.html, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 pf Division 3 of the Business and Profes, r o ..and y license is in II force nd effect. License Class License. No Date [-i' ZZ.Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS n100,000), IN ADOMON TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3796 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 )e rmance of the work for which this permit is issued. Policy No. YI h ve 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' compensatior nsurjhce carrier and policy number are: %Ker Policy Number Expiration Date Vameof Agent Phone # -I certify that, in the performance of the work for which this permit Is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, If I should become subject t to the vvkers' comp nsation grovislons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ad( / — /^ Signature of Applicant i)t DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that1here is a construction lending agency for the performance of the work for whicty this permit is issued (Section 3097, Civil Code). -enders Name Lenders 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 thisapplication and the information I have provided is correct:. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to er the a2 e-id ti It property for inspection purposes. t V , / Signature of Pro ertOwner or Authorized A ent '"-,'' Print Property Owner's or Authorized Agent's Nam (l'4� L �� 1'6v� Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUtATiONS PART al OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD PERMITFINAL I� j � ASBESTOS NOTIFICATION 15 NOT APPLICABLE 10 CERTIFICATE OF G PROPOSED' DEMOLITION OCCUPANCY ISSUED SIGNATURE-