HomeMy WebLinkAboutH2023-0639 - PermitscW�oRT`
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Mechanical Permit : H2O23-0639
Plan Check No : PC2023-0434
Work Class: Other
Issued Date : 10104/2023
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 : 1600 SKYLARK LN Legal Desc : N TR 3057 BLK LOT 41
Description: MECH INSTALL A/C UNIT AT SIDE "TAMPER RESISTANT CAPS REQUIRED" (XR2023-0529)
Owner:
PRECHTI KRISTINE R TR KR PRECHTL REVOC TR
Address :
1646 N FOLIAGE DR WICHITA, KS 67206
Phone:
Applicant :
SOLSTICE HEATING & A/C
Address :
310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone:
(949)573-3607
Owner/Builder
Address
Phone:
Code Edition :
2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY :
SPECIAL CONDITIONS:
Contractor :
SOLSTICE HEATING & A/C
Address :
310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone:
(949)573-3607
Con State Lic
: 938868
Lic Expire :
10/31/2023
Bus Lic :
BT30041721
Bus Lic Expire:02/28/2024
Workers' Compensation Insurance
Carrier :
EMPLOYERS PREFERRED INSURANCE COMPANY
Policy No:
EIG520830800
W. C. Expire:
3/19/2024
Manufacturer : AC PRO
Model#: AULD60W2/A-D(U)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable item(s)
Section 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
ni 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
'rofesslons 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
of more than five hundred dollars ($500),
1 I, as Owner of the property, or my employees with wages as their sole compensation, will do (_) 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' cr personal effort, builds or improves the property, provided that the
nprovements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
nproved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to conshuct 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).
I am exempt from licensors under the Contractors' State License Law for the following reason ,,, „ ,,,,_.. .. ...-_....... _......._.._._ .._.._ ... ....._.. ___.......
ly my signature below I acknowledge that, except for my personal residence in which I must have rosided for at least one year prior to completion of the Improvements covered by this permit, I cannot legall)
ell 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
'rofessions Code, Is available upon request when this application is submitted or at the following Vveb site:hap:/lwww.leginfo.ca.gov/celaw.html.
signature of Property Owner or Authorized Agent ,._.... __.. _ _ ________ __ _,_—Date. __ _
ACEN.SED CONTRACTOR'S DECLARATION �^
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) pf pivision 3. of the Business and Profess ns ode( and my license is in full force
no effect. License Class License No Date W/4/Z rj Contractor Signature l
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION CCVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (EILI000 h IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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, for in
arformance of the work for which this permit is issued. Policy No,
lit 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 workerscompensatiol
isurance carrier and policy number are.
Policy Number
of Agent
Date
11 Certify that, In the performance of the work or which this per nir is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
rat, It I should become sutfjoct to the wor rs compensation provisions of Section 3700 of lire Labor Code, I shall forthwith comply with those provisions. signature of Applicant ,,.,. _. ,____Y„,,.,,,, Date-10 &1
IECLARATION REGARDING CONSTRiTC�FiOiiNDING AGENCY
hereby 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 Code).
ander'a Name _ _ �_,�� Lender's Address--
y 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 this application 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 a ahol6�,idenhfied property for inspection purposes. _
/� r�S ,
iaarature of Pr�:7rt':v Ownerr or Aulhonzod Agent I,- _ _ Print Property Owner's or Authorized Agents Na ne 5++InV G,Date
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY
RFGWATIONS PART 61 OF TITIF. 40 ANO AD MD RULE
Y Pi EXPIRED I
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
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PEr 'IT EXTENDED
IIAONtD
P_ f11T FINAL C/�J bt
❑AbBEEIOS .No1IFILArION IS NOT APPLICABLE TO
C PTIFICATE OF ✓1 C�
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