HomeMy WebLinkAboutH2024-0076 - PermitsD��E.wPoRr City of Newport Beach
@ Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
'i Permit Counter Phone: (949) 718-1888
u ..ate S newportbeachca.gov/civic
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Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 02/13/2024
Inspection Area : 6
H2O24-0076
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 : 1107 WHITE SAILS WAY Legal Dose : N TR 2202 BILK LOT 18
Description: MECH REPLACE EXTG A/C UNIT WITH HEAT PUMP AT THE SIDE YARD, REPLACE FURNACE 'TAMPER RESISTANT CAP REQ` .W
Owner : MCNAUGHTON NANCY C TR
Address : 1107 WHITE SAILS WAY CORONA DEL MAR, CA 92625
Phone:
Applicant: RK PLUMBING HEATING AIR CONDITIONING
Address: 9877 CHAPMAN AVE #433 GARDEN GROVE, CA 92841
Phone : (714) 785-8768
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 7, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED B,
SPECIAL CONDITIONS:
Contractor : RK PLUMBING HEATING AIR CONDITIONING
Address :
9877 CHAPMAN AVE #433 GARDEN GROVE, CA 92841
Phone:
(714)785-8768
Con State Lie
: 1002474
Lie Expire :
05/31/2024
Bus Lie :
BT30070685
Bus Lie Expire:01/31/20215
Workers' Compensation insurance
Carrier :
SECURITY NATIONAL INSURANCE COMPANY
Policy No:
SWC1385882
W. C. Expire:
5/8/2024
Manufacturer: GE
Model# : AUH4860ZGDA-48K
TIMERS PROHIBITED,
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 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 Tequkes a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the 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
Professions Code) or that he or she is exempt from Ilcensure 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
notmore than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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' or personal effort, builds or improves the property, provided that the
improvements 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 built or
Irmyproved for the purpose of sale)_
LI I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState 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).
LI I am exempt from licensure 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 coven
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
Professions Code, Is available upon request when this application is submitted or at the following Web site:http:/tw .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _.. Dale,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Se n 70D0 of Division 3 the Business no Profession n license-ie-In-full ce
and effect. License Class License No DaF Contractor S ature�
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C IMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ill D0.0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
71 1 have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
Ice of the work for which this permit is issued. Policy No.
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
carrier and policy number are:
Policy Number
of Agent
Date
.JI certify that, in the performance of the work for which this permit is issued. I shall not employ an arson in any manner so as to become subject to the
hat, if I should -Become subject to the workers" compensation provisions of Section 37 tror Code, I shelf forthwith comply with those provis ns
signature of App;Ic KDiR1__fC1
ECLAKATION RENSTRUCTION LE' E
'rer.by affirmbr ererjury that there is a D e ton lending agency for th.e performance of the work for which this permit Is issued'. (Se on
-ender 's Name Lenders Address
Sy L1V 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 pace read this application and the Information I have provided is correct.
I agree to comply. with all ap 'cable city an ntq ordinances and state laws relating to buildi nstruction.
I authorize rD]Te59ntafve% of t is cl r county to enter the abo : den47fed r Inspection purposes,
E ignature of Pro e-ty Owner or ALOdrized Agent Print Property Owner's or Authorized ant's Name
ACTION I E BY I D taNdF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
ASBESTOS NOTIFICATION TO
PERi'vflT CANCELLED
rI �SUBMITTED
Lt�J'(EAh
PERMIT EXTENDED
..
.....
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PERh4RPlNA
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❑ASBE5I OS MOIIPICATION ISNOi AP_P_L1 LL TO
CERTIFICATE OF
Y!rIZ¢
/
PROPOSED DEMOLITION
OCCUPANCY ISSUED
lE
SIGNATURE.
and
compensation laws of California, and
Date— a��
3097, Civil Code).