HomeMy WebLinkAboutH2022-0512 - Permits� `WPo", City of Newport Beach III II I II I II I II IIII I II I II
p4 1 e Community Development Department- Building Division
.y"ii 100 Civic Center Drive, Newport Beach, CA 92660
G s Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
°9<r Foad�r newportbeachca.gov/inspections
Mechanical Permit : H2O22-0512
Plan Check No : 2284-2021
Work Class : Other
Issued Date : 0912312022
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 : 1323 ASHFORD LN Legal Desc : N TR 3764 BLK LOT 6
Description: MECH: INSTALL (2) A/C UNITS @ SIDE **TAMPER RESISTANT CAPS REQUIRED** (X2021-2631)
Owner:
WHEELER JUSTIN DONALD TR J & S WHEELER LIVING TR
Contractor : SKY HEATING & COOLING INC
Address :
1323 ASHFORD LN NEWPORT BEACH, CA
Address : 769 N GLASSELL ST ORANGE, CA 92867
Phone:
Phone: (714)883-0623
Con State Lie : 1045281
Applicant :
SKY HEATING & COOLING INC
Lie Expire : 12/31/2023
Address :
769 N GLASSELL ST ORANGE, CA 92867
Bus Lie: BT30065983
Phone:
(714) 883-0623
Bus Lie Expire:02/28/2023
Workers' Compensation Insurance
Owner/Builder:
Carrier: NORGUARD INSURANCE COMPANY
Address :
Policy No : SKWC350975
Phone:
W. C. Expire: 2/1/2023
Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: AMERICAN STANDARD
Type of Construction : Model# : 4A7A6060K-SUB-IA-EN
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:
I hereby affirm under penalty of perjury that I art, exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(s) I have placed next to the applicable Items)
;action 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
e 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 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
at more than 'five hundred dollars ($900).
1, 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,
us➢ness and Professions Code: The Contractors' State License Law does not apply to an owner of property Who., through employees' or personal Effect, builds or improves the properly, provided that the
iprovements are not Intended or offered for sale. II, 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
nproved 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' State License Law does not
ply 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)
SI 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 covered by this permit,.) cannot legalit
ell a structure that I have built as an owner-buildor if it has not been constructed in Its entirety by licensed contractors, i understand that copy of the applicable taw. Section 7044 orthe Business and
'rofessions Code, is available upon request when this application is submitted or at the following `Neb site:http:/Iw .leginfo.ca.govlcalaw.html.
dgnature of Property Owner or Autherizetl Agent.__ _____�_ _ ____ -_ Date ._ � _....
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 i n 3 br the Business and Professions ."a ' eense is in full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE TH SAND DOLLARS (5100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 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 th
lerfomtance of the work for which this permit is issued. Policy No.
dl have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thispermit is issued. My workers' romper iol
Tsurance carrier and policy number are'.
is of Agent
certify that, in the performance
. if I should became sublgi
of Applicant
Policy Number
Date
Which this permit is issued, i shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire
�`Gensadon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. OIJ
Data G _
Ireby affirm under p a y of par}ury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code).
+dens Name m_._.._� Lenders Address
my signaluie L?elo certify to each of the following:
i ern the prooer y owner or authorized to acton 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 crdunances and state laws relating to building construction.
authorize representatives of this city or count Ified property for inspection purposes.
nature of P:ooe ty Owner or Authorized Agent XS/�%f6� Print Property Owner's or Authorized Agent's Name
ACT ON DATE I4 BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i 4 REGUTATIONS PART Fit. DP TITJ 40 AND AQMD RUIF
_.
'EA'N7T EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
— _ _
PERA lTCANC_Li.FP
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.�_FA'ITEXTENDED
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_ ___
II-ASBESIOS NOTIHCA'fION I5 NOT APPLICABLE TO
CERTIFICATE OF '�/
I PROPOSED DEMOLITION
OCCUPANCY ISSUED
51GNATUREi