The URL can be used to link to this page

Home My WebLink AboutH2023-0218 - Permits�r.,E`wPORT City of Newport Beach- 0 @ Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 } _ Permit Counter Phone: (949) 644-3288 °+ciFoaN`r. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIII II I II Mechanical Permit : H2O23-0218 Plan Check No : 2762.2021 Work Class : New Issued Date: 03/2912023 Inspection Area : 2 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: 2762 BAY SHORE DR Legal Desc : N TR 1014 BILK LOT 3 Description: MECH (2) NEW A/C UNITS (X2021-3183); TAMPER PROOF CAPS REQ'D Owner: ROGER DEYOUNG Address : 2762 BAYSHORE DR NEWPORT BEACH, CA 92663 Phone: Applicant: C C C C HEATING & AC INC Address: 606 E LINCOLN AVE ORANGE, CA 92665 Phone: (714)637-7021 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: q2, SPECIAL CONDITIONS: Contractor : C C C C HEATING & AC INC Address : 606 E LINCOLN AVE ORANGE, CA 92665 Phone : (714) 637-7021 Con State Lic : 451863 • °' Lic Expire : 01/31/2024 , Bus Lic : BT30029124 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Carrier : CHUBB INDEMNITY INS CO , Policy No: 000071772565 W. C. Expire: 11/11/2023 Manufacturer: AC PRO , Model#: 4SCU20LX124P-1, 136P-1 ;, fit UONSTRUCTION NOISE r)N THE WEEKEND OWNER -BUILDER DECLARATION I hereby affirm underpenalty, of perjury that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) >ecton 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 �o permit to file a signed statement that he or she is licensed pursuant to the provisionsof 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 ct 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 theproperty, provided that The iprovements are not intended Or offered for sate. 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 n roved for the purpose of sale). 1, 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 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). I ant exempt from licensure under the Contractors' Slate 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 improvementscovered by this permit, I cannot legally all a structure that I have built as. an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and professions Code, is available upon requestwhen this application is submitted or at the following Web site:http!/Ica .leginfo.ca..gov/calaw.htmi, ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perlw y that I am licensed under provisions of Chapter 9 (commencing with Section 7. 00) of Division 3 of he Business an Professions C If nse Is in full force no effect. License Class License No Date Ontractor Sign JORKERS' 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 (S100,000t, IN ADDITION TO THE DST OF COMPENSATION, DAnAAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE. INTEREST, AND ATTORNEY'$ FEES. hereby arf.rm under penalty of perjury one of the following declarations: 7 I SavE 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 ertormprce of the work for which this permit is issued. Policy No. It have and will laam:air, 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' compensatiol isL:ranca carrier and policy number are: L: of;,gent ertny coat. in th4 performance of the work it I should became suulect to the-workec8 cf Policy Number Date 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 agre 9tion provisions of Section 370D of the Labor Code, I shall Forthwith comply with those provisions. 7 4 hereby affirm under penalty of perjury that thereis a construction lending agency for the performance of the. work for which this permit is issued (Section 3097, Civil Code).. .enders Name Lenders Address 3y my signature below, I certify to each of die 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 pity and county ordinances and s WE relating to building construction. I authorize representatives of this city or cc my to enter t dentitled property for inspection purposes. 3i nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE ( 1403 PiRMiTEXPiRw I ( € L I SUBMITTED ASBESTOS NOTIFICATION TO P€RM1T RIVAL UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROP05EDDEMOLITION OCCUPANCY ISSUED SIGNATURE: