HomeMy WebLinkAboutH2022-0662 - PermitsD4�E.wPoRr City of Newport Beach
@ Community Development Department- Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
.5. Inspection Requests Phone: (949) 644-3255
°9ciFoaN�P. newportbeachca.gov/inspections
III I I I II I II I II I II II I I II Mechanical Permit : H2O22-0662
Plan Work Class k 0778-2021
Other
Issued Date : 1112212022
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 : 508 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 495
Description: MECH (2) NEW HEAT PUMPS ON ROOF *TAMPER PROOF CAP REQ*
Owner: JOHN DEVIR
Contractor :
AIR MAX INC
Address : 508 VIA LIDO NORD NEWPORT BEACH, CA 92663
Address :
27260 LOS ALTOS #123 MISSION VIEJO, CA 92691
Phone:
Phone:
(626)468-9999
Con State Lic
: 1015725
Applicant: AIR MAX INC
Lic Expire :
07/31/2024
Address : 27260 LOS ALTOS #123 MISSION VIEJO, CA 92691
Bus Lic :
BT30065145
Phone: (626) 468-9999
Bus Lic Expire:11/30/2022
Workers' Compensation
Insurance
Owner/Builder:
Carrier:
STATE COMPENSATION INSURANCE FUND
Address :
Policy No:
9170882
Phone:
W. C. Expire:
12/8/2022
Code Edition : 2019 Fire Hazard Zone
: NO
Manufacturer: DAIKIN
Type of Construction :
Model# : RXT048TAVJUA 0
Occupancy Groups:
,77
Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3
%`�
Flood Zone : AE, 8 FT, X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
CD
SPECIAL CONDITIONS:
�i®�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty or perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by -the chec mackf s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a. permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
in permit to filea signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and
professions Code) or that he or she is exempt from licensore and the basis for the alleged exemption.. Any vlolatlon of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
of more 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,
iusiness 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
nprovements 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
n�Iproved for the purpose of sale).
J 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
5ply 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).
J 1 am exempt from licensors under the Contractors' State License Law for the following reason:
ly my signature below h. acknowledge that, except formy personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot Iegall!
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 copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request whenthis application Is submitted or at the following Web site:http:i wNww,leginfo.ca..gov/caiaw.htmi.
signature of Property Owner or Authorized Agent �.. Date
.ICENSED CONTRACTOR'S DECLARATION j
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 0 ) of i Sion 3 of the Business and Profess i �C9tfa, and rp ense is in full force
nd effect. License Class License. No Date=7/�Contractor Signature /"6
COMPENSATION DECLARATION
:FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CI
COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
PENALTIES AN 0 CIVIL FINES UP TO ONE HUNDRED THOUS D DOLLARS ($100,000), IN AODITION TO THE
I 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
0rmanee of the work for which) this permit is issued. Policy No.
and will maintain workers' compensation fnsurence, 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 Expiration Date
tte of Agent Phone N
certify that, in the pd r ante of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers co pensation laws of Callfomia, and agre
t, it I should become su ' cf #o the work ni co abort pr visions f Section 3700 of the Labor Code, I shall forthwith comply with those. provisions.
nature of Applicant Pate
CLARATION REGAR ING CONSTRUCTION LENDING AGENCY
�reby affirm under p ally 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).
rder s Name _ Lender's Address _
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 h ve provided is correct r / •�I �U\ 2.V�
I agree to comply with all applicable city and c nt ordinances and Ste laws relating to building construction.
I authorize representatives of this city orcounty nt rth abov I e Mad property for inspection purposes.
nature of Property Owner or Authorized Anent Print Property Owner's or Authorized Acent's Name )( Date
ACTION DATE BY V: DECLAMATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ,/ \
REGULATIONS PART ES OF TITLE AO AND AQMD RULE
1103
PERMIT EXMRFD' , Tt.BMITTF:] .>SCES'OS NOTIFICATION TO
PERMIT CANCELLED 11PC n
PERMITFINAL lot LI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED 1 31GNA.-URE: