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HomeMy WebLinkAboutH2022-0425 - PermitsCity of Newport Beach O��gwroRT e Community Development Department - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °4<.icoa��P newportbeachca.gov/inspections III I I II I II I II II II II I II Mechanical Permit : H2O22-0425 Plan Check No : 0981-2018 ork Class : Other W Issued Date : 08/16/2022 Inspection Area : 4 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: 6 INVERNESS LN Legal Desc : N TR 7638 BLK LOT 58 Description : MECH - 8 CONDENSERS. TAMPER -RESISTANT CAPS REQUIRED. Owner: SMITH WILBUR H III TR WPBS TR Address: 6 INVERNESS LN NEWPORT BEACH, CA 92660 Phone: Applicant: SEASIDE A/C AND HEATING Address: 32959 CALLE PERFECTO UNIT C SAN JUAN CAPISTRANO, CA 92675 Phone: (949)496-3639 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone : N Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: V�A__ Contractor : SEASIDE A/C AND HEAT ING Address : 32959 CALLE PERFECTO UNIT C SAN JUAN CAPISTRANO, CA 92675 Phone: (949) 496-3639 Con State Lie : 736214 Lie Expire : 08/31/2024 Bus Lie: BT30030805 Bus Lie Expire:02/28/2011 Workers' Compensation Insurance Carrier: INSURANCE+COMPANY+OF+THE+WEST Policy No : WVE5049609 W. C. Expire: 7/21/2023 Manufacturer : MITSUBISHI Model#: REFER TO PLANS OWNER -BUILDER DECLARATION' I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 70311.5, 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 the permit to Ne 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 licensors 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 not more than five hundred dollars ($500). 11 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 cr improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Improved 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 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) 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 total least one year prior to completion of the improvements covered by this permit, I cannot legatl} 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 70" of the Business and Professions Code, Is available upon request when this application Is submitted or at the following Web site:http:liwww..leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date, LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of %Di�Isio 33[p f the Business and Professio Code, an Lill force and effect License Class License No Date /� Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS u$I IW,0001, IN ADDITION TO TBE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury ore of the following declarations: © 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 th performance 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 certify that, in the performance 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' compensation laws of California, and agre If I soculd become subject to the workers C n ens of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Iature of App6uar'__, treby affirm under penally 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) ,der's Name _ Lenders Address m} Iign8tUre below, I certify to each of the following: „i,i the propef:y ov.ner or authorized to act on the properly owner's behalf, r,zve read this application and the information I have provided is correct,. ^.r�rbo to comply with all applicable city and comity ordinances and state la elating to building construction. I authorize rnpre^emallves of this city or county to ent the ab for inspEo lon purposes. % /� /7 re'L,r1 of Pronenv Owner or Authorized Anent Print Property Owner's or Authorized Agent's Name jcroo< lCl2fi0 Date ALTCr. DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V\ } RgGOLATIONS PART 61'OF TITLE 40 AND AQMD RULE I i 7.h0 PERMIT EXPIRED SURMITTFD ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. PERMITCANCELLED EPA PERMIT EXTENDED _ I PERMIT FINAL _ _ _�AaMD QASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTiriCATE OF ) Z p PROPOSED DEMOLITION OCCUPANCYfSSUED II i SIGNATURE: