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HomeMy WebLinkAboutH2023-0147 - Permits��eWPoRT City of Newport Beach 0 Community Development Department- Building Division �. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U o- Inspection Requests Phone: (949) 644-3255 C9<�FUM1N�P newportbeachca.gov/inspections Mechanical Permit : H2O23-0147 Plan Check No : 2009-2021 Work Class: New Issued Date : 03/01/2023 Inspection Area : 6 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 : 31 CAMBRIA DR Legal Desc : N TR 7844 BLK LOT 106 Description: MECH (2) NEW A/C UNITS. TAMPER PROOF CAPS REQ'D (X2021-2320) Owner: DG NEWPORT LLC Address : 31 CAMBRIA DR CORONA DEL MAR, CA 92625 Phone: Applicant: C C C C HEATING & AC INC Address: 606 E LINCOLN AVE ORANGE CA 92665, CA 92665 Phone: (714)637-7021 Owner/Builder : Address Phone: Code Edition : 2019 Fire Hazard Zone Type of Construction Occupancy Groups: Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 46-40 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY SPECIAL CONDITIONS: Contractor : C C C C HEATING & AC INC Address : 606 E LINCOLN AVE ORANGE CA 92665, CA 92665 Phone : (714) 637-7021 Con State Lic : 451863 Lic Expire : 01/31/2024 Bus Lic : BT30029124 Bus Lic Expire:09130/2023 Workers' Compensation Insurance „ Carrier : CHUBB INDEMNITY INS CO Policy No: 000071772565 W. C. Expire: 11/11/2023 ' NO ;I l I'TOFIEI DTNRPFCTOR'2 A' 11. \V A ND APP W VAJ, Manufacturer : AC PRO Model# : AUD36W OWNER -BUILDER DECLARATION I hereby affirm under penaltyof perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5. Business and Professions Code; Any city or county that requires a permit to construct, alter. improve, demolish, orrepair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3. of th0 Business and Professions 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with %Vegas 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 Coder 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 El for the purpose of sale). LJ 1, 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 ConlraCIOfS' 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 forat feast one year prior to completion of the improvements covered bythis permit, I cannot legall, sell a structure that I havo built as an owner -builder if it has not beenconstructed in its entirety 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:httpJiwww.ieginfo.ca..govicalaw.html. 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 700 ) cf Division-/�f bf the Business and Prof ns C Qe, a y li Is in full force and effect. License Class License No Date oZJ Contractor Signatu NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO 5_CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJEOT AN EMPLOYER TO CRIMINAL PENALTIES AND OIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (b100,600), IN ADDITION TO THE COST OF COMPENSA, TON, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, h•irebv avirm under penalty of perjury one of the following declarations: 7 1 have and wi'I mrirlain 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 ih so-forman^e of the work for which this permit is issued. Policy No. have and will n1aItain 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` rE.noe -arrier arc! Policy number are: of F,gem c-airy that, in the performance of the work u I sbou€d becume subject to -the worjI ,blurd of ADolicanti� 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 ation provisions of Section 3700 of the Labor Code, I shall forthwilh comply with those provisions. Dat� D —.,23 hereby 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). Ender's Name Lenders Address ly my signature below, I certify to each of the followings I am the property owner or authorized to art 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 city and county ordinance state laws relating to building construction. E authorize representatives of this city or countyJg ertgr bove-igo;;�led property for Inspection purposes. _ Owner or Authorized Ages—_ Print Property Owner's or Authorized A DATE 6 [i OE ARATEON OF COMPLIANCE VVITH CODE OF FEDERAL FOR OFFICE USE. ONLY i REGULATIONS PART bl OFTITLE 40 AND AOMD RULE PERMIT EXPWO I I SURMkTTEO ASBESTOS NOTIFICATION TO PFRMfr CANCELUF0 EPA PERMIT £XTENOEO_ ERIA ASBESTOS ON IS NOT APPLICABLE TO EOfDEMOLITION 1� PROPOSEDt OCCUPANCY ISSUED SIGNATURE: