HomeMy WebLinkAboutH2022-0427 - Permitsa£WPoR� City of Newport Beach III I I I II I II I II II III I II II
p� Community Development Department- Budding Division
100 Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cg4Foa"�P newportbeachca.gov/inspections
Mechanical Permit : H2O22-0427
Plan Check No : 2791-2018
Work Class : Other
Issued Date : 08/17/2022
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: 9 COASTAL CANYON DR Legal Desc : N TR.15509 BLK LOT 5
Description: MECH - R/R 2 A/C CONDENSERS. TAMPER -RESISTANT CAP & TIMER REQUIRED (#1)
Owner:
ABEDI HAMID R TR H R
Contractor ;, FIFTH ELEMENT ECCO DESIGN INC
Address :
9950 IRVINE CENTER DR IRVINE, CA 92618
Address :
Phone:
Phone: (714)381-0709
Con State Lie : 976587
Applicant :
FIFTH ELEMENT ECCO DESIGN INC
Lie Expire : 09/30/2022
Address:
Bus Lie: : BT30078189
Phone:
(714) 381-0709
Bus Lie Expire:03/31/2023
Workers' Compensation Insurance
Owner/Builder. Carrier : -.
Address : Policy No:
Phone : W. C.`Exph
Code Edition : 2019 Fire Hazard Zone : Y
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone : X
Use Zone : PC - Newport Coast
PROCESSED BY:
s y " aT e a • •r'°
rvF �
b46 4
N
�tl B
6P CC dr+
Za
Manufacturer: AIRTEMP
Model#: GXH36MSK4DH
i�1L—i 1
I hereby affirm under penalty of penury that I. am exempt from the Contractors' State License
ction 7031,5,.Business and Professions Code! Any city or County that requires a permit to col
parmit to file a signed statement that he or she is licensed pursuant to theprovisions of the C
fessions Code) or that he or she is exempt from lImnsure, and thebasis for the alleged exam
I have placed next to the applicable Items)
tr to Its issuance, also requires the applicant for
i Section 7000) of Division 3,of the Business and
permit subjects the applicant to a civil penalty of
1, as owner of the property, or my employees with Wagas 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,
mess and Professions Code. The Contractors State License Law does not apply toan.owner of property who, through employees' or personal effort, builds or improves the property; provided that the
rovements 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
roved for the purpose of sale).
I, asowner of the property, am exclusivelycontracting with licensed Contractors td construct the project (Section 7044, Business and Professions Code.The .Contractors' State. License Law does not
ly 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:
ny signature Below 1 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, I cannot iel
a structure that I have built as an owner-buitdar if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
hereby affirm undel
nd effect. License
tf: 27 lJtRAFL,AkK1Af IUn..
of perjury that I am licensed under provisions of Chapter :9.(commencing with Section 7000) ofjDivision'3-of the Business and Prof salons d my license is In full force
License: No Deta Contractor Signature
COMPENSATION DECLARATION
RE TO SECURE wORRENT COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT. AN EMPLOYER TO CRIMINALNENALTIES AND CIVIL HUES UP TOONE HUNDREDTHOUSAND. LLI4RS IS166,6081. IN ADDITION TO THE.
NSATION. DAMAGES AS PROVIDED FORIN SECTION 3766 OF THE LABOR CODE, INTEREST —AND ATTORNErS FEES,
hereby affirm under penalty of perjury one 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
erformance of the work for which this permit is issued. Policy No.
eve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of they work for which this permit is issued. My workers' compensa
Isu ce carrier and policy number area
.a r Policy Number Expiration Date
e of Agent: Phone
�t certify that; in the performancG of a r which this Qerm t:is.Issued, I shall not employ any peIson�in anymarm r so as to become subject to the workers` compensation laws of Califomia, and al
tat. if I should becoma subject to th wo DensetioIT provisions of SOch n 3700 e€ the Labor Code; I shall forthwith comply with those provisions.
eofApplicant Date CA. 1l•22
CATION RE NG CONS N LENDING AGENCY
affirm under penaltyof pe€jury th. 'there is a construction lending agency for the'pertormance of the Work for which this permit: is issued (Section 30974-vit Code):.
Name - LendersAddress
my signature: below, I certify to each of the following:
I am the property Owner or authorized to act on the:I
I have read this application and the information'I hat
l agree to comply with. all applicable city and county
I authorize representatives of this city or county to a
PERMJT EXTENDED I I
ERA@R SITE CERTIFICATE
.l3,LZ�.
ERTlFlCA7EOF
OCCUPANCY ISSUED
to building construction,
OFFICE
nuuly au I+.+
All required alarm6, latches gat%Snctfences vftch ?cave as part of a pool/spa barrier, shall
be in place pnoAtoapprLal to fy po'oWspa•& 2h3,fl r"In in place & he maintained: for the
APPLICABLE TO life of the pool
, s
, u s
se• •� •+• a + see ,+