HomeMy WebLinkAboutH2022-0440 - PermitsaeWPoRr
City of Newport Beach III I ICI II I II I II II II IIII� III
Mechanical Permit HZOLL-0440
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : 2687-2018
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Permit Counter Phone: 949 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
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Work Class: Other
Issued Date : ea/23/2022
Inspection Area : 5
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 : 4500 ROXBURY RD Legal.Desc : N TR 3357 BLK
LOT 11
Description: MECH: INSTALL (4) A/C UNITS (GROUND MOUNT) **TAMPER RESISTANT 'CAPS
& TIMERS REQUIRED** NEIGHBOR AGREEMENT ATTACHED (X2018-3467)
Owner: KASRA ROWSHAN
Contractor :' SUNWEST AIR CONDITIONING
Address : 4500 ROXBURY RD CORONA DEL MAR CA 92625
Address : - 1660 BABCOCK ST COSTA MESA, CA 92627
Phone:
Phone: (949)6505061
Con State Lie : 431394
Applicant: SUNWEST AIR CONDITIONING
Lie Expire 09/30/2023
Address : 1660 BABCOCK ST COSTA MESA, CA 92627 '
Bus Lie: - BT30062959
Phone: (949)650-5061
Bus Lie Expire:04/30/2023
Workers' Compensation Insurance
Owner/Builder :
Carrier : OAK RIVER INSURANCE COMPANY
Address :
Policy No : SUWC351651
Phone:
W. C. Expire[: 4/1/2023
Code Edition : 2019 Fire Hazard Zone : N
Manufacturer: YORK
Type of Construction :
Model# : YCS(36;48;&60)B21S
Occupancy Groups:
Building Setbacks : Front: 15, Front:15, Side: 6, Rear: 6
TIMER REQUIRED ON EQUIPMENT
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 Indicates minimum lot area)
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. a
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OWNER -BUILDER DECLARATION..
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law Far the reason(s) 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, or repair any structure, prior to Its issuance, also requires the appiicantfor
he permit to file 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
Irofessions Code) or that he or she is exempt from licensors and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant far a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions ofthe work, and the structure Is not intended or offered for sale (Section 704,
tusiness 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-Builderwill have the burden of proving that it was not built or
Tnlproved for the purpose of sale).
J 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
Orly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law).
J I am exempt from licensure under tha Contractors' State License Law for the following reason:
ly my 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 legall,
.ep 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 iaw, Section 7044 of the Business and
>rofessioos Code, is available upon request when this application is submitted or at the following Web site:http:/Aaw,v.leginfo.ca.govlulaw.html.
signature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 700)I e Business and Profess' Cods, and inli rise is in full force
Ind effect. License Class License No Date Contractor Signature)("
PORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL KNES UP TO ONE HUNDRED THOUSAND DOLLARS f$100,000), IN ADDITION TO THE
�OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST. AND ATTORNEYS FEES.
�hrrereby affirm under penalty of perjury one of the following declarations:
_I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for th
100ormance of the work for which this permit is issued. Policy No.
I have 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' compensatiol
insurance carrier and policy number are:
Grier Policy Number Expiration Date
Name of Agent Phone #
DI certify that, in the performance of the work for which this permit is issued, f shall not employ any person in any manner so as to become subject to the workers' cdmpen?saa n laws f California, and agre
that, if I should become Bob a the worker ' ensatlon provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. �
Signature of Applicant / _ Dam,?!
DECLARATION REGARDD. G CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty 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).
Lenders Name - - - tender's Address
By my signature below, I certify to eachofthe following:
I am the pryUVy owner or authorized to act on Ahe property, owner's behalf.
I have r%c thts°applicanon and the information I have provided is cormcL //n /j �nlF
agree t e ply wi
th all applicable city and county ardinancas and state taws relating to building n purposes. ! ' C— �`�� authorize,reprasentatives of this cityorcoon # r the e-identified property for inspec[bo purposes.Si nafura of Propee Owner or Authorized A ent Pdnt Pro a Owner's or Authorized A ent's Name
° INCTION _ DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
• •` • : REGULATIONS PART SS OF TITLE 40 AND AQMD ROLE
1403
PJRMI7`EXP2RE9 •� ISUBMITTEDASBESTOSNOTIFICATIONTO
., fl—M1TC4ft-EL&& EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
X. -. "� be in lace prior to approval to fillpool/spa & shall remain in lace & be maintained for the
•• •r'aP.M1TEXI"ENI}ED D P P PP P
s PEfrMIr FINs11 IUASOESTOS NOTIFICATION IS NOT APP ICASLE TO life of the pool.
•,-JTIFICATE DP ` . / AO _ PROPOSED OE ION
• CCUPANCYSSU" SIGNATURE: