HomeMy WebLinkAboutH2021-0268 - Permits�gWPoRT
C
III IIIIII II I IIIII IIIII II
p� @
Development DeWpOrtPame Community nt- Building Division
> y
100 Civic Center Drive, Newport Beach, CA 92660
u -
-"
Permit Counter Phone: (949) 644-3288
cgp�oaN`P
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Mechanical Permit : H2O21-0268
Plan Check No : 1157-2019
Work Class : Other
Issued Date : 04/20/2021
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 : 214 COLLINS AVE Legal. Desc : A TR.BALBOAISLAND SEC 2 BLK 11 LOT 11
Description: MECH (2) NEW HEAT PUMPS *TAMPER PROOF CAPREQ* (1) ACPRO AUD36W/A D(U) (2) ACPRO AWHD(30/36/42)
Owner: MAGNUM PROP INVS LLC
Contractor :
SOLSTICE HEATING & A/C
Address : PO BOX 517 AGOURA HILLS, CA 91376
Address ::'
'310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone:
Phone:
(949),573 3607
Con State Lic
: 938888
Applicant: SOLSTICE HEATING & A/C
Lic Expire I
10/31/2023
Address : 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Bus Lic: -..'
ST30041721
Phone: (949) 573-3607
Sus Lic Expire:02/28/2023
Workers' Compensation Insurance
Owner/Builder:
Carrier:
- SECURITY NATIONAL INS CO
Address:
Policy No:
SWC1376785
Phone:
W. C. Expire:
3/19/2023
Code Edition : - Fire Hazard Zone :;. N
Manufacturer
Type of Construction :
Model# :
Occupancy Groups :
Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5
Flood Zone
Use Zone:
PROCESSED BY:
X
R-BI - Two -Unit Residential, Balboa Island
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
!etion 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 applicant for
permit tofile a signed statement that he or she is licenser) pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3:of the Business and
rfessions 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 for a permit subjects the applicant to CIO penalty of
more than five hundred dollars ($500).
1,.as owner of the property, or my employees with wages as their sole compensation, will do [_) all of or (_) portions of thework;and the structure Is not intended oroffered for sale (Section 7044,
sines" 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
)mvements 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 provingthat if was not built or
)roved for the purpose of sale)..
I; as ownar of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Contractors` State License Law does not
Ay town 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:
my signature below I 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 legal
i a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.-1 understand that a copy of the applicable taw, Section 7044 of the Business and
desslons Code, is available upon request when this application is submitted or at the following Web site:http:Yiwwvw,teginfo.c ,tlov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
hereby affirm under penalty of perjury that.I am licensed under provisions of Chapter 9'(commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force
ind effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATIORCOVERAGE IS UNLAWFUL, Me SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDREDTHOUSAND DOLLARS 4100,0001. IN ADDITION TO THE
DST OF COMPENSATION', DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the followin¢ declarations:
I 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 in,
erfamtance of the work for which this permit is issued.. Policy No.
71 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' compensatoor
isurance carrier and policy number are:
;arrier. Policy Number Expiration Date
lame of Agent Phone fk
31 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 agra,
Tat, if I should become subject to the workers' compensation provisions of Section: 3700 of the Labor Code, I shall forthwith comply with those provisions.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
1 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 - Lender's Address
By my signature below,.I certify toeachof the following:
I am the property owner or authorized to act on theproperty 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 ordinances and state laws: relating to building construction,
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
Si nature of Pro ert-Owner or Authorized Agent Print Pro erf Owner's or Authorized Agent's g Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGuLATiONS PART 61 OF TITLE CO AND AQMO RULE
1403
PERMIT EXPIRED '1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED OEPA All required alarms, latches gates and fenceswhich serve as part of a pool /spa. barrier, shall
PERMIT EXTENDED -QMD be in place prior to approval to fill pool/spa &shall remain in place & be maintained for the
PERMIT FINAL pp ASBESTOS NOTIFICATION 15 NOT APPLICABLE To life of the pool.
CERTIFICATE OF. .01.1. IR� PROPOSED DEMOLITION