The URL can be used to link to this page

Home My WebLink AboutH2022-0486 - Permits0Q,- City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 nenewportbeachca.gov/inspections Mechanical Permit Plan Check No: Work Class : Other Issued Date : 09/15/2022 Inspection Area : 6 H2O22-0486 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: 7 LA ROCHELLE Legal Desc : N TR-9858 BILK : LOT 12 UN 65 TR 9858 LOT 12 UNIT 65 OF PROJECT LOCATED ON AP Description: MECH CHANGE OUT A/C UNIT & FURNACE `TAMPER PROOF CAP REQ* Owner: Address Phone : Applicant Address Phone: MATHEWS FAMILY TRUST Contractor:`: TRITON AIR INC 7 LA ROCHELLE #68 NEWPORT BEACH, CA 92660 Address: 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Phone: (949)492-0290 Con State Lic : 774877 TRITON AIR INC Lic Expire : 06/30/2024 1221 PUERTA DEL SOL #300 SAN (949)492-0290 Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : -MENTE, CA 92673 Bus Lic : BT30042558 .Bus Lic Expire:03/31/2023 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE Policy No: FLA01867400 W. C..Expire: 1/1/2023 2019 Fire Hazard Zone : > NO Manufacturer: AMERICAN STANDARD Model# : 4A7L6048 Front: 5, Side: 5, Side: 5, Rear: 5 X PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: a � •' eo o yJ " o o � q G.19 9® ,B al p� J6 I hereby affirm under penalty of perjury that I am exempt from the Contractors':State Ucense Law for reason(s)indicated below by the checkmark(s) I have: placed next to the applicable:Item(s) ction 7031.5. Business and Professions Code! Any city or county that requires permit to construct, alter, improve. demodsh, or repair any structure, prior to its issuance, also requires the applicant for permit to filed signed statement that heorshe 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 4essions Code) or that he or she is exempt from licenspre and the basis for the alleged exemption. Any violation of Section 7031.5 by artyapplicant fora permit: subjects the applicant to a civil penalty of morethan five hundred dollars f$50M. 1, as owner of the property, or my employees with wages as their sale compensation, will do(_) all of or U portions of the work;and the structure is not intended or offered for sale. (Section 7044, . iness and professions Code: The Contractars' State Ucanse Low does not apply to on owner of property who, through employees'. or personal effort, builds or improves tha:property,.:provided that the. ovements 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 owed for the purpose of Sala).. I: as owner of the property, am exclusivelycontracting. with licensed Contractors to construct the project (Section 7044, Business and Professforns Code., The Contractors' State License -Law does not y 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 (Tom ticensure-under the Contractors' Stale License Lawfor the following reason. _ ny signaturebelow 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 leg a structure that I have built as an owner -builder If it has not been Constructed in Its entirety by licensed contractors. j understand that'a' copy of theapplicable. law, Section 7044 of the: Business and i 4VN',I KAVI VK't! UIZV, L.AKAI IVN 11 Tn under penalty of perjury that I am licensed. under provisions of Chapter 9 (commencing With SactiO ,7 0)) o DiEANDCML f the Business and Pr, e A -ons C and license is in full force License Class License No. Dat `f fi.Contractor Signatu ' I' COMPENSATION DECLARATION .URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN SWLOYER TO ORI L NALTIES FINES UP TO ONE -NUN NOUSAND DOLLARS (4iDDA00), IN ADDITION TO THE ,ENSATIDN. DAMAGES As. PROVIDED FOR w SECTION 3706 OF THE LABOR CODE. INTEREST. AND ATTORNEY S, FEES. hereby affirm: under penalty :Ofperjury one of the following declarations: have and will maintain a-certH€Gate of consent to self -insure for workers' Compensation, issued by the Directorof industrial Relations as provided for by Section 37DO of the Labor. Code, for 'mane of the work for which this permit: is issued. - Policy No: and wilt 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: artier Policy Number Expiration Date ame,.of Agent Phone# 11 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' ompensation laws of California, and agrer tat, if I should become Nbielft to the workers' compensation provisfonsor Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. ignature of Applicant bkC' 4(t5 LZ ECLARATION REGA Of G'i:0�! uRNDIfJG AGENCY hereby affirm under pe ty of. perjury thatthere is a construction lending agency for the performance of the work for which this permit isissued (Section 309ode).. Ander's Name Lender's Address y my Signature below, I certify to each of te: Following: I am the property Owner or authorized toact on the property owner's: behalf, I have read misapplication and the information I have provided is correct. I agree to comply with all applicable city and o unt ordinances and state lows relating to building construction. f authorize representatives of this city or count t,J/yenterth ve-Identified property for inspection purposes: AGtttCu'Z- ianature of PronRrtv Owner or Authorirad Anent 7. �� Print PrnoarW fJwnar'a or RuEhnz i7ad AnenF'c Nama ��'� ACTION :DATE BY / OI�CIARAVON OF COMPLIANCE WITH CODE OF FEDERAL V REGULATIONS PART 61 OF TITLE 40 ANDAQMD.RULE Vtnmll 4ANLtLLtU • •• '; t..16.PA• • -• PERMITEXtENDED D. e PERMITFINAL •- • • ASBESIbS NO7ICATIONIS NOT APRLICABIE. TO CERTIFICATE OF �''13'2' PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: � • • w e a • ° o• °• a ee e • am• °°• ••° ' • eec ea