HomeMy WebLinkAboutH2022-0590 - PermitsCity ofNeepot Beach
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Mechanical Permit : H2O22-OJ90C
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Development mnt-Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No
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Permit Counter Phone: (949) 644-3288
Work Class: Other
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
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Issued Date : 10/21/2022
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 : 8 VIA AMANTI Legal .Desc : N TR 16266 BLK LOT 2 UN 11 TRACT 16266, LOT 2 OF PROJECT 936 -47 LOCATED ON
Description: MECH: REPLACE A/C UNIT & COIL @ REAR. "TAMPER RESISTANT CAPS &;TIMER REQUIRED "*
Owner: CAROLIN MORGAN
Contractor is PLATINUM REPAIR INC
Address: 8 VIA AMANTI NEWPORT BEACH, CA
Address: " '11647 SWINTON
AVE GRANADA HILLS, CA 91344
Phone: (949)735-2090
Phone: -I (818)435-4442
Con State Lie: 991373 G
Applicant: PLATINUM REPAIR INC
Lie Expire 03/31/2024
Address : 11647 SWINTON AVE GRANADA HILLS, CA 91344
Bus Lie: BT30069872
Phone: (818)435-4442
Bus Lie Expire:11/30/2022
Workers' Compensation Insurance
Owner/Builder :
Carrier : STATE COMPENSATION
INSURANCE FUND
Address :
-: Policy No: 9092354
Phone:
W. C. Expire 3/14/2023
Code Edition : 2019 Fire Hazard Zone: , NO Manufacturer: CARRIER
Type of Construction :
Model# : CA15NA0480OG
Occupancy Groups:
Building Setbacks
Flood Zone : X
Use Zone: PC - Newport Ridge
TIMER RELi;iRED ON EQUIPMENT aaa•o•
TC SHa cT;)gP BETWEEN10 P.M.- AND 7 A.PV. °m...°
PROCESSED BY: ly
SPECIAL CONDITIONS:
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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)
(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 applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractare' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a 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 wages as their sole compensation, will do L) all of or (_,) paRions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business 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
improvements are not intended or offered for sale. if, however, the building or improvement is sold within one year of completion, the Owner-Bufider will have the burden of proving that it was not built or
improved for the purpose of sale).
ri 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 properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Conractors State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below f 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
sell a structure that 1 have built as an owner-huiider if it has not been constructed 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 request when this application is submittedorat the following Web site:http:tlwww.leginfo,ca.govlc law.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm Under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Divi ' IT 3 of the Business and Professions nd' a is area
and effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION /
FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTI S AND CIVU. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1I00,000),. IN ADDITION TO THE
'.OST OF COMPENSATION, MANAGER AS PROVIDED FOR IN SECTION 0T00 OF THE LADOR CODE, INTEREST, AND ATTORNEYS 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, forth
arrformence of the work for which this permit Is issued. Policy No.
5 have and will maintain workers' camp salon insurance, as required by Section 3700 of the tabor Cede, for the performance of the work for which this permit is Issued My workers compensation
isurance earn ran policy n r are:
:amenP r /IL Policy Number �Q � � Expiration Date
Jame of Agent Phone #
3) certify that, In the performance of thaw for this tt is issue all not any parson in an ner so as to became subject to the workers' compensatfort laws a alifomfa, and ogre
tat, if t should become subject to the ensaf or vista e.tion " at t abo s7'fiall rorthwith cemply with thane provisions.
fignadure pREGt C%GC r 7 ` � Date,..
tECLARATION REGARDING C TRUCTtON LENDING GENCY /
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).
enders Name Lenders Address
ly my signature below, I certify to each of the following;
I am the prgperty ,owner or authorized to act on the property owner's behalf.
I have reael N1t98trlicallon and the Information I have provided is earn cL
�I apme to combs with all applicable city and county ordina a - tarp I releli I nstruction.
• 1 authorize, representatives of this city or county to ante Idyl( ectfon purposes. a J -) r /
.I• • AC'ftON ( DATE € BY DECLARATION OF�OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
• •�: 1€ REGULATIONS PARTfii.OFTITLE 40AND AOMD RULE
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. REIRMITEXPIRES--__I ISUBMITTED AS9ESTOS NOTIFICATION TO
• PERHYTFINAL. .-• L'ASBESTO5 NOTIFICATION IS NOT APPLICABLE TO
• CFf VIL'ATE OF•• • 9 �[ PROPOSEO DEMOLITION
• Sd�C UPANCYfS9VED•• 1t� I SIGNATURE: