HomeMy WebLinkAboutH2022-0692 - PermitsO��tivVPpRA City ofNewport
Development porBeam"nt-Building Division III IIIIII III IIIIII IIIIII Mechanical Permit:H2O22-0692
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100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
U r Permit Counter Phone: (949) 644-3288 i,
fie.. Inspection Requests Phone: (949) 644-3255 ®.a, Work Class : Other
C'aLlFORH�P newportbeachea.gov/inspections ' d �'' `�' wY ! Issued Date : 12108/2022
'~�' t 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: 511 POINSETTIA AVE, 1/2 Li
Description: MECH: INSTALL (N) A/C UNIT @ BALCONY ***T
Owner:
FARAMARZ MOKHTARI
Address :
4501 SURREY DR CORONA DEL MAR, CA 9262
Phone:
(310) 350-6930
Applicant :
ROJAS AIR CONDITIONING
Address :
2429 RAMONA DRIVE SANTA ANA, CA 92707
Phone:
(714)640-9267
Owner/Builder
:
Address
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2019
Front: 20, Side: 3, Side: 3, Rear:
X
R-2-TTwo-Unit Residential
I✓-5
SPECIAL CONDITIONS: HIGH DENSITY ZONE
11
Contractor : , ROJAS AIR CONDITIONING
Address : ` 2429 RAMONA DRIVE SANTA ANA, CA 92707
Phone: ;(714)64p-9267
Con'State,Lie: 10360 t
Lie Expire :j 02/29/2024
Bus Lic :,° BT3407$$'79
Bus Lie Expire:10/31/2023
Workers' Compensation Insurance
-
Carrier : t. EXEMPT '-
,. Pdlicy No :. _ EXEMPT
W. C, Expire
Hazard Zone Manufacturer: AC PRO
' Model# : AULD36W2/A-D(U)
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I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(Seaton 7031.5, Business and Professions Coder 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 Plea signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and
Professions Coda)or that he or she is exempt from llcensure and the basis for the alleged exemption. Any violation. of Section 7031.5by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
0 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not Intended or offered. for sale ($action 7044,
Business and Processions Code: The Contractors' State License taw 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-Builderwill have the burden of proving that it was not built or
ffI roved for the purpose of sale).
Lt 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 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 licensors, under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residenca 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 I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy*( the applicable law, Section 7044 of the Business and
Professions Code, Isavallable, upon request when this application la submitted or at the following Web site:httpJt www.leglnfo,ca,govtmlaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'$ DECLARATION
I 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 Profgg;t!))n ode, and_avt4kxmn 1.
in full force
and effect License Class License NO Data7ZContractor Signature/
WORKERS' COMPENSATION DECLARATION 11` J
IR UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRSARAL PENALTIES AND CINTL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO
OF THE. LABOR CODE, INTEREST, AND ATTORNEY'& 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
ormance of the work for which this permit is issued. Policy No.
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. Roy workers' compensal
Trance carrier and policy number are.
Policy Number
Date
e of Agent Phone #
;artily 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 agre
If I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ature, of Applicant X�/� Date
hereby atfkm Ladao �enalty of
endgrs Name
lending agency for the performance of thework for which this permit is issued (Sectlon 3097, Civil Code).
Lender's Address
rrrl 1 am th#:)"2". caner or authorized to act on the property owner's behalf.
. • • ,I have read ihloapplication and the information I have provided is correct.
r' j; I agree to ggAWy with all applicable city and County ordinances and state laws relating to building Construction.: y�
•, •� 1,puIhorl `sI TAp 19entagves of this city or county' o en • 'eve-identlflad propart aspect€on purposes. / \
°• SI alure of Owner or Authorize Agent - Print Property e Owner's or Authorized Agent's Name Date Z—k
K PN ••,r .. • DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
'• • °.°.°.' REGULA11ONS PART 510E TITLE 40ANOAQMD RULE
a°•. im<
NOTIFICATION IS NOT APPLICABLE TO
V.