HomeMy WebLinkAboutH2022-0576 - PermitsWpo,, City uof Newport t Beach nt- Building ing DivisionCommnt DevelopmenDepartmeoFO100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
III I I I II I II I II II I IIII II
Inspection Requests Phone: (949) 644-3255
CLnewportbeachca.gov/inspections
Mechanical Permit : H2022-0576
Plan Check No : 1052-2018
Work Class : Other
Issued Date : 10/18/2022
Inspection Area: 1
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 : 506 CLUBHOUSE AVE Legal Desc : A TR CANAL SECTION BLK 532LOT 1 CANAL SECTION LOT 1 BLK 532 ALL -INC POR OF ST
Description: MECH (2) NEW A/C UNITS ON ROOF *TAMPER PROOF CAPS REQ* ..
Owner: JONATHAN GARG
Contractor?-
Address : 27621 HIDDEN TRAIL RD LAGUNA HILLS, CA 92653
Address
Phone : (949) 510-0417
Phone :
Corr State Lie
Applicant: JONATHAN GARG
Lie Expire
Address : 27621 HIDDEN TRAIL RD LAGUNA HILLS, CA 92653
Bus Lie:
Phone : (949) 510-0417
Bus Lie Expire:
Workers' Compensation Insurance
Owner/Builder: JONATHAN GARG
Carrier :
Address : 27621 HIDDEN TRAIL RD LAGUNA HILLS, CA 92653
Policy No:
Phone : (949) 510-0417
W. C. Expire:
Code Edition : 2019 .Fire Hazard Zone : NO ' Manufacturer: LENNOX
Type of Construction :
Model# : ML14XC1
Occupancy Groups:
Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 5
Flood Zone : X
TIMER REQUIRED ON EQUIPMENT
Use Zone: R-2 - Two -Unit Residential
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
PROCESSED BY
SPECIAL CONDITIONS:
SUBJECT TO FIELD INSPECTOR'.�"a
REVIEWAND APPROVAL °°° °°°
I hereby affirm under penalty of perjury that I am exempt from the Contraclors'. State License Law for the reason(s). indicated below by the checkmark(s) I have placed next to the applicableitem(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 theapplicant for
he permit to file a signed statement that: he or she is licensed pursuant to theprovisions of the Contractors' State. License Law (Chapter$ (commencing with Section 7000) of Division . of the Business and
'rofessions Code) or that he or she is exempt from ticensure 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
lot more then five hundred dollars ($500)..
1 1, as owner of the property, or my employees withwages as. their sole compensation, Will do L) all of or L) portions of the work;and the structure is not: intended oroffered for sale (Section 7044,
usiness and Professions Gods: The Contractors.State License Law doesnot apply to anownerof property who, through employees' or personal effort, buildsor improves: he property, provided that the
mrovements are not intended or offered for sale. If, however, the building or impravement is sold within one year of cc piston, the Owner -Builder will have the burden of proving that it was not built or
riproved for the purpose of sale).
I, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 70, 4, Business and Professions Code: The Contractors' State License Law does not
ly 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):
..t I am exempt from licensure under the: Contractors State License Law for the following reason:
iy my signature below F acknowledge that, except r my personal residence in which I must have resided for at least,O a year prior to completion of the improvements cover d this permit, I.cannot legalli
oil a structure that I have built as an ow uZIluildar it h rat bean cans ructe _ in Its entirety by licensed`eontractars. I understand that a copy of the applicable taw, Sectio 7 4 of the Business and
'rofessions Code, is available upon request when th tion I sub led rat the following Web sita:Mp:]Aw�w.leginfo.(;a.gov/calawhtmi, fj -. $ - 'Zp2Z2
signature of Property Owner or Authorized Agent. Data
.ICENSEA CONTRACTOR'$ DEC DRAT ON
hereby affirm under penalty of perjury that i am its Bed er provisions of Chapter 9.(commencing wifh54c11on7000} of Division 3 of the Business and. Professions Cod , a d my license is. in full force
nd effect. License Class icense. No Date I Contractor. Signature
WORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PE I.ALTIES AND CIVIL EWES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100:0041, IN ADDITION TO THE
DST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE&
hereby affirm under penally of perjury one of the following declarations:
J 1 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 th,
orformance 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 Cade, for the performance of the, work for which this permit is issued. My workers' compensatoor
isurance center and: policy number are:
:amer policy: Number. Expiration Date
lame of Agent. Phone #
'II certify that, In the pe arm ce of the work for which this permit is issued, !.shall not employ any person in any mann"""e���"""r so as to became subieC' the work rs' a mpensatlon laws of California, and agra,
tat, if i should become s bj. o hehe wbrke do provisions of Section 3700 of the Labor Code,: I shall forth Y�ith comply giththose provisk9ns.
lignature of Applicant Date �0
iECLARATiON RE.CaAP N 1 STR CTION LENDI AGENCY
hereby affirm Under p Mayo rjuryt. at there is a: construction lending agency for the performance of the work for wifiichthis permit is issued (Section 3097;CIvi ride).
enders Name Lender's. Address
ly my signature below, t Certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct
I agree to comply with allapplicable city and Qpounty ordinances and state laws relating to building construction.
I authorize representatives of this city or courity e rtheabove-idgntifiedpr arty for inspection purposes. (IOhy,(. olh �a°o� ��
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ACTION
DATE
By/ CLARA ON OF COMPBIANCE SMITH CODE OF FEDERAL
FOR
R iATI NS PARY61 OFTITLF. Qfl AND:A4MD RULE
J/
1403
PERMIT EXPIRED
•. • ISUBMITTE"WRW5i6S NOTIFICATION TO
PERMIT CANCELLED
• • • • Ems._:.
PERMIT EXFENDED
• • • QMD
PERMIT FINAL
( 3D2
ASBESTOS NOTIFICATION 15NOT APPLICABLE TO
J
CERTIFICATE Of
PROPOSED DEMOt.iTtON.
OCCUPANCYISSUED
••• • SIGNATURE:••• ••
s • e e • ee • e
s o 0 o e e
eee ee eo e e Coe eo
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