HomeMy WebLinkAboutH2022-0550 - Permits�EwPo�r City of Newport Beach III I I I II I II I II IIII II II II Mechanical Permit : H2O22-0550
p� d Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1031-2021
Permit Counter Phone: (949) 644-3288 Work Class : Other
e« Inspection Requests Phone: (949) 644-3255
C9l./FppN�� newportbeachca.gov/inspections Issued Date:
Inspection Area : 4
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 : 5 RUE BIARRITZ
Legal Desc : N TR,7809 BILK LOT 24
Description: MECH -INSTALL A/C CONDENSER & PUMP. TAMPER -RESISTANT CAP REQ'D
Owner: JIAHUI LI
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Contractor-
.BRYCE HEATING & A/C
Address : 30781 VIA CONQUISTA SAN JUAN CAP RANO,u
Address :
PO BOX 2249 RIALTO, CA 92377
Phone :,p
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Phone :
(949) 929 1741
Applicant: BRYCE HEATING & A/C
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Con State Lie
Lie Expire
: 669545
05/31/2023
Address : PO BOX 2249 RIALTO, CA 92377
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Bus Lie:
BT30065 19
Phone: (949) 929-1741
:Bus Lie Expire:11/30/2022
Workers' Compensation
Insurance
Owner/Builder :
Carrier : `
HARTFORD FIRE INS CO
Address :
Policy No:
72WECABl FHU< '.
Phone:
' W. C. Expire:
2/7/2023
Code Edition : 2019
fire Hazard Zone : NO
Manufacturer : CARRIER
Type of Construction :
Model# : 48VLUE600903TP
Occupancy Groups:
Building Setbacks : Front: 10, Side: 5, Side: 5,
Rear: 15:.
Flood Zone : X
Use Zone : PC - Big Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
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I hereby affirm under penalty of perjury that i am exempt from the Contractors:'$tate License Law for the reason(s) indicated below by the checkmark(s) I have. placed next to theapplicableItem(s)
9eotlon T031.5, 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
us permit to file a signed statement thet he or she is licensed pursuant to the provisions of the; Contractors' Stale License Law (Chapter 9 (commencing with $action 7000) of Division 3. of the Business and
'rofessions Code) or that hear she is exempt from lioansure and the basis for the alleged exemption. Any violation of Section7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
at more than five hundred dollars ($500).
3 I as owner of the property, or my employees With wages as their sole compensation, will do `) all of or (;) portions of the work, and the structure Is not intended oroffered for sale (Section 7044,
iuseess and Professions Code! The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, buildsor improves tree property, provided that the
nprovements are not intended or offered for sale. if, however, the-buildingor Improvement is Sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
n roved for the purpose of sale).
L as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section7044, Business and Professions Coda: The Contractors' Slate 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).
I am exempt from licensure under the Contractors' Skate License Law for the following reason _
Iy my signature below I acknowledge that, except for my personal residence in which I must have resided for least one year prior to completion of the improvements covered by this, permit, I cannot legalll
nit a structure that I have built as an owner-bullder 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
Rrofessions Code, is available upon request when this application is submitted or at the following Web site:http:ltwww.leginfo,ca.govicalaw.html.
iignature, of Property Owner or Authorized: Agent Date .
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000).of Division 3of the Business and. Pr essio s Cage,d my li Is in full force
nil effect. License Class License. No Dot Contractor Signatur51
VORKERS' COMPENSATION DECLARATION
TANNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE, IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($400,000),. IN ADDITION TO THE
_.
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $TO$OFTHE LABOR CODE, INTEREST, AND pTTORNEY'SPEES.
hereby affirm. under penalty of perjury one at the following declarations:
I have end w ll maintain a certificate of consent. to self -insure for workers' compensation, issued by the Director. of Industrial Relations as provided (or by Section 3700 of the Labor Code, for th
a rmance of the work for which this permit: is issued. Policy No.
3 flave 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' componsatioi
I ante, carrier and policy number are.
tier Policy Number Expiration Date
re of Agent Phone # _
certify that, in. the performance of the war hich this permit is issued. I shall not employ any person in any manner so as to became subject to the workars` compensation laws of California, and ageei
t, If I should become subject t the work , campansaIt n provis ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REGAL UCTIDN i AGENCY
rreby affirm under penalty of parjurythatiher is $construction landing agency far the parformanco of the work for which ihis: pemlitls issued (Section 3097, Civil Code),
idors Name Lender`s.. Address -
my signature below, I 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 f have provided is Carre
t agree to comply with all applicable city and County ordinances sari a laws relating to building construction.
I authorize representatives of this city or county to armor the abov denllfied pro__Rerty for inspection purposes. �� M//e e A n 4 v
DATE
EXTENDED
CERTIFICATE Or
OCCUPANCY ISSUED
140A
PARTSI
40
)S NOTIFICATION (S NOT APPLICABLE TO
DEMOLITION.....
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