HomeMy WebLinkAboutH2022-0443 - Permits (3)�gWPORT City of Newport Beach III I I
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Mechanical Permit H2022-0443
II I II II�II IIII II
p4 „� "I Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : 2940-2021
-T Permit Counter Phone: (949) 644-3288
Work Class : Other
m. Inspection Requests Phone: (949) 644-3255
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-Date:
newportbeachca.gov/inspections
Issued 08/24/2022
Inspection Area : 3
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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: 1111 CLIFF DR
Legalpesc : N TR 1219 BLK'BLOT 3
Description: MECH INSTALL A/C UNIT @ SIDE YARD. **TAMPER
RESISTANT CAPS & TIMER REQUIRED** (X2021-3376)
Owner: GARY CONWELL
Contractor: ZALAR'HOMES
Address : 2273 COLUMBIA DR COSTA MESA, CA 92626
' Address: - 17935 SKY PARK, G IRVINE, CA 92614
Phone:
_ Phone: ,(714)853-9696
Con State Lie : 1071867
Applicant : ZALAR HOMES
Lic Expire :: 12131/2022.
Address : 17935 SKY PARK, G IRVINE, CA 92614
Bus Lie: BT30074051
Phone: (714)853-9696
- Bus Lic Expire:01/31/2023
Workers' Compensation l Insurance
Owner/Builder:
Carrier:
Address :
Policy No :. EXEMPT
Phone:
_ W. C. Expire: '
Code Edition: 2019
Fire Hazard Zone : N - Manufacturer: AMERICAN STANDARD
Type of Construction :
' Model# : 4A7A6048C
Occupancy Groups:
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10.
Flood Zone: X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: {/,
TIMER REQUIRED ON EQUIPME
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
o
1• • P J � J!
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I em exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
3scton 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 ilia applicant for
is parmit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors` Stato License Law (Chaplor 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensors and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a Civil penalty of
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, w [I do L) all afar L) portions of the work, and the structure is not intended or offered for sale (Section 7044, -
'usmess and Professions Cade: The Contractors' State License Law does not apply to an owner of property who, througtj employees' or personal effort, builds or improves the property, provided that the
nprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of con,pleLlon'., the Owner-Buildervdll have Ilia burden of proving that It was not built or
nproved for the purpose of sale(,
1, as Owner of Ilia property, am exclusively contracting with licensed Contractors to construct the project (Section 704�, Business and Professions Code: The Conlreclors' State License Law does not
ply to an owner of property who builds or improves thereon, and who contacts 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: _ _,,__ I
,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least impcovemonls__ covered_ by this permit I cannot legell)
ell a structure that I have built as an owner-bohdar 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
�rofasslons Code, is available upon requestwhen this application is submitted or at the following Web sita:httpalwww.loginfo.ca.govtcalaw.html.
signature of Property Owner or Authorized Agent I Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I ant licensed under provisions of Chapter 9 (commencing with Section 70 0) I f iVISIo 3 Cf the Business and Pr de, an my n licel' ift full force
nd effect. License Class License No Dale 7-% Conlra:ctor Signat -
YORKERS' COMPENSATION DECLARATION:
:'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION': COVERAGE IS UNLAWFUL,. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OFTNE LABOR CODE, INTEREST. AND ATTORNEYS FEES..
hereby affirm under penalty of perjury one of the following declarations:
I 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director f Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
erformance of the work for which this permit Is issued. Policy No,
Ithave and will maintain workers' compensation insurance, as required W Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensalior
Isurance carrier and policy number are:
Policy Number
of Agent
Date
�L reify that, in the performanca o for which this panniE is issued, shall not employ any person In any mannei so as to become subject to the workers' compensation laws or California, and ogre
(� hat, if I should became o the workers' co ansati0 vista. action 37OG of the Labor Code, I shall forthwith comply with those provisions.
Signature of, pp can Date,2<teLlzq /._.2.--....._�..,..._____
DECLARATION RE STR ON L '.DtNG AGEN
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which His permit Is issued (Sectlon 3097, Chris Code),
Lender's Name Lender's Address
By 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 I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or count to e a ova-iden led pro or lnspectlon purposes.
ISIgnature of Pro a Owner or Authorized A en Print Property Owner's or Authorized A ent's Name t Gvi- Date ( �C
ACTION DATE RY CLARATION OF COMPLTAftCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART SS Of TITLE- 40 AND AQMD RULE
PERMIT CANCELLED �------77Q--tCEPP-•A All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMIT Exr€Nr7EE_ i QMD ba In place priortD approvalto tilt pool/spa & shall remain In place & he maintained for the
PERMITFINAL • •'3.1` • • • ••• �C""�•••"'( ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool
CERPFiCATE OF • • • • • • •PROPOSED DEMOLITION
•
s e
Fee Name
Transaction Date Payment Method
Building
Boilers and Compressors 4-15 HP Fee
Building Plan Check Fee
Issuance Fee
OTC Plan Check Fee - Planning
GRAND TOTAL:
PERMIT FEE DETAILS FOR PERMIT H2O22-0443
Fee Amount Fee Paid Amount
Trans. Paid Amount Paid By
$40.00
$0.00
$34.80
$0.00
$39.00
$0.00
$53.00... ,.
$0.00
$166.80