HomeMy WebLinkAboutH2023-0043 - Permits�wPoRT
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 01119/2023
Inspection Area : 3
H2O23-0043
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: 1706 GALAXY DR
Description: MECH NEW A/C UNIT W/ DUCTWORK
Owner: STEINER MICHAEL A TR
Address : 1560 SUPERIOR AVE STEA2 COSTA
Phone:
Applicant: REAL TIME BROS HEATING AND AIR(
Address: 11681 ANABEL AVE GARDEN GROVE,
Phone: (714)247-9928
Owner/Builder:
Address
Phone:
Code Edition : 2022
92627
Type of Construction
Occupancy Groups
Building Setbacks: Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (600i
PROCESSED BY: 7 -
SPECIAL CONDITIONS:
N TR,4224 BLK LOT 41
CAP REQ*
Contractor -REAL TIME BROS HEATING AND AIR CONDITIONING
Address : 11681 ANABEL AVE GARDEN GROVE, CA 92843
STA
)licv No
INSURANCE COMPANY
i. Hazard Zone : NO Manufacturer: GOODMAN
Model# : GSZN406010A
TIMER REQUIRED ON EQUIPMENT
dicates'minimum`lot area)
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
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OWNER -BUILDER DECLARATION
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 checkmadc(s) I have placed next to the applicable ftem(s) _
(Section 7031.5, Business and Professions Code: Any City or county that require" perfnit to construct, alter,; improve, demolish, or repairanygtructure, prior to its issuance, also requires the applicant for
the permit to file a signed statament that he or she,is licensed pursuant to the provision,$ of the Contractors' State License Law (Chapter'9 (commencing with Section 7000) of Division 3 of the Business and
Professions Cade) or that he or she is exempt from Icensure, and the basis for the alleged exemption, Anyviolation of Section 7031.5 by applicant for a permit subjects theappDicant to a:civil penalty of
not more than five hundred dollars ($50D):-
I, as owner of the property,:. or my employees with wages as their sole compensation, will dog (_)all of or (_)portions of the work, and the structure Is not intended oroffered '-for sale (Section 70d4,
Business and Professions Code: The Contractors' Stare 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 improvementis sold within one year of comp1etron, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
13 I.as owner of the property, am exclusively contracting with licensed Contractors to construct the project 7044, Business and Professions Code: The Contractors' State License Law does not
11 :
e under the Contractors' State License Law for the following reason: I am exempt from li
a to an owner ofpropertywho builds or improves thereon, and who.. contracts for the projects with a licensed Contractor Pursuant to the Contractors" State License Law).
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the im provements covered by this permit, I Cannot legal)
sell a structure that I have built as an avmervbuildor if it has not been constructed in its eMirefy by licensed contractors. I understand that copy of the: applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site.hfto/twvdw.Ieginf .ca.govicalaw.html.;
Signature of Property Owner or Authorized Agent Date
LICENSEE? CONTRACTOR'S DECLARATIONI hereby affirm under penalty of
and effect.
f fecRS License
lass ONnL1ECLAiiATIQI+f ury that I am licensed under
L License
provisions of Chapter 9 (aommericing with Se Date D If/�v 10,2Z � Contractor Signature fes l s Cb no is in full force
WARNING:WOR
FAILURE TO SECURE WORKERS COMPENSATION CGYERAGE IS UNLAWFUL, AND $HULL SUBJECT AN EMPLOYER TO CRWK PENA4T�PINES UP TO:ONE HUNDRED THOUSAND OOL as ISi 00,000), IN ADDmON.TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED. FOR IN SECTION 3706 OF THE LABOR COMRITER EST, AND ATTORNEY°& FEES.
I hereby affirm under penalty of perjury one of the following: declarations:
t have and will maintain 4 certificate of consent to self•insure for workers' compensation, issued by the Director of industrial. Relations as provided for by Section 3700 of ine Labor Code, for fit
performance of the work for which this permit is issued. Policy No,
Vhave 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. My workers' compensatio
surance carrier and policy number are:
Carrier Policy Number.. Expiration Date
Name of Agent I Phone #..
I certify that, in "the p rfor once of the work for which this permit Is Issued. I shall net employ any parson many manner so as to became subject to the workars`c pensation Taws of Gaiffamla., and ogre.
that, if I should become u je it to the worker ` com ravislans of Section 3700 of the Labor Code, (shelf forthwith: comply with those provisions.
Signature of Applicant I Date
DECLARATION REGA DINID GONE UCTION a DING AGENCY
I hereby affirm under penalty of perjury that itt is construction Tending agency for the performance of the: work for which'. this permit is.. issued (Section 3097, CIA Code),
Lender's Name:.. tender's Address
By my signature below, I certify to each of the. following::
Ism the property owner orauthorizedto Sci an the property owner`s behal€.
t have read this application: and the information I have provided is corrocs.
I agree to comply with all applicable city and county ordinances and state laws, relating to binding construction.
I authorize representatives of this city or cc to ent -.. f e flfied property for inspection purposes. �](v (1r I-2- .Date I lf5' f 2�
Signature of Property Owner or Authorized Ape' n( • • • • • • • • • • • • Print Pro Owners or Authorized A g ent's Name Yir(7Q� �"
ACTION DATE. _ BY DE(:ARA^Of OM I ITH Oa Or FEDERAL FOR OFFICE USE ONLY
R#G00 ATI0i% I>AWr'61 flF TITL! ddAMOAQMD RULE
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.PERMIT EXPIRED ISUa ED CE"t NOTV(?ATJC4J TO
PERMITC4NCELtED EPQ • i ••i • •• ••
PERMITEXTENDED MD • • • •••
PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF ,7,q.Z�J PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:.