HomeMy WebLinkAboutH2023-0200 - Permits�gWPORT City of Newport Beach III I I I II I III II II I I II II II Mechanical Permit
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
> i Permit Counter Phone: (949) 644-3288 Work Class : Other
.a.Inspection Requests Phone: (949) 644-3255
C4�(F00.��P Issued Date : 03/24/2023
newportbeachca.gov/inspections
Inspection Area : 8
H2O23-0200
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: 541 CATALINA DR Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 30 LOT 14
Description: MECH - SFR INSTALL (1) FURNACE IN ATTIC AND (1) HEAT PUMP *TAMPER -PROOF CAP AS READ.
Owner:
DAVID FINCH
Address :
541 CATALINA DR NEWPORT BEACH, CA 92663
Phone:
Applicant:
A C COOL INC
Address :
1116 W COLLINS ORANGE, CA 92867
Phone :
(714) 720-3938
Owner/Builder
:
Address
Phone:
Code Edition :
2022
Type of Construction
Occupancy Groups:
Building Setbacks:
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone:
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY: `I.
SPECIAL CONDITIONS:
Contractor : A C COOL INC
Address :
1116 W COLLINS ORANGE, CA 92867
Phone :
(714) 720-3938
Con State Lic
: 804056
Lic Expire :
01/31/2024
Bus Lic :
BT30042073
Bus Lic Expire:01/31/2024
Workers' Compensation
Insurance
Carrier :
SIRIUS AMERICA INSURANCE COMPANY
Policy No:
46234
W. C. Expire:
6/1/2023
Fire Hazard Zone : NO Manufacturer: CARRIER
Model# : 38 MURA
liz
TIMERS PROHIBITED
ON HEAT PUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
(Sectlon 703L5. 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
the permit to file a signed statement that he or she is licensed pursuant le the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
13 I, 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 notintended or offered for sale (Section 7044,
Business and Professions Code. The Contractors' State 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 improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of Sala).
I, as owner of file 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 [(censure under the Contractors' State License Law for the following reason:
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 improvements covered by this permit, I.cannot legall
sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, $action 7044 of the Business and
Professions Code, is available upon request when this application Is submitted oratthe following Web sits:httpalwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S 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 Profession a no my IIPQse is in full force
and effect. License Class License No Date A - LM • L't Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO -,,r0'P1E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
COST OF COMPENSAI,ON, OAF.AGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
11 1 have and Wti' me'rlain 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
performanre of the work for which this permit is issued. Policy No.
1 have and will rr.aintaia 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
ins' Ira -Ice ^.arrler and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone If
❑I rerHty 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
the., if I should became ..ubject t w an n provisions of Section 3700 of the Labor Code, I -shall forthwith comply with those provisions.
Sigau:L;:L,r[Appli_ I i DeI • Zry
DEC L6gATION RCCAR G CONST. UCTION ENDING AGENC
I hereby affirm unuer pet salty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 properly owner's behalf.
I have read thisapplication and the information I have provided Is correct.
I agree to comply Willi all applicable city and county oidi es od stake la% elating to building construction.
I authorize representatives of this city or county to er t ant led p r y for Inspection purposes. ) ��
Si nature of Pro ert01 oerar Authorized A ens Print Property Owner's or AuthorizedA Agent's Namef r- Dot'^L''r4. Date
ACTION DATE BY DECLARATION OF COMPLIANCE ITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART El OF TITLE 40AND AOMD RULE
1403
PERMIT LXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLEO 13EPA _
PERMIT EXTENDED L1AQMD
PERMITFINAL L4- F?sl ASBESTOS NOI'IPICAT19 NOTAP' IC LE TO
CERTIFICATE OF RROPpSED OE !V
OCCUPANCY ISSUED 516NATURE 1