HomeMy WebLinkAboutH2022-0344 - PermitsCity of Newport Beach
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Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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:
Inspection Area: 4
H2O22-0344
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: 2927 PERLA Legal Desc : N TR 7167 BILK LOT 36
Description: MECH: INSTALL HEAT PUMP "TAMPER RESISTANT CAPS REQUIRED; TIMERS PROHIBITED"
Owner : MAR16 & CARLOS POLIT
Address : 2927 PERLA NEWPORT BEACH, CA 92660
Phone : (949) 683-1426
Applicant: SOLSTICE HEATING & A/C
Address : 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone : (949) 573-3607
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks:
Flood Zone
Use Zone:
PROCESSED BY
X
R-1 - Single -Unit Residential
-B_-5
Contractor : SOLSTICE HEATING & A/C
Address :. -
310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone:
(949)573-3607
Con State Lic :
938888 °
Lic Expire :
10/31/2023
Bus Lic :
BT30041721
Bus Lic Expire
02/28/2023 °
°
Workers' Compensation
Insurance
Carrier :
SECURITY NATIONAL INS CO
Policy No : SWC1376786 °
W, C. Expire-: 3/19/2023 ,
°
Fire Sprinklers : NO _ Manufacturer : AC PRO
Fire Hazard Zone : Y. - - - Model# : AULD60W/A-D(U)
LDER
I hereby affirm under penally of perjury that I am exempt from lire Contractors State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable itern(s)
(Section 7031.5, Business and Professions Code: Any city or county the( requires a permit to construct, alter, Improve, demolish. or repair any stwOura, prior to Its issuance, also requires the applicant for
the permit to file a signed statement that [is or she is Iicdnsod pursuant to the provisions of the Contractors' State License Law (Chapter 9 (eommanoing 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 for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($600).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) elf of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Cade. The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the properly, 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-BuRder will have the burden of proving that it was not built or
Improved for the purpose of sale),
13 L as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' StWeLicensa Law dons not
apply to an owner of property who bulids or improves thereon, and whe contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
LJ I am exempt from licensure under the Contractors' Stale 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 or the in
sell a structure that I have built as an owner -builder if it has not been constructed in Its entirety by licensed contractors. f understand that a copy of the appi
Professions Code, is available uponrequest when this application is submitted or at the following web site:.httpahwway.legEnfo.ca.govlcelaw,html.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wlth Section 7000)gf Ivi Ian 3 of the Business and
and effect. License Class License No Date F U Z Z Contractor Signa
WORKERS' COMPENSATION DECLARATION
low, Section 7044 of the Business and
_ at0 _D
Ision --ode. and,fnv license is In full force
rARNING: FAILURE TO arc-`ta WORKERS" COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN. EMPLOYER'. TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (§1Utl,u0tll, IN ADtaTION TO THE
DST OF COMPENSAI ION, DAhAGES AS PROVIDED FOR IN SECTION 3Ta6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hnr±'ry aNrm under penalty of perjury one of the following declarations,
7 I have and wiz maintain a certificate of consent to self -insure for workers' compensatlon, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for [hc
e.fo;mec.o of the work for which this permit is issued. Policy No.
have and will Iaainta'n 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'
rdnce carrier and policy number are!
Policy Number
e of Agent
Date
3: LcC'f,'ihat, 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 Califomla, and agre,
-a[, if I mould be,omL ; ulbjaf to the works compensation provisions of Section 3700 of the Labor Code, I shall forthwith camplywith those provisions.
ignau.re of Applicant %� / Dal eK �'ff'lZ-
ILCU.RATION RECAkDING CO STRUCTIO—LENDING AGENCY
hereby affirm under psnalty of perjury that there Is a construction lending agency for the perfarmance of the work forwhich this permit is Issued (Section 3097. Civil Code).
enders Name Lender's Address
y 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 appiicable city and county ordinances end state laws relating to building construction.
I authorize representatives of this city or county to ante( the a �bov,4iidentlfied�property for Inspection purposes. / /
tonalure of Property Owner or Authorized Anent K, ante the
/�T-�/ Print ProoerN Owner's or Authorized Aaent's Name i'� S J � n 4 (I. �� e1 Z, Date 7:" I fl /7
ACTION DATE BY CE WITH CODE OF FEDEI ftEGUTATIONS PARTO6I OF TITLE EAO AND ACIMD RUE
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DEPA
PERMIT.W,NDED
10MD-
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I
ASgE5FOS NOTIFICATON IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool