HomeMy WebLinkAboutH2022-0430 - Permitse��WPORr City of Newport. Beach
p Community Development Department- Building Division
> y 100 Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cq�rFoaN`P newportbeachca.gov/inspections
II II IIII III Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 08/17/2022
Inspection Area : 2
H2O22-0430
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 : 1600 SANTANELLA TER Legal Desc : N TR 1701 BILK LOT 85
Description: MECH - R/R F.A.U. & COIL/CONDENSER. TAMPER -RESISTANT CAP REQUIRED
Owner: WANGLIN HU
Address: 1600 SANTANELLA TER NEWPORT BEACH, CA 92660
Phone:
Applicant : Aura Energy Compliance
Address: 5186 SANDBAR COVE WAY San Diego, CA 92154
Phone: (714)804-8886
Owner/Builder :
Address:
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups :
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
Fire Hazard Zone : N
Contractor: ROCKLIN HEATING &AIR
Address :
5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765
Phone :
(916) 626-5151
Con State Lic:
959466
Lic Expire:
09/30/2023
Bus Lic:
BT30074728
Bus Lic Expire:03/31/2023
Workers' Compensation
Insurance
Carrier :
EMPLOYERS PREFERRED INS CO
Policy No:
EIG4913614
W. C. Expire:
1/1/2023
Manufacturer: BRYANT
Model# : 105A
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 checkmark(s) I have placed next to the applicable item(s)
(Section 7031.6, 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
file permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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 licensure 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 ($500).
111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of Or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply Iq 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 sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and. Professions Code: The Contractors' Stale License Law does not
apAly to an owner of properly 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 liaensure under the Contractors' Slate License Law for the following reason
By my signature below[ 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 Iegall)
sell a structure that I have built as an owner -builder if it has not been constructed in its atu roty by licensed contractors. I understand that a 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:http:iiw w.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (Commencing. with Section_7000) of D'tvQ i ion 3 of the Business and ProfesslciriE quDnd_my license is in full farce
and effect. License Class License No Da EX 1 .2—Contracter Signal
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury am of the following declarations:
0 I have and will maintain 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
ltgrArrnIII of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
lame of Agent Pnane A
31 certify 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
let, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ignature of Applicant ..�,._ ,,..__ __,�., Da Let_
IECLARATION REGA ING CONSTRUCTIGN LENDING AGENCY
hereby affirm under penalty 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).
endm's Name Lenders 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 applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to t above -identified property for Inspection purposes.
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
RFUULATIONs PART Et OFTITLE 40 AND AQMD ROLE
PERMIT EXPIRED
j U I SURMITTED ASRF_5T05 NOTIFIC'.TION -0
All required aJrms, latches gales and fences which 5@N@ a5 part Of a pool/3pai7arrier, Shall
be In p*2 prior to approval to fill pool/spa &.shall remain in place & be maintained for the
life of the poot.
PERMIT CANC€LL£D
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PERMITEXTENOW
P€RMITFINAL
CERTIFICATE OF
SRESTOs NOI I FICA HC1N IS NOT APPLICABLE -To
POSED DEMOLITION
?JSI�GONA
OCCUPANCY155UE0
7
TURE:
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