HomeMy WebLinkAboutH2022-0251 - Permits��EWPORT City 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
Dry T Inspection Requests Phone: (949) 644-3255
C9G�F00.N`r newportbeachca.gov/inspections
III I I I I I I I II I III I I II Mechanical Permit : H2O22-0251
Plan Check No : 2765-2021
Work Class : Other
Issued Date : 05/12/2022
Inspection Area : 5
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: 504 SEAWARD RD Legal Desc : N TR 1237 BLK LOT 190
Description: MECH -INSTALL HEAT PUMP. TAMPER -RESISTANT CAP REQUIRED
Owner: CARDELUCCI MARK TR
Address : 455 CABRILLO TER CORONA DEL MAR, CA 92625
Phone:
Applicant:
J C L & SONS HVAC INC
Address:
6651 SUTTON ST WESTMINSTER, CA 92683
Phone:
(714)642-6836
Owner/Builder
:
Address
Phone:
Code Edition : Fire Hazard Zone : YES
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 (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS: DELTA 1 - REVISE EQUIPMENT SPEC
Contractor :
J C L & SONS HVAC INC
Address :
6651 SUTTON ST WESTMINSTER, CA 92683
Phone:
(714)642-6836
Con State Lic :
759146
Lic Expire : 12/31/2024
Bus Lic: BT30078706
Bus Lic Expire:05/31/2023
Workers' Compensation Insurance
Carrier : CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy No: CWC01183600
W. C. Expire; 10/6/2023
Manufacturer: SAMSUNG
Model#: AM060MXMDCH/AA
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 items)
"section 7031.5, Business and Professions Code: Any city or county that requires a penult to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
no permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do O all of or [W ) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usmess 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 tho
nprovements 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
n roved 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' State License Law does not
ly 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 licensure under the Contractors' Slate License Law for the following reason:
y 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 legal[)
oil a structure that I have built as an owner -builder 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
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:flwww.leginfo.ca..govlcalaw.html.
�ignatlre of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
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 Professions Code, and my license Is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL 31,113JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
xmance of the work for which this permit is issued. Policy No.
have 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' compensa
ratios carder and policy number are:
Policy Number Expiration Date
of Agent Phone # _
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 10 the workers' compensation laws of California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply mth those provisions.
nature of Applicant �._.wY__.�_._.,�......�...._
CLARATPON REGARDING CONSTRUCTION LENDING AGENCY
areby 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).
rider's Name Lender's Address
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 enter the above -identified property for inspection purposes.
nature of Prooelty Owner or Authorized Anent Print Property Owner's or Authorized Anent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMtl'EXpREb
JAI SAMITTEDASBESTOS NOTIFICATION TO
PERMITCANCELIED
i EPA
FERM11 EXTENDED
p
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
ASBESTOS NOTiFiCAT10N IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: