HomeMy WebLinkAboutH2022-0451 - Permits41E`wPORT City of Newport Beach
p @ 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
C'9C/FOAN�P newportbeachca.gov/inspections
III I I I II I II I II II IIII I I II Mechanical Permit: H2O22-0451
Plan Check No : 2687-2021
Work Class : Other
Issued Date : 0812912022
Inspection Area: 3
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 : 1201 HIGHLAND DR Legal Desc : N TR 3031 BLK LOT 38
Description: MECH NEW A/C UNIT *TAMPER PROOF CAP REQ*
Owner: BIRE II LLC
Address : 7642 W IRVING PARK RD NORRIDGE, IL 60706
Phone:
Applicant: QUALITY AIR INDUSTRIES INC
Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806
Phone : (714) 718-2946
Owner/Builder :
Address:
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Fire Hazard Zone : N
Front: 20, Side: 6, Side: 6, Rear: 6
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Contractor : QUALITY AIR INDUSTRIES INC
Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806
Phone: (714)718-2946
Con State Lic : 1052628
Lic Expire : 04/30/2023
Bus Lic: BT30075259
Bus Lic Expire:05/31/2023
Workers' Compensation Insurance
Carrier : STATE COMPENSATION INSURANCE FUND
Policy No: 9017366
W. C. Expire: 7/4/2023
Manufacturer: GREE
Model# : FLEX60HP
INC)t-EECTO
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5. 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 parmit 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
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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (—) 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 to an owner of properly Who, through employees' or personal effort, builds or improves the property, provided that the
improvements arenot 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).
❑ 1, 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
a ply to an owner of property who builds or
5 Improves (hereon, 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' 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 pnor to completion of the improvements covered by this permit, I cannot legaily
sell a structure that I have built as an owner-buildar 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:f/www.leginfo.ca.govicalaw.html.
Signature of Property Owner or Authorized Agent __ Date
LICENSED CONTRACTOR'S DECLARATION
! hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 fT�Meif}n 3 of the Business and Pr s j is Code, anf�'my license is In full force
and effect. License Class License No Date 'G ' ` Contractor Signatur i. tYi
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS dD00,000). IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEr5 FEES.
I hereby affirm under penalty of perjury one of the following declarations:
0 1 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
perleEmonoo 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' compensatiol
sur nr hand policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
[]I certify that in the peIfor ante of the work for which this permit is issued, 1 shall not employ any person in any manner so as tD become subject to the workers' compensation laws of California, and agre
that if I should become s act tc the workers'
�c��o��mpensation provisions of Section 3700 of the labor Code, I shall forthwith comply With those provisions.
Signature oT A,fpl an€ leyf(_„ Dale
DECLARATION kEG DING TRUCTION LENDING AGENCY
I 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 ode),
I Enders N,ao,i Lender's Address
By my sfgnature tiSlow, 1 certify to each of the following:
I am the prcf t rty owner or authorized to act on the property owner's behalf.
I have -cad this application and the information I have provided is correct.
I agree to commply with all applicable city and Count ordinances and state laws relating to building construction.
I autherhto representatives of this city or count t e ter -the above-idan ffiied property for inspection purposes. /L/
Signature of Property Owner or Authorized A ent Print Pra err Owners or Authorized A enl's Nam L 'i/�Y Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH cab€ OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART ES OFTITLE 40 AND AQMD RULE
t4o3
PERMIT EXPIRED i SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA --- All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
__---- ---- i be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
PERMIT EXTENDED _ ; QMD _
PERMIT FINAL c rt t�'pFI` i4} ASREST05 NOTIFICATION IS NOT APPLICABLE TO life of the pool.
CERTIFICATE OCCUPANCY155UED to r11 T� l• �Q�ltk �f SIGNATURE: DEMOLITION