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Home My WebLink AboutH2021-0701 - PermitsJ City of Beach III IIIIII Mechanical Permit: HZO21-0701 II I II II II III III C� ` c�frT6 Community De opment Department Building Division y�, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2000-2020 n Permit Counter Phone: (949) 644-3288 Work Class :Other Inspection Requests Phone: (949) 644-3255 Issued Date : 12109/2021 newportbeachca.gov/inspections 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 : 1924 GALAXY DR Legal Desc : N TR.4224 BILK LOT 21 Description: SFR MECH: REPLACE A/C UNIT AT SIDE YARD. TAMPER PROOF CAPS REQUIRED. Owner: WELBOURN ROBERT ALDEN IV TR WELBOURN IV FAMILY TR Contractor : EVOLUTION HEATING AND AIR CONDITIONING INC Address : 1924 GALAXY DR NEWPORT BEACH, CA 92660 Address : 747 S STATE COLLEGE BLVD 464 FULLERTON, CA 92831 Phone: Phone : (657) 295-5275 Con State Lic : 1082536 Applicant: Saul Martinez Lic Expire : 10/31/2023 Address : 921 N Harbor Blvd #426 La Habra, Bus Lic : BT30077430 Phone: (714) 878-0259 Bus Lic Expire:12/31/2022 Workers' Compensation Insurance Owner/Builder : Carrier : OHIO SECURITY INSURANCE COMPANY Address : Policy No: XWS63838878 Phone: W. C. Expire : 9/20/2023 Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: AMERICAN STANDARD Type of Construction : Model# : 4A76060K , Occupancy Groups Building Setbacks: Front: 10, 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: ; OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from: the Contractors' State License Lawlor the reasons) indicated below by the checkmark(s) I have placed next to the applicable Remits) 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 is 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 front licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of of more then five hundred dollars (S500) 3 1, as owner of the property, or my employees with wages as their sole compensation, *11 do {_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Lusiness and Professions Code The Gomhootors' 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 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 Th roved 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' State License Law does not fy to an owner of property who builds or Impraves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensors under the Contractors' State License Law for the following reason: Ly 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 bythis permit, I cannot IegaN, all a structure that I have built as on 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 I(Ofessiens Code, is available upon request when this application is submitted or at the following Web site:http:ilwww.leginfo.cagovlcataw.html. signature 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 700 f risionh f the Business and Professio t de. d my li. nse is t tali force rid effect. License Class License No Date Contractor Signalurex 4ORKERS' COMPENSATION DECLARATION I !ARMING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FSYES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE.. INTEREST, AND ATTORNEY'SFEES. hereby affirm under penalty of perjury one of the following declarations: I have and WHI 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 pl;nance of the work for which this permit is issued. Polley 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 of Agent Date 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 io the workers' compensation laws of California, and agre , If I should become sge�t to V workers' compepsation provisions of Section 3700 of the Labor Code, I shah forthwith comply with those provisions. M. Date 014 9 12,3 CLARATION REGARDING CONSTRUCTION LENDING AGENCY 3reby eNirm 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 )oer's Name Lender's Address my signature baluw, I certify to each of the following: i am ,he property owner or authorized to act on the property owner's behalf. I have read thu, application and the information I have provided is correct. I agree to eomp:f vJBI all applicable City and county ordinances and state laws relating to budding construction. I authorize rep as nitatives of this city or countytoe t r the atiovve,-iridonrt7'fled or ty for inspection purposes. 441, nature of Props ty C xner or Authorized Agent ^ D / K�t'j�,(E�:�J Print Property Owner's or Authorized Aoent's Namelic ACTION DATE BY [ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART fit OF TITLF. Ab AND.At2MD RILAF ' [ t4D9 P'RM77 k".PIRt.0 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CAA�CtitE" PA PERMIT £XF'ENDEO QM D CERTIFICATE I x L� CERTIFICATE OF L ^ ASBESTOS D NOTIFICATION IS NOT APPLICABLE 70 / PROPOSED DEMOLITION OCCUPANCY ISSUEF SIGNATURE: Civil Code). ,f City of Newport Beach - Building Division H2O21-0701 100 Civic Center Drive, Newport Beach, CA 92660 . % Permit Counter Phone (949)644-3288 _..- �"� bpi ta5111�5 Job Address: 1924 GALAXY DR BIdg:1 Floor: Suite: Description of Work: SFR MECH: REPLACE A/C UNIT AT SIDE YARD. TAMPER PROOF CAPS REQUIRED. Inspector Area:3 Code Edit: 2019 Legal Description: N TR 4224 LOT 21 Owner: WELBOURN ROB & CHRIST Comp Insurance - Address: 1924 GALAXY DR NEWPORT BEACH, CA 92660 Phone: Issued Date:12/0912021 Processed Bv: ll,75 Contractor: EVOLUTION HEATING AND AIR CONDITIONING INC Address: 747 S STATE COLLEGE BLVD #64 FULLERTON, CA 92831 Phone: 657-295-5275 Con State Lic: 1082536 Lic Expire: 10/31/2023 Bus Lic: BT30077430 Lic Exp Date: 12/31/2022 MECHANICAL Permit: H2O21-0701 Project No : 2000-2020 Inspection Requests Phone (949)644-3255 Carrier: OHIO SECURITY INSURANCE COMPAN Policy No: XWS63838878 Expire :09/20/2022 Worker's HVAC Items FEES Other Furnaces Boilers & Compressors Up to 100K BTU/hr: 1 $22.00 Ventilation Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $39.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 $0.00 Up to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investigation: Over 500K BTU/hr: 0 $0.00 Air Handling Units CFM: 0 $0.00 Comm. Hood: Repair/Alter/Add: 0 $0.00 1 $22.00 Model: AULD60W2/A-D(U) Plan Check: Issuance: $72.21 $38.00 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO Zoning PC: $52.00 Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 TOTAL: $245.21 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $245.21 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. R 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 7031.5, 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 :he 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 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 Tot more than five hundred dollars ($500). ❑ 1, 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 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 'mproved 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 apply to an owre, cF rmperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y my Fignaturn Delow 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, ;ell 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 �rcress.ons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Pro7r'y 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 a,w dife Cl Class l._L (! License No � D�J"b Date N a Contractor Signature NORKERS' COMPENSATION DECLARATION VARNIN4: FAILURc TO 3EGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ,OCT OF COMPENSAI ION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm In lder oanalty of perjury one of the following declarations: ❑ 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 Cade, for th lerformance of the work for which this permit is issued. Policy No. Ell have and will maintain workers' compeppsat on 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 nsurance carrier and policy n mbar are: /� ;arrier p rt�r� Policy Number r,{V J(n T+ c' ✓ 0 Expiration Date 1 11.20 Zd ZZ Jame of Agent v I 1 ,� 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 to the workers' compensation laws of California, and agre if I should become subjec o the worWrrs',compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.�1 lature of Applicant /` i r 6/, Date %;LAKA iuN KCUAKUIIVU LUNY I KUU I IUIN LCINUIINU AUL NUT ;reby 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). lder'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 count�y t/�o enpnter t,�Ih1a above -identified property for inspection purposes. ,} nature of Property Owner or Authorized Agent 7C./SL / f �� Print Property Owner's or Authorized Agent's Name �7"'' V� � 1! ,- L Date L-lq- AC7701V DATE BY DECLARATION OF COMPLIANCE IM TH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICAnONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED PERMfI EXTENDED PERMIT FINAL • �L _ CERTIFICATE OF OCCUPANCYSSOED