HomeMy WebLinkAboutH2023-0002 - PermitsCity of Newport Beach
IIII II II IIII IIII II II IIIIMechanical Permit : H2O23-0002
04'.
Community Development Department- Building Division Plan Check No:100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 71B-1888 Work Class : Other
newportbeachca.gov/civic Issued Date: 01/03/2023 Inspection Area : 4
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 : 9 MARBLE SANDS Legal Desc :
Description: MECH - R/R F.A.U. & A/C CONDENSER. TIMER & TAMPER -RESISTANT CAP REQ'D
Owner: HERTHEL JASON S TR
Address : 9 MARBLE SANDS NEWPORT BEACH, CA 92660
Phone:
Applicant: TRITON AIR INC
Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673
Phone: (949)492-0290
Owner/Builder
Address
Phone:
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5
Flood Zone :
Use Zone: PC - Bonita Canyon
Contractor : TRITON AIR INC
Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673
Phone: (949)492-0290
Con State Lie : 774877
Lie Expire : 06/30/2024
Bus Lie: BT30042558
Bus Lie Expire:03131/2024
Workers' Compensation Insurance
Carrier: LIBERTY MUTUAL FIRE INSURANCE CO
Policy No : 292549
W. C. Expire: 4/1/2024
Manufacturer: LENNOX
Model# : 047
TIMER REQUIRED ON EQUIPMENT
TO ,wUT OFF BETWEEN 13 P.M. AND 7 A.M.
PROCESSED BY:
SPECIAL CONDITI /7/23 - PLANS REVISED T OW EXISTING CONDENSER IN ADDITION TO NEW CONDENSER. NEIGHBOR
ACKNOWLEDGEMENT LETTER ATTACHED TO PLANS
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 applicableitem(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
ie permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' Stale 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 Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wagas as their sole compensation, will do L) all of or L) 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
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
nyprovedfor the purpose of sale).
J 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
poly 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
y my signature below I acknowledge that, exceptfor 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 lega%
all 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 avallable upon request when this application Is submitted or at the following Web site:ttttpilw .feginfo.ca..gov/calaw,html.
ignature 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 'vv io of the Business and Professions tl my full force
nd effect. license Class License No Data Z Contractor Sign
VORKERS' COMPENSATION DECLARATION
ARMING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDR D DOLLARS 15100.000), IN ADD91ON TO THE
DST OF 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:
I 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 IN
r,%fgrrgance of the work for which this permit is issued. Policy No.
eve 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' compensatior
ur nce carrier and policy number are:
)artier Policy Number Expiration Date
Jame' of Agent Phone N
:1I certify that, in the performance of the work for w {cif this permit Is ii 9++ed-tStvall no any person in any manner so as to become subject to the workers' compensation laws of California, and agrer
hat, if I should become subject to the workers' mpensAlto Iro9i ens of Section 3700 of the Lobar Code, I shall Forthwith comply with those provisions.
3ignaWre of Applicant „-,� D to
DECLARATION REGARDING CONBT LENDING AGENCY
hereby affirm under penalty of there is a construction fending agency for the performance of the work for which this permit Is issued (Section 3097. Cf it code),
.enders Name _ Lender's Address
3y 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 aXI state laws re uilding construction.
I authorize representatives of this city or county to enter th e-de property for inspection purposes. /� �l
3i nature of Pro en O%vner or Authorized A en Print Property VtNti' Owner's or Authorized Agent's Name LA Date 2 i
ACTION DATE By ' LA N OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY
( ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1408
PERMtr EXPIRED LJ I wII FD ASRFSTOS NOTIFICATION TO
PERMIT CANCELLED A
PERMIT EXTENDED
PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APFLICABI E TO
CERTIFICATE OF 7.2/-Z3 PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
C'��WPOaT City of Newport Beach
Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
G = Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
c4C/pppH�P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 01/03/2023
Inspection Area : 4
H2O23-0002
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 : 9 MARBLE SANDS Legal Desc :
Description: MECH - RJR F.A.U. & A/C CONDENSER. TIMER & TAMPER -RESISTANT CAP REQ'D
Owner: HERTHEL JASON S TR
Address : 9 MARBLE SANDS NEWPORT BEACH, CA 92660
Phone :
Applicant:
TRITON AIR INC
Address:
1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673
Phone :
(949) 492-0290
Owner/Builder
:
Address
Phone:
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5
Flood Zone :
Use Zone : PC - Bonita Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : TRITON AIR INC
Address :
1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673
Phone :
(949) 492-0290
Con State Lic :
774877
Lic Expire :
06/30/2024
Bus Lic :
BT30042558
Bus Lic Expire:03/31/2023
Workers' Compensation Insurance
Carrier :
FALLS LAKE FIREt—
Policy No:
FLA01867400
W. C. Expire:
1/1/2023
Manufacturer : LENNOX
Model# : 047
TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the Teason(s) indicated below by the checkmark(s) )have placed next to the applicablefteri
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
he permit to file a signed statement that. he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofess ons 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
lot 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 U portions of the work, and the structure Is not: intended or offered for sale (Section 7044,
3usiness 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 (hat the
mprovements 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 properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ipply 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).
3 1 am exempt from ficensure 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 by this permit, I Cannot legs%
all 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, Soction 7044 of the Business and
Irofessions Code, is available upon request when this application Is submitted or at the following Web sita:http://www,leginio.ca.govicalaw,htmi.
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 000) of Division 3 of the Business and Professions Code, lice full force
Intl effect. License Class License No Dat Contractor Signature
VORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER. TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED DOLLARS t 100,0001, IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 170E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I h 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 IN
rmance of the work. for which this permit is issued. Policy No.
1 h ve 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' compensatior
isure ce carrier and policy number are:
` rr' r f'+41US �qu.8 �1[.L Gi C'�.'-ISuQI.c'`%r CbPolicyNumber PLAgj IfifoVIdd` Expiration Date
lame. of Agent :4rtiO&Ew Ayu I ukrZy phonep '7Lel 4 2,-C7210
JI certify that, in the performance of the Work for which this permit is issued:. I shall not employ any person inany manner so as to become subject to the workers' compensation laws of California, and agree
Tat, it I should become subject to the workers' corn ensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply With those provisions. /
Iigrlature of Applicant at
IECLARATION RE DING CON A RUC N 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 (Sectlon 3097, Civil Code).
.enders Name _ Lender's Address
ly my signature below, I certify to each of the following:
I am the propertyowner or,autborized to act on the property owner's behalf.
I have read this application and the information T have provided is correct.
1 agree to comply'witth all applicable city and county ordinances and state laws relating to building construction.
I authorize reoresenta Mves of this city orrminiv to tinier the ahnvr,-identified ornnedv fnr Insnerllon nvrnos
signature of Proverb; Owner or An
ACTION DATE
PERMITEXPIRED
PERMIT CAA'CEUED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF 7 Zl,
OCCUPANCY155UEO
DECLARATION -OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
I-_IASBESTOS NOTIFICATION 15NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
mer's or Authorized AD
FOR OFFICE USE ONLY
1NJ2F.va