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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