HomeMy WebLinkAboutH2023-0348 - Permits�EWPp?T City of Newport Beach IIIIIIIIIIII IIIIII IIII II
04 Community Development Department - Building Division
�r+ 100 Civic Center Drive, Newport Beach, CA 92660
- $ Permit Counter Phone: (949) 718-188B
newportbeachca.gov/civic
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Mechanical Permit : H2O23-0348
Plan Check NO:
Work Class : Other
Issued Date: 05/25/2023
Inspection Area : 6
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 : 2680 POINTE DEL MAR AVE Legal Desc : N TR 12209 BLK LOT 12
Description: MECH R/R A/C CONDENSER AND (1) FURNACE *TAMPER RESISTANT CAP REQUIRED
Owner: ANDRE WHITE
Address : 2680 POINT DEL MAR CORONA DEL MAR, CA 92625
Phone:
Applicant: CAPISTRANO HVAC
Address: 2301 MOULTON C-13 LAGUNA HILLS, CA 92653
Phone: (949)481-9605
Owner/Builder :
Address
Phone:
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone: PC - Point Del Mar
PROCESSED BY:
Z5—w--
SPECIAL CONDITIONS:
Contractor : CAPISTRANO HVAC
Address: 2301 MOULTON C-13 LAGUNA HILLS, CA 92653
Phone:
(949)481-9605
Con State Lie
: 910228
Lie Expire :
09/30/2023 ;
Bus Lie:
BT30073657
Bus Lie Expire:12/31/2023
Workers' Compensation
Insurance
EMPLOYERS PREFERRED INSURANCE COMPANY
Carrier :
Policy NO:
EIG495206001
W. C. Expire:
5/4/2024
Manufacturer : AC PRO ,
Model# : AULD60W2/A-D(U) :
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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Liconse Law (Chapter!) (commencing with Section 7000) of Division 3. of the Business and
Professions Code) or that he or she is exempt from licensors 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
not more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sale compensation, will do (_)all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Rosiness 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 theproperty, provided (hat 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
im roved for the purpose of sale)
LJ 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
ffapply to an owner of property who builds or Improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License Law).
! am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below f acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I cannot legal
sell a structure that I have built as an owheralullder if It has not bean conStractod In its entirely 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:llwww.ieginfo.ca.govfcelaw.htmL
Signature of Property Owner or Authorized Agent. .ate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 70 } 2a bf the Business and Prof !on and a is in full force
and effect. License Class License No Date T3 Contractor Signature
NORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO RFCURE WORxgnS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (4100.000), IN ADDITION TO THE
:OST OF COMPENSAT'ON, DAY NOES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby af'!rm under penalty of perjury one of the following declarations:
-1 I have and wh maintain a.. certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 37GO of the Labor Code, for th
xOtc,ana,.ce of the work for which this permit is issued. Policy Nm
have and will maintf-T, 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`
rdnce carrier Son ouNcy number are:
neorAgent _
certify that, in the perforrnar
if I ShnUld beceme rvbject
IRfarerfAoulicaru K
Policy. Number
Date
this permit is issued, I. shall not employ any person In any manner so as to became subject to the workers' campe satlon laws of California, and agre
alion provisions of Section.3700 of the Labor Code, Ishall forthwith comply with those provisions.
5
NGAQ6NCY Date�Z�IZ.s
7rebyafflrm undo' psralty of perjury thatfhero is a construction lending agency forthe performance of the work for which this permit is Issued (Section 3097, civil Coda),
Wer's Name Lender's Address
my signature below, I certify to aaoh of t he following.
I am the property owner Or authorized to Oct an the property owner's behalf.
I have read this application and the information I have prpv1d`e4 incorrect.
µl agree'o comply with iv applicable ortiscity
city and pp`n> or napce�` ,laws relating to building n purposes, _ ' ^
I authorize representatives of this city or ceunty to n ar th""ddlt ve-ide I party for lnspectlonpurpases. ���((( ` i `'
work
AL I RJN
DATE.
RY DECLARATION QF COMPLIANCE WITH CODE OF FEDEi
REGULATIONS PART 51 of TITLE 40AND AQMD RULE
1403
PERMIT EXPIRE!)
( SUBMITTED ASBESTOS NOTIFICATION TO
PERMir CANCELLED
-
PA
PERMItUrENDED
f1M0,
PERMIT FINAL
ASBESTOS NOTIFICATIQN IS NOT APPLICABLE TO
CERTIFICATE RF.
�'fj��Z„
4 PROPOSED DEMOLITION
FOR OFFICE USE ONLY