HomeMy WebLinkAboutH2023-0316 - PermitsFWri City of Newport Beach IIIIIIIIIIIII III I IIIIIIIIII IIII IIII Mechanical Permit : HZO23-o316
04 Community Development Department Building Division Plan Check No:
100 Civic Center Drive, Newport Beach, CA 92660 Work Class :Other
U "�i• ' ix; Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic Issued Date : 05/11/2023
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 : 436 VISTA ROMA Legal Desc : N TR.6996 BLK LOT 15
Description: MECH CHANGE OUT HEAT PUMP; TAMPER PROOF CAP REO'D; TIMERS PROHIBITED ON HEAT PUMPS
Owner: JAMIE HILL
Address : 436 VISTA ROMA NEWPORT BEACH, CA 92660
Phone : (702) 528-5380
Applicant: WAVE 9 AIR INC
Address : 524 MONDO DR. LA HABRA, CA 90631
Phone: (323)487-9683
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: _4-,
SPECIAL CONDITIONS:
Contractor ; WAVE 9 AIR INC
Address : 524 MONDO DR. LA HABRA, CA 90631 ,,,,
Phone: (323)487-9683
„
Con State Lic : 1078159
Lic Expire ; 07/31/2023
Bus Lic : BT30081522
Bus Lic Expire: 05131/2024
Workers' Compensation Insurance
EMPLOYERS COMPENSATION INSURANCE COA/(PANT
>>
Carrier:
Policy No : EIG5066772
W. C. Expire : 11/9/2023
Manufacturer : SAMSUNG
Fire Hazard Zone : NO
Model#: AM060MXMDCH
TIMERS PROHIBITED
Jul HEAT PUMPS
:t15
I hereby affirm under penalty of pequry that i am exempt from the Contractors` State License Law for the reaeon(s) indicated below by the checkmark(s) I have placed next to the applicable harl
(Section 7051.5, business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demollsli, or repair any structure, pror to its issuance, also requires the applicant for
the permit to d91e a signed statement that fie or she. is licensed pursuant to the provisions of the Contractors' State Unarise Law (Chapter 8 (commencing with Section 7000) of Division 3 Of the Business and
Professions Code) or that he or she is exempt from lioansure andthe 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 ($600).
111, as owner of the property, or my employees with wages as their sole Compensation, will do ( j all Of Or U padions of the work; and the structure is not Intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Low does not apply to an owner of property who, through employees or personal effort; builds or improves the property, provided (hat the
improvements are not intended Of 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' State License Law does not
5apply 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),
1 am exempt from licensure under the Contractors' State License Law for the following reason:. _ _
By my signature below acknowledge that, except for my personal residence in which must have resided far at toast one year prior to completion of the fmprovemonts covered by this permit, I.Oannot legally
loll 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
urefesslons Code, is avallable upon request when this application Is submitted or at the following Web site:hftp:/fwww.leglnfo.ca..govlcalaw.html.
Signature of Property Owner or Authorized Agent
_ICENSED CONTRACTOR'S DECLARATION pate
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) cE tuts! of the Business and Pr fe Non • , and in full force
Pool effect. Licnr-e Glass License No Date eJ / Contractor Signatur
VORICERS' CCIXI ENSATION DECLARATION
iAi IN,a: FA[LOPF TO E. CURE WORBERS• COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND
.DST Or COMPIU.SA.TON, DAMAGES AS PROVIDED FOR IN SECTION 971I6 OF THE LABOR CODE., INTEREST, "a ATTORNEY'3 FEES, SAND DOLLARS IS 00,0001, IN ADDITION TO THE
herelry affirm under penalty of perjury one of the following declarations:
3 t have and vrll mG:nfain 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 the
TiFfErlilanCe of if;(, wor-, for which this permit is issued. Policy No.
L_1 Tavo and wit' 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' compensatioi
cLral ce carrier•andp€Iicy number are:
Cc"r, IL( Policy Number
`:sn.e of Agent T Expiration Date
Phone N
I certify that, in .he performance of the work which this it IS issued, I shall not employ any Person in any manner so as to become subject to the workers' compensation laws of Calif in and agre,
Sit t1 1 smavld tY]CamE Sub'ac[ tO tha wprk 'Cam Ian provisions of Section 3700 of the Labor Code; I shall forthwith comply With those provisions. /1
DECLARalureATION
Tof Applicant- Date
OECI..ARA7fON REGAR ING CON$ CT LENOiNG AGENCY
I hereby affirm under penal
there is a construction fending agency (or the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name Lenders Address
By 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 prdfnanoes an are IN ng to building construction.
I authorize representatives of this city or count t nter the ad -Id d property for Inspection purposes, i/ L
Si nature oT Pro ad Owner or Authorized A eni <�
Print Pro art Owner's or Authorized A ants Name
ACTION DATE By AT OF COMPLIANCE WITH CODE OF FED£RA4 FOR OFFICE USE ONLY
$PARfi 610E TITLE AO AND AQMD RULE
1463
PERMJT £XYiR£t? ISUBM€TTED ASBESTOS NOTIFICATION TO
NERMU r CANCELL£f1 _ FPA
PERM)TENTENfi£D
PERrLJ1T FIMAL 7 3( /y� ASBESTOS NOTIFICATEON IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUJ�.ArJCY JSSU£D