HomeMy WebLinkAboutH2022-0666 - Permits00'.
City of Newport Beach Mechanical Permit :H2022-0666
Community Development Department- Building Division100 Civic Center Drive, Newport Beach, CA 92660Plan Check NoPermit Counter Phone: (949) 644-3288 Work Class : Other
Inspection Requests Phone: (949) 644-3255 Issued Date : 1112812022
nenewport6eachca.gov/inspections Inspection Area: 1
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
E
Legal Desc : A TR BALBOA.TR EAST SIDE ADD BLK 17 LOT 18 BALBOA TR EAST SIDE ADD LOT 18 BLK 17
Job Address : 1134 BALBOA BLVD
ALL -INC
Description: MECH - INSTALL (2) ROOF-MTO HEAT PUMPS, FANS, HOOD AND DUCTWORK *TAMPER -PROOF CAPS AS REO'D
Owner: SLOAN STEPHEN COULAM TR
Contractor : KINETIC AIR INC
Address : 23707 JAMESON ST MURRIETA, CA 92562
Address : 4234 ARCADY AVE DALLAS, TX 75205
Phone : (951) 553-0615
Phone :
Con State Lie : 1034636
Applicant : KINETIC AIR INC
Lie Expire : 03/31/2023
Bus Lie : BT30075039
Address : 23707 JAMESON ST MURRIETA, CA 92562
Bus Lie Expire:04130/2023
Phone: (951) 553-0615
Workers' Compensation Insurance
Carrier : SIRIUS AMERICA INSURANCE COMPANY
Owner/Builder :
Policy No: 75881
Address :
W. C. Expire: 6/7/2023
Phone:
Code Edition : 2019
Fire Hazard Zone : NO Manufacturer: AC PRO
Model# : AUD36W/A-D(U)
Type of Construction :
Occupancy Groups:
,
Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 0
-' -
Flood Zone : AE, 8 FT; X
_
Use Zone: R-1 -Single-Unit Residential
NO CONSTRUCTION NOISE
PROCESSED BY: r
SPECIAL CONDITIONS:
ON THE WEEKEND
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UVYINCK-CSUILL t:K UCGLAKAI IUN
I hereby affirm under penally 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 itern(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, 8160 requires the applicant for
the permit to. mile 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars (S500)..
I, as owner of the property, or my employees with wages as their sole compensation, Wit do U 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 sate. 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).
rl 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
apply 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),
LI I ant exempt from licensure under the Contractors' State License Law for the following reason: _
By my signature below I 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 legally
sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety 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.leginfo.ca.govycalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of CIA 'Gn 3 of the Business and Profess ns C n y license Is in full force
and effect. License Class License No Date—= Contractor Signature
NORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE, IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tEid0A60), IN ADDITION 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:
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
;e of the work for which this permit is issued. Policy No.
have 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'
ranee carrier and pJ.ICy number are:
Policy Number
Agent_
Dale
JI u6rtify that. in .he 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
.at. i` I should bacomA subject Coto t'or�kers' ,pensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions.
of Applicant
Date—x 1)-00'Z2 _
ner•sby affirm unta,' penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
e'.ers Name Lenders Address
y re,, signature below, i Certify to each of the following:
I am the p-cperR' owner or authorized to act on the property owner's behalf.
I have read this application and the Inrormalioo I have provided is correct.
i agree to comp:y with all applicable city and county ordinances and state laws relating to building. construction.
I authorize representatives of this city orcounty to a Ibo ici ntd@ iFled property for Inspection purposes. 1 )
ignature of Property Owner or Authorized Auent Y----C% nri,,r c*r,...o.r., n ,.. �.,, �.,.., _...,, �__...•_ .,___ � 1A IV,,
DATE BY j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERrMii`EXPIRED ' ' I SUBMt�Fr) ASBESTOS
PERMIT EXTENDED i)AQMD
PERMITFINAL ASBESTOS NOTIFICATION ISNOT APPLICABLE TO
CfRTiFICATE OF V r/" PROPOSEODEMOUTION
err.
OCCUPANCY ISSUED Mnn roc.
FOR OFFICE USE ONLY
Civil Code).
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