HomeMy WebLinkAboutH2023-0050 - Permitso�c, PoRT n City of Newport Beach III I I I II I III II II IIII II II Mechanical Permit : H2O2,3-0050
A Community Development Department- Building Division
> d y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 644-3288 Work Class : Other
u gym,. Inspection Requests Phone: (949) 644-3255 Issued Date : 01/2312023
�gCiFOµN�P newportbeachca.gov/inspections 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 : 11 MONTPELLIER Legal Desc : N TR 9587 BILK LOT 6 UN 17 TR 9587 LOT 6 UNIT 17 OF PROJECT L OCATED ON AP
Description: MECH CHANGE OUT A/C UNIT & FURNACE W/ DUCT WORK *TAMPER PROOF CAP REQ`
Owner : BRAMAN RICHARD J TR
Address : 11 MONTPELLIER NEWPORT BEACH, CA 92660
Phone :
Applicant: ABSOLUTE AIRFLOW INC
Address : 14122 WILLOW LN WESTMINSTER, CA 92683
Phone: (833)482-2626
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 5, Side: 5, Rear: 5, Rear: 5
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor: ABSOLUTE AIRFLOW INC
Address : 14122 WILLOW LN WESTMINSTER, CA 92683
Phone:
(833)482-2626
Con State Lic
: 1049023
Lic Expire :
01 /31 /2023
Bus Lic:
BT30079754
Bus Lic Expire:09/30/2023
Workers' Compensation
Insurance
Carrier :
EMPLOYEE SERVICE GROUP
Policy No:
WC053417721
W. C. Expire:
7/1/2023
Fire Hazard Zone : NO Manufacturer: GOODMAN
Model# : GSXC7
o
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
ction 7031.5. Business and Professions Code_ Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior io its issuance, also requires the applicant for
permit to file a signed statement that ha 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
fessions Code) or that he or she is exempt from licensure 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
more than five hundred dollars ($500).. 1
-1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through err
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complet
Tall for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bt
poly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pL
] I am exempt from licensure under the Contractors' State License Law for the following reason.
Iy my signature below I acknowledge, that, except for my personal residence in which I must have resided for at least one yea
ell a structure that I have built as an owner -builder if ithas not been constructed in Itsentirety by licensed contractors. I unde
'rofessions Code, is available upon requestwhen this application Is submitted or at the following Web site:http:/1WWw.leglnfo.�
signature or Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) D�[�
no effect. License Class License No Date _
COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3.706 OF THE LABOR COME, INTEREST, ANDATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate Or consent to self -insure for workers' compensation, issued by the Director of int
erforri of the work for which this permit Is Issued. Policy No.
hancavae and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code., for the peYrfoi
t urcarrier and policy number are:
:arrier Policy Number
lame of Agent
k, and the structure is not intended or offered for sale (Section 7044,
ees' ar personal effort, builds or improves the properly, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I.cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
1r3 of the Business and Prp sion de. a. license is In full force
z Contractor Signatures
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($109,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
11 certify that, in in perfor once of the work for which this permit is issued', I shall not employ any person in any manner so to become subject to the works c pensation laws of California, and agre
hat, if I should became jWD(NK
d3 tke 'comps sohprovisions of Section 3700 of the Labor Code, shall. fodhwilh co ply rim those provisions. / �7ii nature of A licant Y�/��/piJt��3 `IECLARATtON REGATION 4- 64�GENCY Da
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which tha permit is issued (Section 3097, Civil Code).
.ender's 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 properly owner's behalf.
I have read this application end the information I h ve provided fs correct.
I agree to comply w,th. all app dble city and ❑I y ordinances and state laws relating to building construction.
I authorize representatives of this city or count. enter t sniffled roperty for Inspection purposes. I l I'rt�1} ,,, / �/��/_%
'signature of Propeny Owrry or Pull-onied Agent Print Property Owner's or Aulhori ad Agent's Na a d q 1 & I44 Datlf s
ACTION i DATE BY '✓ I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 1 FOR OFFICE US9 ONLY
PERMIT EXPIRED
PERMiTCANCELLED '
r4i t.xltfflku
PERMIT FINAL
C£RTIFtCATE'OF
OCCOPANCY 155UE0
REC W.ATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
I SU BMITTFO ASBESTOS NOT]
,0-}7 i ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE;