HomeMy WebLinkAboutH2023-0370 - Permits"EvoPORr City of Newport Beach Mechanical Permit: H2U23-U37U
III I I I II I III II IIII II II II
0� a Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
n Permit Counter Phone: (949) 718-1888 Work Class : Other
u 1 newportbeachca.gov/civic
cq F a��P Issued Date : 06I07/2023
o 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: 1 MERANO CT Legal Desc : N TR 14772 BILK LOT 9 UN 41 TRACT 14772, LOT 9 OF PROJECT 935 -34 LOCATED ON
Description: MECH R/R HEAT PUMP ***TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED***
Owner: ZHENG WEI
Address : 1 MERANO CT NEWPORT BEACH, CA 92657
Phone: (949)878-7797
Applicant: Paul DelVaglio
Address : 1116 W Collins Orange, CA 92867
Phone: (194) 972-0393 x8
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone: X
Use Zone: PC - Newport Coast
PROCESSED BY: IP
Contractor : A C COOL INC
Address :
1116 W COLLINS ORANGE, CA 92867
Phone:
(714)720-3938
Con State Lic
: 804056
Lic Expire :
01/31/2024
Bus Lic:
BT30042073
Bus Lic Expire: 01/31/2024
Workers' Compensation
Insurance
Carrier :
SIRIUSPOINT AMERICA INSURANCE COMPANY
Policy No:
WC46234
W. C. Expire:
6/1/2024
Fire Hazard Zone : YES Manufacturer: CARRIER
Model#: MURAQ30AA3
SPECIAL CONDITIONS: FIRE HAZ SEVERITY ZONE & IRWD
PROHIBITED
>
1IMERS
N MEAT PLI.R.A.PS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of penury 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 Points)
'action 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve: demolfsh,Or repair any structure, prior to its issuance; also requires the applicant for
is permit to pie a signed statement thathe 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
rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7041.5 by any applicant for a permit subjects the applicant to a civil penatty of
Ot more then five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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 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
n roved 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
ly 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).
I am exempt from Ncensure under the Contractors' State License Law for the following reason:
y my signature below I acknowledge that, except for my personal residence in which t must have resided for at least one year prior to completion of the improvements covered by this permit, I.cannot legal,
oil a structure that I have built as an owner -builder If it has not been constructed In itsentirety by licensed contractors. I understand that copy of the applicable taw, Section 7044 of the Business and
rofessiens Code, isavailable upon request when this application Is submitted or at the following Web site:Mtp:Hwww.leginfo.ca.govicalaw.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 700p) of DIA Ion 3:of the Business and Profession od , an lice F ante
nd effect. License Class _ License No Dale ((cc o contractor Signature r
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALI
OST 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 have and will maintain a certificate of consent to self4risure for workers' compensation, issued by the Director of
arformance, of the work for which this permit is issued. Policy No.
have and Wit maintain workers' compensation insurance, as required try Section 3700 of the Labor Code, for the pe
Isurance carrier and policy number are:
garner Policy Number
of Agent
CIVIL FINES UP TO
(S100,000), IN ADDITION TO
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
certify that, In the performance rk 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 Califomia, and agre
If I should become sMeet
Shemay ns on i/signs of Section 3700 of the Labor Coda., I shalt forthwith comply with those provisions.
Nature of Applicant k.YY! �,'� t Date, 70 Z�
baby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which
hders Name Lenders Address
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 aopiicalion and the information 1 have P"edl correct.
I agree to comply with all applicable cityand county nan a d s ws relating to building construction.
I authcdze representatives of this city or county t nt ova d ti�,rproperty for inspection purposes.
,tature s PronErty Owner Or Authorized Ausm->SGl'// Pont Property Owner's or Autl
DATE'. BY DECLARATION OF COMPLIANCE WITH. CODE OF FEDERAL I FOR OFFICE USE. ONLY
REGULATIONS PART BS OF TITLE 40 AND AOMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
P£iTMI", LANCELLEU
PERwh tXTENOEO
PFR&q NNAL _ I U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CEATIFICA4 OF I I?D)L . PROPOSED DEMOLITION
OtLLFA. i..y ISSUED SIGNATURE:
issued (Section 3097. Civil Code).
Date