HomeMy WebLinkAboutH2023-0239 - Permits��EWPORT City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
G > Z Permit Counter Phone: (949) 644-3288
.a.. Inspection Requests Phone: (949) 644-3255
CqL/Fep1��P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 04/11/2023
Inspection Area :4
H2O23-0239
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 : 1428 SEA RIDGE DR Legal Desc : N TR 15011 BLK LOT 15
Description: MECH CHANGE OUT A/C (TAMPER PROOF CAP REQ'D); CHANGE OUT FURNACE
Owner: Heidi Langway
Address: 8877 Lauderdale 4212E Huntignton Beach, CA 92646
Phone: (714)403-4747
Applicant : Advanced Permit Services, Inc
Address : 24310 Moulton Parkway Suite 0137 Laguna Hills, CA 92637
Phone: (949)207-3468
Owner/Builder :
Address
Phone:
Code Edition :
2022 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone :
PC - Newporter North
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : Dial One Sonshine Inc
Address : 3655 W Mc Fadden Santa Ana, CA 92704
Phone :
(714) 826-5198
Con State Lic
: 1085205
Lic Expire :
12/31/2023
Bus Lic :
BT30081230
Bus Lic Expire:04/30/2024
Workers' Compensation
Insurance
Carrier :
f✓'ILQbya 6e--V' 6MAe
Policy No :
k/G7t=Z70E8
W. C. Expire:
1/1/2024
NO Manufacturer: AC PRO
Model# : AULD60W2/A-D(U) <
I
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from. the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Hernia)
(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 thathe 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
Professions bode) or that he or she is exempt from lioensure 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
not more than five hundred dollars ($500)..
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 Or property who, through employees' or personal effort, builds or improves the property, provided that 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
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
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).
❑ 1 am exempt from licensure under the Contractors' Slate 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 [east 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 its entirety by licensed contractors. I understand that 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:/iwww.leginfo.ca.govlcalaw.html..
Signature of Property Owner or Authorized Agent a e
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenelrig with Section 7000)sigP 3:of the Business and Pr fes ons e, an I + e is in full force
and effect. License Class License No Date jA Z .Contractor Signature iW
NORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm undo) penalty of perjury one of the following declarations:
I have 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
otpiance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
rf Agent
Date
-ii ceruiy that, in the pepor mandpi the wor 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 agre,
i .t, 1' ' Lhould become subject P th workers pppsation provisions of Section 3700 of the Labor Code, I shallforthwith comply with those provisions.
it,ne'ure of Appliccnt „_ Dat C�--
IECLARATION REGAR ING CONSTRUCTION LENDING AGENCY
he eoy a.hrrn under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit Is issued (Section 3097, Civil Code).
enGtr a Name _ Lender's Address _
y 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 provi is correct..
I agree to comply with all applicable city and county ord�Kvceand laws relating to bWiping construction.
I authorize representatives of this city or count to eit th`Aabove-id i opehy for Inspection purposes, fT ,�,, / �VI'!y� 1I�
ignature of Property Owner or Authorized, - ) � Print Property Owner's or Authorized Acent's NarrI �� r Date( lit 6
ACTION
PERMIT CANCELLED
PERMIT EXTENDED
P€RM9T FINAL
CERTIFfCATEOF
OCCUPANCY ISSUED
DATE BY 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 91 OF TITLE 40 AND AQMD RULE
1403
SUBMITTED ASBFSTOS NOTIFICATION TO
to-7 4.t-3I YE i LJASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
j PROPOSED DEMOLITION
FOR OFFICE USE ONLY