HomeMy WebLinkAboutH2023-0069 - Permits�EWPo�r City of Newport Beach III II III III II II II
D� 6 Community Development Department - Building Division
n100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u Z Inspection Requests Phone: (949) 644-3255
C4CieOaN�P newportbeachca.gov/inspections
IIMechanical Permit : H2O23-0069
Plan Check No : 0822-2022
Work Class : Other
Issued Date : 01/27/2023
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 : 1857 PORT RENWICK PL Legal Desc : N TR 7032 BLK LOT 55
Description: MECH: INSTALL HEAT PUMP @ SIDE ***TAMPER RESISTANT CAPS REQUIRE & TIMERS PROHIBITED*** (X2022-0890)
Owner: RICHARD KREBS
Address : 1857 PORT RENWICK PL NEWPORT BEACH, CA 92660
Phone: (714)883-0623
Applicant: SKY HEATING & COOLING INC
Address: 769 N GLASS ELL ST ORANGE, CA 92867
Phone: (714)883-0623
Owner/Builder :
Address:
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Front: 18, Side: 5, Side: 5, Rear: 10
X
PC - Harbor View Hills
SPECIAL CONDITIONS:
95
Fire Hazard Zone : NO
Contractor : SKY HEATING & COOLING INC
Address :
769 N GLASSELL ST ORANGE, CA 92867
Phone:
(714)883-0623
Con State Lie
: 1045281
Lie Expire :
12/31/2023
Bus Lie:
BT30065983
Bus Lie Expire:02/28/2023
Workers' Compensation
Insurance
Carrier:
NORGUARD INSURANCE COMPANY
Policy No:
SKWC350975
W. C. Expire:
2/1/2023
TIMERS PROHIBITED
,"-)N HEAT PUMPS
Manufacturer: AC PRO
Model# : AUD36W/A-D(U)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 iteri
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
is permit to file 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
'rofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044,
,usiness 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
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
nproved for the purpose of sale).
1 L as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
5pfy 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 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 year prior to completion of the improvements covered by this permit, I cannot legall:
all 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 law, Section 7044 of the, Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca..govfcalaw.htmt.
signature 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 7000j 'vi ' 3of the Business and Profess] •. , a '�4icense Is in full force
nd effect. License Class License No Date Contractor Signature
VORKII COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONDRE TH. SAND DOLLARS ($100,000). IN A007ION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3705 OF THE LABOR CODE., INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
prmance of the workfor 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' comperea
ranee carrier and policy number are:
Policy Number
Date
ne of Agent Phone #
certify that, in the performance of the work for which thispermit is issued.. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agra
if I should become subject t th wort IS compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions.
lature of Applicant % Date
Ireby affirm under keP(aity of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to alit on the property owner's:, behalf,
I have read this application and the information t have provided is correct.
I agree to comply with all a Fcity and county ordin es and slate laws relating to building construction.
I authorize representatives of this city or county -identified property for inspection purposes.
nature of Pmne-t r ?sn.er ar Authonzed Aaenl.rvgePrint PmnRrty OwnRr's nr Authnrbad Anent's Name Mink
Civil Code).
Afro,I C) Date
ACTION
DACE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RUL€
1403
PE'HMIr EXPIRED
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DLPA
PERMIT EXTENDED
LIAQMD
PERMITFINAL
ASBEs7os NOTIFICATION 15 NOTAPPLICABLE TO
CERTIFICATE OF
�fm'J/�
�.' PROPOSED DEMOLITION
OCCUPANCY 13SUED
___
_ .SIGNATURE:
___