HomeMy WebLinkAboutH2022-0631 - Permits�EWPpRT City of Newport Beach III I I I II I II I II II II II I1111111Mechanical Permit : H2O22-0631
D� Community Development Department- Building Division
My 10D Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 644-3288 Work Class : Other
S Inspection Requests Phone: (949) 644-3255 Issued Date : 11/07/2022
cgC�copN�P newportbeachca.gov/inspections Inspection Area :3
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 : 2415 FRANCISCO DR Legal Desc : N TR 3282 BLK LOT 12
Description: MECH -INSTALL (2) FURNACE / (2) A/C UNITS "TAMPER -PROOF CAP REOD"
Owner: SUN DONALD TR D SUN 2003 IRREVOC TR
Address : 2415 FRANCISCO DR NEWPORT BEACH, CA 92660
Phone:
Applicant: KPH MECHANICAL HEATING & AIR INC
Address: 35270 CALLE NOPAL TEMECULA, CA 92592
Phone : (760) 613-6835
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups :
Fire Hazard Zone : NO
Contractor : KPH MECHANICAL HEATING & AIR INC
Address : 35270 CALLE NOPAL TEMECULA, CA 92592
Phone : (760) 613-6835
Con State Lic : 1036159
Lic Expire : 04/30/2024
Bus Lic: BT30074948
Bus Lic Expire:04/30/2023
Workers' Compensation Insurance
Carrier : NORGUARD INSURANCE COMPANY
Policy No : KPWC257292
W. C. Expire: 8/21/2023
Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10
Flood Zone : X
Use Zone : R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area)
PROCESSED BY: I"L
Manufacturer: AC PRO
Model# : AULD36W2/A-D(U)
SPECIAL CONDITIONS:
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 Items)
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
he permit to file a signed statement that he 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
?rofessions Code) or that he or she is exempt from licensors 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
tot more than 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 L) portions of the work., and the structure is not intended dr offered for sale (Section 7044,
Suslness 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
mprovements 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
mproved for the purpose of sale).
1 1, 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
apply to an owner of property who bullds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensors under the Contractors' Slate License Law for the following reason:
ty my signature below f acknowledge that, except for my personal residence in whlch I must have resided forat least one year prior to completion of the Improvementscovered by —this —permit, 1 cannot legall,
sell a structure that I have built as an owner -builder if it has not bean constructed In itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and
Irofessions CodE, s L.�31sbls upon request when this application is submitted or at the following Web site:http://w .leginfo.ca..gov/calaw,htm],
3ignahlre of Property Owner or Authorized Agent Date
: E€v.V.D CON rRa( TOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 7000! f ivr ion 3 of the Business and Profess] pie an my limns is n u11 force
ird effect License Class License No Date Contractor Signature
PORKERS' COMPCENSATION DECLARATION
1A,INt'IG: FAILURE TO 64ebRE WORXERW COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:GST Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ha''', aoy affirm under 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 in
elfukmance of the'aork fir 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'
;arrier and pc:icy number are:
Policy Number Expiration Date
of Agent
JI certify that, in the 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 agre
rat, if I should become subjec th wor cars' a pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iignalure of Applicant __ 1 Y Det
IECLARATfON REGARDING CONSTRUCTI N LENDING AGENCY
hereby affirm under penalty of perjury that ihere is a construction lending agency for the performance of the work For which this permit is issued (Section 3097, Civil Code).
enders Name Lender's Address
�y my signature below, I certify to each of the followings
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 provided is correct.
I agree 10 comply with all applicable city and county ordinances and state laws relating to building construction.
I authonze representatives of this city or county to Kter tfre apovef)dfantjferd property for inspection purposes, /-f ,.f r 41 /
GSI
DATE' BY j 011LARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONiY
r REGULATIONS PART El OF TITLE 40 AND AOMD RU LF
I SUBMITTED
CERTIFICATE OF 0•'l�• V� / FROPUSED DEMO�AL SBESTOS IJ ONIQN IS NOT A/P�PLI!t,AJR�Lf TO
OCCUPANCY ISSUED ' ( CIf.N6"rrIRF, Ib(.�%�nwn,� ill' [/ / /
Name