HomeMy WebLinkAboutH2023-0629 - Permits-p'RCity of Newport Beach°E III I I I it I III I I I I II I II
Mechanical Permit . ommunyeveopmentDepartment- Building Division
> 100 Civic Center Drive, Newport Beach, CA 92660
r ' _ p eacPlan Check No
Permit Counter Phone: 949 718-1888
Work Class :Other
newportbeachca.gov/civic i a Issued Date : 0912812023
'WC9F�P'
3 Inspection Area : 2
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 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 1
Description: MECH R/R A/C UNIT AT SIDE **TAMPER RESISTANT CAPS AND TIMER REQUIRED**
Owner: ANDERSON GARRET J JR TR
Address : 1 LINDA ISLE NEWPORT BEACH, CA 92660
Phone: (949) 420-1321
Applicant:
BRIAN BALDRIDGE
Address :
27126 paseo Espada, 1604 san Juan capistrano, CA 92675
Phone :
(949) 542-4274
Owner/Builder
:
Address
Phone:
Code Edition :
2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 10, Front: 25, Side: 4, Side: 4
Flood Zone :
AE, 8 FT; X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
�9� x�lf_IIdi7il]YIIi7��.1[�1d1��9��'C��]gl
Contractor : OASIS AIR CONDITIONING
Address : 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA 92675
Phone : (949) 420-1321
Con State Lie : 767272
Lie Expire : 08/31/2025
Bus Lie : BT97027460
Bus Lie Expire:11/30/2023
Workers' Compensation Insurance
Carrier : INSURANCE COMPANY OF THE WEST
Policy No: WSD504539303
W. C. Expire: 12/31/2023
Manufacturer: BRYANT
Model# : 38MURAQ60AA3
NO G®NSTRUCTION "J: ...,
ON SATURDAYS
TIMER REQUIRED ON EQUIPMENT
BETWEEN 10 P.M. AND 7 R;M%
TO SHUT OFF
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placednext 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 pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
professions Code) or that he or she is exempt from koensure 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
lot more than five hundred dollars ($500).
1, as owner of the property, or my employees wRIT wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usi..ness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal affart. 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).
7 1, as owner of the properly. 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),
DI am exempt from licensure under the Contractors' Slate License Law for the following reason ........... . .......... ....._....—_._. _ , _..... _._..._.._.. ._..
By Ivy 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 legally
sell a structure that I have built as an cwner-builder if It has not been constructed in Its entirety by licensed contractors I understand that a 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'A/eb site:httpt//www.leginfo-ca.govlcalaw.fri
Signature of Property Owner or Authorized Agent _. . .__._____--_—._.__.._....._.............Dats._,_ _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Divi ion 3 of the Business and P bi n+.ry��,�rya and my license is in I force
and effect License Class License No Date-C} C➢otractor Stgneturr�
WORKERS' COMPENSATION DECLARATION
NARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS fS1o4aWj. IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.. INTEREST, AND ATTORNEY'S FEES.
I hereby 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 Coda, for in
performan of the work for which this permit is issued. Policy No.
ave 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' compensatiol
insurance carrier and policy number are:
Policy Number
Date
ce of Agent Phone if
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
if I should become subject workers' comPwsfor ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date / ZP �z •%
raters of Apolicant --
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
order's Name �,_�„�__,_ Lender's Address
ty my signature below, I certify to each of the following_
l 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 to cc-rp'Y with all applicable city and co ordinances and state laws relating to building construction. I authorize r-1 r�senlatives of this city or coo ty toe the hove-idontihe or inspection purposes.
F.v,r lure of Pr,,,rerty Owner or Authorized Aoent \ .. Print Property Owner's or Authorized Agents Name -
/CTNM DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
1
REGULATIONS PART fit OF TITFf 40 AND AQMD RW F
1403
PER6JhXPIh ED
ISURMITTED ASBESTOS NOTIFICATION TO
PPNVIT CANCFIIFD I
EPA
PERM,ITEXT6NOcD
t �AQMD
� PERM{7RNAI l
❑A58E51O$ NONFICATION IS NOT APPLICABLE TO
CERfrFjCATCOF
pHdPb5E00EMOLiTiON
OCLUPANCFf551A:D:
53GNATURE•.
rEwPot,
City of Newport Beach
C� t '9
Community Development Dep.:itmen' - Building Division
> y.
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
-�9(/cOAN�P
III II Mechanical Permit
Plan Check No:
Work Class : Other
Issued Date : 09/2812023
Inspection Area : 2
H2O23-0629
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
12 os'loti�
Job Address: 1 LINDA ISLE Legal Desc : N TR 4003 BILK LOT 1 d1'�crw}� , v�-'-c-�'� � = r-+ .m-.. r--.,en7-:`1,
Description: MECH R/R A/C UNIT AT SIDE **TAMPER RESISTANT CAPS AND TIMER REQUIRED** REPLACE FURNACE
Owner: ANDERSON GARRET J JR TR
Address : 1 LINDA ISLE NEWPORT BEACH, CA 92660
Phone: (949) 420-1321
Applicant: BRIANBALDRIDGE
Address : 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA 92675
Phone : (949) 542-4274
Owner/Builder :
Address
Phone :
Code Edition : 2022 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4
Flood Zone : AE, 8 FT; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED
SPECIAL CONDITIONS: HIGH DENSIT ONE
Contractor : OASIS AIR CONDITIONING
Address:
27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA 92675
Phone :
(949) 420-1321
Con State Lic :
767272
Lic Expire :
08/31/2025
Bus Lic :
BT97027460
Bus Lic Expire:11/30/2023
Workers' Compensation Insurance
Carrier :
INSURANCE COMPANY OF THE WEST
Policy No: WSD504539303
W. C. Expire: 12/31/2023
NO Manufacturer : BRYANT
Model#: 38MURAQ36AA3
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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)
3eclion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structt-e, prior lb its issuance, also requires the applicant for
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
7 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 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
nproved for the purpose of sale).
I, 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
pply 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:
;y 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 legaill
ell 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 a 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:hHp:lh w .leginfo.ca.gov/calaw.html.
'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 7000) of Division 3 of the Busines"nd Prof ull force
nd effect. License Class License No tX 11— Contractor SWrature
VORKERS' 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 HUNDRED THOUSAND DOLLARS 15100.0001, IN ADDITION TO THE
DST 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 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
erformance 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:
to of Agent
certify that, in the performance of the work for
if I should becom`ec workers
mture of AooliWfit
Policy Number
Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
�Pns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
oStA 12-5— Z3
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
ender's 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 provided is correct.
I agree to comply with all applicable city and cou '0 nces and slate laws relating to building construction.
I authorize representatives of this city or coun to above -identified e�y/, for inspection purposes.
'icnature of PfODedv Owner or Authonzedlikelent L Print Property Owner's or Authorized Agent's NN��a-JI64
ACTION DATE i BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
rPERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED I IAQMD
PERMITFINAL j ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF 1� 1 PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: