HomeMy WebLinkAboutH2023-0723 - Permits�EvuPoRr City of Newport Beach III I I I II I III II IIIIII III II Mechanical Permit : H2O23-0723
c� Community Development Department- Building Division
�° 100 Civic Center Drive, Kuwport Beach, CA 92660 Plan Check No
Wa? Permit Counter Phone: (949) 718-1888 Work Class : Other
.,.,, newportbeachca.gov/civic Issued Date : 11109/2023
cgG�GOP��P' Inspection Area : 1
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 : 408 BELVUE LN Legal Desc : N TR 1090 BILK LOT 27
Description: MECH REPLACE (2) HEAT PUMPS @ THE SIDE YARD, TAMPER RESISTANT CAPS REQ
Owner: SITTIG RICHARD
Address : 15260 VENTURA BLVD #1040 SHERMAN OAKS, CA 91403
Phone:
Applicant:
PRECISION COMFORT SYSTEMS
Address:
3121 ROWENA DR LOS ALAMITOS, CA 90720
Phone:
(714)421-1815
owner/Builder:
Address
Phone :
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 0
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : PRECISION COMFORT SYSTEMS
Address : 3121 ROWENA DR LOS ALAMITOS, CA 90720
Phone:
(714)421-1815
Con State Lic
: 956819
Lic Expire :
01131/2025
Bus Lic:
BT30076414
Bus Lic Expire: 08/31/20£5-�k
Workers' Compensation
Insurance
Carrier :
STATE FARM GENERAL INSURANCE COMPANY
Policy No :
92KDC0748
W. C. Expire:
7/29/2024
Manufacturer: SAMSUNG
Model# : AC048BXUPCH/AA
TiMEi23 PROHIBITED .,
ON HEST PUPAPS
OWNER -BUILDER
I hereby affirm under penalty of perjury that I am exempt from. the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s)
(Section 7031-5. Business and Professions Code: Any city or County that requires permit to construct, after, improve, demolish, or repair any structure, prior to il� Irsua v>-, also requires the applicant for
the pemnit 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
Professions 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
not more than five hundred dollars ($500).
111. as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or C_.) 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
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 (Suction 7044, Business and Professions Code: The Contractors' Stale 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 flcensune under the Contractors' State License Law for[hefollowing reason:
By 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;his permit,.cannot legal[,
applicable law, Section 7044 of the permit,
I a and
sell a structure that 1 have built as an owner -builder if it ties not been constructed In its entirety by licensed contractors. I understand that Copy of the
Professions Code, is available upon request when this application is submitted or at the following Web site:http:lfw•wnv.leginfo.ca..govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION ,rr
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 7 @) vi ion 3 of the Busin and Prof sloes dn�.-e n li is in full force
and effect. License Class License. No D Contra ar ignature
NORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORXERS' 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
COST 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:
-11 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 th
R>Rrformance of the work for 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'
ran�ce, carrier and policy number are:
Policy. Number Expiration Date
of Agent DIM— u
JI certify that, in the pertor e 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 afire
let, If I sh ul Stoma ject to ®rkoom ensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those previsionsignalure o ppli tECLARA I N R ARdfNGCONSTRENDCi ING AGENCY
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)..
enders Name Lenders Address
y my signature bn,,,,v certify to each of the following:
I am t"e property owner or authorized to act on the property owner's behalf. ✓o ,
I have read tln:;s Ppoliration and the information I have provided is correct.
' agree to comply with all applicable city and coutety pr antes and state laws relating to building construction.
I airthurize representatives of this tit or county to ter t be -dentified property for inspection purposes. i� �'/���
Igraturn of PropPlry J year or Authorized n( Print Property Owner's or Authonzedl�fient's blan _L�ir CI 7� �k,
AC1101"
DATE
DECLARATIONOF OMPLIANCEWITH CODE OF FEDERAL
FOR OFFICE USE.
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PPRMI r FXPIR6'D
3 l SUBMITTED ASBESTOS NOTI FICATION TO
PIRMfT CINCEUED
-.
EPA
A
P'rin 9' „TENDED
QMD
Pff.A!r'SINAL
A58ESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
1/VIkr`ISSUEO Z
OCCUPANCY
51GNATURE:EMOLITION