HomeMy WebLinkAboutH2023-0764 - PermitsaEwPoR City of Newport Beach III I I I II
Community Development Department- Building Division e�
ty" 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
u w newportbeachca.gov/civic
CqC/FORN`P
Mechanical Permit : H2O23-0764
Plan Check No : PC2022-2695
Work Class : Other
Issued Date : 1210612023
Inspection Area: 5
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
i.
Job Address : 232 ORCHID AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 142 LOT 30
Description; MECH INSTIL ROOF MOUNTED HEAT PUMP AND CONDENSER, TAMPER RESISTANT CAPS REQ
Owner: MARK PUTMAN
Address : 6139 DOVECOTE LN MEMPHIS, TN 38120
Phone :
Applicant: BRIGHT LIFE SOLAR
Address : 933 NEWHALL ST COSTA MESA, CA 92627
Phone : (908) 489-3933
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Contractor :
R C AIR CONDITIONING & HEATING INC
Address :
169 N MAPLE ST STE D CORONA, CA 92880
Phone :
(951) 735-8046
Con State Lie
: 657924 3,
Lie Expire:
06/30/2025 '
Bus Lie:
BT30066849
Bus Lie Expire:04/30/2024 '
Workers' Compensation
Insurance
Carrier:
STATE COMPENSATION INSURANCE FUND '
Policy No :
1354374
W. C. Expire:
7/1/2024 "
Fire Hazard Zone : NO
Manufacturer: BRYANT/SAMSUNI�;
Model# : 115SAN036-A/AM049TXMDCH/AA
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 applicableitem(s)
3ecfion 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve: demolish, or repair any structure, pdorto its issuance, also requires She applicant for
re permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License' w (Chapter 9 (commencing with Section 7000) of Division 3.Of the Business and
7ofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secton 70?1.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($50D).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 theproperty, provided thatthe
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, 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
ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
I am exempt from tOensure under the Contractors' State License Law for the following reasoril _
ly 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 Improvementscovered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in Itsentirety 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:nttp:/Iwro✓v✓.leginfo.ca.gov/calaw.html.
Vignature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'S [DECLARATION �
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Secfi. 7060) F D' isi 3 of the B g s and Profes i Coda and tic ens is in full force
nd effect. License Class License No Dat Contrac Signatur
VORKERS' COMDENSATION [DECLARATION
1ARNING: FAILURE TO SECVNF WORAERS' COMPENSA7ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS (F100,000), IN OmION TO THE
OE7 OF COr'PENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
tic-ebyaff'rm under pcna'ty of perjury one of the fallowing declarations:
I nave 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
orm, i.ce of the work for which this permit is issued. Policy No.
and will main+Pin 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 onley number are:
tor, _ _ Policy Number Expiration Date
is or Agent _ Phone 9
ce HtJ oat. in [hi pe 20,
ce of the WoW"J"_,Arzrwev
permit is issued, shall not employ any person in any manner so as to became subject to the workers' c mpansatlon laws of California, and agree
If I should bec, s the workores, provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
mile of Appl Dat _....4."--f"
rr AaeTInM ., IA3n �ralrc
Itareby affirm unda} penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sact]on 3097, Civil Code).
enders Name _ _ Lender's Address
,y my signature below. I certify to each of the following:
I am the property owner or authorized to art on the properly Owner's behalf. p
I have read this application and the information I have provided is correct. I --
I agree to comply with.. all applicable city and Fount Ordinances d state ws relating to building. construction.
I authorize representatives of this city c my t�a t r `'(r{a abo,Ijj7f-1 a/nil d property for inspection purposes.
lionature of Prooerty Owner or Authorized nt Y.r��T Print Provenly Owner's or Authorized Aoa is 'oP'L4,- `gate
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i RFGUTATLONS PART 51 OF TITLE 40 AND AQMD RULE
1403
PEAMrT kXP7tt£p ?U I SUBMITTED ASBESTOS NOTIFICATION TO
UIt� IUN ISNOT APPLICABLE TO
COPROPOSED
OCCUPANCY SLED SE;