HomeMy WebLinkAboutH2023-0041 - PermitsEWo�T City of Newport Beach III IIIIIIIIIIIIII II II II III I II
D� e Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
c9�/coaN`P newportbeachca.gov/inspections
Mechanical Permit : H2O23-0041
Plan Check No : 0757-2020
Work Class : New
Issued Date : 0111712023
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 : 112 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 2 BLK 5 LOT 24
Description: MECH (2) NEW A/C UNITS ON ROOF -TAMPER RESISTANT CAPS REO'D
Owner: VICTORIA GRAF
Address : 112 CORAL AVE NEWPORT BEACH, CA 92662
Phone: (310)701-3417
Applicant: SKY HEATING & COOLING INC
Address : 769 N GLASSELL ST ORANGE, CA 92867
Phone: (714)883-0623
Owner/Builder
Address
Phone :
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone: R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor: SKY HEATING & COOLING INC
Address : 769 N GLASSELL ST ORANGE, CA 92867
Phone:
(714)883-0623
Con State Lic :
1045281
Lic Expire :
12/31/2023
Bus Lic :
BT30065983
Bus Lic Expire:02/28/2023
Workers' Compensation
Insurance
Carrier:
NORGUARD INSURANCE COMPANY '
Policy NO:
SKWC350975
W. C. Expire:
2/1/2023 '
Manufacturer : FUJIT�"
Model# : 30RGL?:M &48LAMS1
NO Og �TRucTjo� NOISE
11IN THE WEEKEND
UINNER-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 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 applioant for
the 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
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7001.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500)..
❑ 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 Contracors' owner of property who, through employees' or personal effort, builds or improves the property, provided that the
State License Law does not apply to an
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 Of
mproved 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
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).
I am exempt from licensure under the Contractors' State License Law for the fouowing reason:
3y 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,
:elm 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
professions Code, is available upon request when this application is submitted or at the following Web site:http:/7wwAv.leginfo.ca.govlcalaw.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 000) f D to :,of the Business and ProrHOUSAMND
license Is in full force
and effect. License Class License. No Dale Contractor Signature
'PORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE. IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE DOLLARS 0000,000), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR W SECTION 3716 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
,,.r-!,have and will maintain a cenihcale. of consent to saiNnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi
at rmance Of the wore for which this permit is issued. Policy No,
ldl r Ve and will maintain worker:; 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' compensatior
ranee carrier and poky number are.
amier Policy Number ame of Agent Expiration Data
l
Phone #
]I certify that. in the 'iaiformenc of the wor f r 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 agreg
let, if I should becomey .�e, y,ojecl i k, ' fKRnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply wlth those provisions. ff y
)gnature of Applicant - Da23
ECLARATION REGAR,)M OFSTRUCTION LENDING AGENCY —'f—^
Tereby affirm under penalty, of per l.� tut there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ander's Name Lenders 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 county ordinances an state laws relating to building.. construction.
I authorize representatives of this city ee county t v tified property for inspection purposes. F �[ f
nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Aaent's Na t'/T/`/P l 'Ov//i An ,,,,..r 1Q f11 T1i1
6Y P - REGULATIONS
PA T 51 OF TITL WITH CODE OF FEDERAL FOR OFFICE USE ONLY
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RF,GUTATIONS PART 610E TITLE. 40 AND AgMp RULE
1403
PERMIT EXP1RE4 I I I SUBMITTED ASBEST05 NOTIFICATION To
Z" r EXTENDED
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OMDID
PERMIT FINAL
CERTIFICATE OF
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ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
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pB0P05FSTOS LITION
OCCUPANCY ISSUED„-.,..,
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