HomeMy WebLinkAboutH2022-0421 - Permits�EWPp,4T City of Newport Beach III II I III II I II III IIIIII IIII Mechanical Permit : H2O22-0421
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D� Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 644-3288 Work Class : Other
Inspection Requests Phone: (949) 644-3255 Issued Date : 08/15/2022
cq(.�FO pN�P newportbeachca.gov/inspections Inspection Area : 4
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 ION SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 40 WHITEHALL Legal Desc : N TR 15409 BLK LOT 16
TOTAL 2. TIM R & TAMPER
-RESISTANT
CAP REQUIRED
Description:
MECH - R/R 1 A/C CONDENSER. 1 (E) NOT BEING REPLACED,
Contractor :
WHITE MECHANICAL
INC
TANK
Owner:
FRITTS SUSAN M TR
Address :
27221 BURB
FOOTHILL RANCH, CA 92610
Address :
40 WHITEHALL NEWPORT BEACH, CA 92660
-. Phone:
(949)716-8379
Phone :
Con State Lie
IT
: 822474
Applicant :
E0 CN gCU1PMEl Lie Expire :
WHITE MECHANICAL INC liif+ }ji�us Lie :
FOOTHILL RAN�NFJRM
D8/31/2023
BT31/20234
Address :
Phone:
27221 BURBANK
EN 10P M'AND7 Bus Lie Expire:BT30 2021
(949) 716-8379 i3 E Inspprance
�U-� Q<•F Workers' Compensation
CASUALTY COMPANY
T�3 Carrier:
TRAVELERSIPROPERTY
Owner/Builder : Policy No: UB3R581218,
Address : W. C. Expire: 10/1/2022
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY
Front: 15, Side: 5, Side: 5, Rear: 5
PC - Bonita Canyon
Fire Hazard Zone
INSPE
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R
AULD60W2/A-D(U)
AC PRO
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 item(s)
(Section 7031.3. 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
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 feensure and the basis for the alleged exemption.. Any violation Of Section 7031.5 by any applicant for a permit subjects the applicant to a clMI penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do {_}ail of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions den offThe r Contractors' sale. 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).
❑ 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
raptply 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).
u I am exempt from Ilcensure under the Contractors' Slate License Law for the following reason:
By my signature below I acknowledge that, except for m - -d for t leastone—'---- --
9 p y personal resonance in which I must have resided for at least one year prior to completion of the improvements covered by this permit I cannot legaA,
sell 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:hitp:/Iwwrvv.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTORS DECLARATION cat
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of the Business and Prole sons ,and my, is in lull force
se� and effect License Class License No Data Contractor Signature
WORKERS COMPENSATION DECLARATION
NARNING: 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, 1N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY•SFEES.
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 370D of the Labor Code, for thi
nonce of the work for which this permit Is issued. Policy No,
e and. will maintain workers' compensation insurance, as required by Section 370D of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation
nsurao a carrier and policy number are:
tamer Policy Number Expiration Date
J of Agent
Phone q
:1I certify that, in the performance of t rk for which ermit is issued, I shall not employ any person in any manner so as. to become subject to the workers' compensation laws of California,. and agref
hat. if I should become subject to th wo�rs' c, orupens I n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iignafure of Applicant.,_ L, Date
1ECLARATION REGARDI G ONSTRUCTION LENDING AGENCY
hereby affirm under penalty of pequry that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, rode).
encer's Name Lender's Address
ly my signature below, I certify to each or the following;
I am the properly owner or authorized to act on the propert owner's behalf.
have read this application and the information i have avitletl is correct.
I agree to comply with all applicable city and county 6 rdi. ance s � wa relating to building construction.
I authorize representatives of this city or county t enter a ode If' erty far Inspection purposes.
;I nature of Pro art Owner or Authorized Agent Print Properly Owner's or Authorized Aoent's Name
ACTION
DATE By
DCCLARATION OF COMPLIANCE WITH CODE Of FEDERAL
REGULATIONS PART Fl OF TITLE 40 AND AQMD RULE
1403
PERMIT €XP?RtO
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I I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELL€A
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PERMIT EXTENDED
AOMD
PERMIT FINAL
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'ASBE5105 NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
OCCUPANCY ISSUED
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ED DEMOLITIONO PROPOSED
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FOR OFFICE USE
All required alarms, latches gates and Fence' which sir/^ as mart of a pool/spa barrier, shall
be In place prior to approval to fill pout/pa & shall rennin in glace Y, be mr,a.talned for the
life of the pool.