HomeMy WebLinkAboutH2023-0512 - Permits�g"PcR
City of Newport Beach I I
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Mechanical Permit
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Plant Check No
Permit Counter Phone: (949) 718-1888
Work Class : Other
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newportbeachca.gov/civic
Issued Date : 0811112023
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Inspection Area : fi
H2O23-0512
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 : 1038 SEA LN Legal Desc : N TR 2202 BLK LOT 7
Description: MECH -INSTALL AC AT SIDE "TAMPER RESISTANT CAPS REQUIRED"
Owner: EDWARDS STEVEN C TR S C & K L EDWARDS FAMILY TR
Address : 541 HAZEL DR CORONA DEL MAR, CA 92625
Phone: (714)566-4551
Applicant: VICTOR SERRAO
Address : 32959 CALLE PERFECTO, C SAN JUAN CAPISTRANO, CA 92675
Phone: (949)496-3638
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS: ,
Contractor : SEASIDE A/C AND HEATING
Address :
32959 CALLE PERFECTO, C SAN JUAN CAPISTRANO, CA
Phone:
(949)496-3639
Con State Lic:
736214
Lic Expire :
08/3112024
Bus Lic :
BT30018420
Bus Lic Expire: 01 /31/2024
Workers' Compensation
Insurance
Carrier :
INS CO OF THE WEST
Policy No :
WVE5049609
W. C. Expire:
7/21/2024
Manufacturer: AC PRO
Model# : AULD60W2/A-D
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iter(s)
;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
Ire 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 hoensure andthe 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 Ave hundred dollars ($50Dj.
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 ripply 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 wilt have the burden of proving that it was not built or
unproved 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 ContractorsSlate License Law does not
rap�ply to an owner of property wrn.o 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 1 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,
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:http,//�.leginfo.ce..gov/calaw.html.
Signature of Property Owner or Authorized Agent Data
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes, bns C ase II force
and effect. License Class License No Date )?_1i Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (0100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEEa.
hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have 3oi 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
)erf9rm of the work for which this permit is issued. Policy No.
lid 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:
of Agent
certify that, in the performance of the
, if I should become su/bfect to/the..
Iature of ADolicanl
Policy Number
Date
for which this perrit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
nn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _
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 (Secfion 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 act on the properly 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 and we relating to building construction.
I authorize representatives of this city or county tp'enter th i party for inspection purposes.
ACTION
DATE BY — i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE. 40 AND AQMD ROLF
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PERMIJ EXPIRED
LJ I SUBMITTFD ASR STOS NOTIFICATION To
PERMITCAACELL`O
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PE PoLi1T FXT°NOF7
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( SBESTOS NOlIFICATION 15 NOT APPLICABLE TO
PERMIT FINAL _i
CERTIFICATE OF
I PROPOSED DEMOLITION
OCCUPANCY ISSUED
k j SIGNATURE;