HomeMy WebLinkAboutH2022-0417 - Permits'taw vo?�. City of Newport Beach III II I III II I II II I I I II II
o Community Development Department- Budding Division
,y, 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
S Inspection Requests Phone: (949) 644-3255
cq[.rronN,P newportbeachca.gov/inspections
Mechanical Permit : H2022-0417
Plan Check No : 1524-2021
Work Class : Other
Issued Date :
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIOt1, btl#I-%C�iAg�T� YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AR RK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 411 N BAY FRONT Legal Desc : A TR BAL�R�SUB SEC 1 BLK 8 LOT 6
Description: MECH -INSTALL 2 A/C CONDENSERS. TAMPER -RESISTANT CAPS REQUIR NO
Owner: LYMAN FAMILY PARTNERSHP
Address : 411 N BAY FRONT NEWPORT BEACH, CA 92662
Phone :
Applicant: SOLSTICE HEATING & A/C
Address: 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone : (949) 573-3607
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Fire Hazard Zone : N
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : X; AO 1
Use Zone : R-BI - Two -Unit Residential, Balboa Island
Contractor : SOLSTICE HEATING & A/C
Address :
310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone :
(949) 573-3607
Con State'Lic
: 938888
Lie Expire :
10/31/2023
Bus Lie :
BT30041721
Bus Lie Expire:02/28/2023
Workers' Compensation
Insurance
Carrier :
SECURITY NATIONAL INS CO
Policy No:
SWC1376785
W. C. Expire:
3/19/2023
Manufacturer
Model# :
PROCESSED BY: �/� ?'� e `m^.. r— 7:1�;�a
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 [tem(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
the permit to file a signed statement that heor she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3of 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)
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do I_) 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 apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided [hat 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
apply to an owner of property who builds or improves thereon, and %fie contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
1 am exempt from licensure under the Contractors' State License Law for the following 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 this permit, I.cannot legatl,
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: httpaiwww,legGfo.ca.govIcalaw.ritmt.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Ijvision 3 of the Business and Prosio a C de nd my license is in full force
and effect. License Class License No Date rl ZZ. Contractor Signatur /
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINA ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Sr OD,000i, 1N 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:
I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
ppee (ormance of the work for which this permit is issued. Policy No.
ave 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' compensatiol
nsur noa carrier and policy number are:
er Policy Number Expiration Date
Jame of Agent Phone #
:1I certify that, in the performance of the work forWhich 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 agree
hat, if I should become s ufect to Lh workers' co pensatfon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
3lgnature of Applicant __ _ fya s bl t. t
)ECLARATION REG RDtNG C NSTR CTIDN LEND G AGENCY l
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 _ Lender's Address
3y 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 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and stale laws relating to building construction.
I authorize representatives of this city or county to entertheabove-identifi rip LPDroperty for inspection purposes. f,
31 nature of Property Owner or Authorized A ent Su tl a Print Property Owner's or Authorized Agent's Name Date K ,1//
ACTION DATE FLY LARATIOI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
TO
0.A58ES S NOTIFICATION IS NOT APPLICABLE FO
PROPOSED DEMOLITION
SIGNATURE:
All required ahmns,'atches gates and fences which serve as part of a pool/spa barrier, shall
be In olace p,lor to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.