HomeMy WebLinkAboutH2024-0043 - Permits�EWP0, City of Newport Beach
0� I @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
U r newportbeachca.gov/civic
Cq</FORN�P
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 0112512024
Inspection Area : 1
H2O24-0043
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 : 222 CEDAR ST Legal Desc : N TR 772 BLK 3 LOT 25
Description: MECH - (N) AC CONDENSER (2). TAMPER RESISTANT CAP REQUIRED
Owner:
DOS JEFES PROPERTIES LLC
Address :
222 CEDAR ST NEWPORT BEACH, CA 92663
Phone:
(714)883-7873
Applicant :
D L S HEATING & A/C
Address :
8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646
Phone:
(714)231-8002
Owner/Builder
Address
Phone:
Code Edition :
2022 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
/1 zPf
SPECIAL CONDITIONS
Contractor : D L S HEATING & A/C
Address:
8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646
Phone:
(714)231-8002
Con State Lic
: 584220
Lic Expire :
01/31/2024
Bus Lic:
BT98040420
Bus Lic Expire:12/31/2024
Workers' Compensation
Insurance
Carrier:
STATE FARM FIRE AND CASUALTY CO
Policy No :
92-KN-Z567-4
W. C. Expire:
1/6/2025
NO
Manufacturer : AC PRO
Model# : AULD36W2/A1-D(U)
OWNER -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 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 licensureand 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)..
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does no[ 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 fl was not buitt or
improved for the purpose of sale).
❑ 1, as owner of the properly, am exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
apply t0 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 and exempt from ficensure under the Contractors' Slate License Law for the following reasen.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior [a completion of the Improvaments covered by this permit, I. cannot legal
sell a structure that I have built as an owner -builder if it lies 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 uponrequest when this application is submitted or at the following Web site:http://wvrtiv.leginfo.ca..gov/calaw.html.
Signature of Property Owner or Authorized Agent ate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm. under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 700 of 3 of the Business and Pro a is i full force
and effect. License Class License. No Date Contractor Signature 4,
COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND UOLLAI&WIDD,000), IN ADDITION TO THE
:OST 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:
-1 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 3700 of the Labor Code, for th
�arfemiance of the work for which this permit is. issued. Policy No..
and will maintain wo€kers' 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:
na of Agent _
certify that, in the
, if I should becor
ialure of Appkcan
Policy Number
Date
uad., I shall not employ any person in any manner so as to become subject 10
the workers' comp nsatio laws of California, and ogre
of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
eDat
Dreby affirm under penalty di parjury that III Is a construction lending ageney for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name J Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the p party owner's. baijalf.
I have read this application and the information hav pro I ad i5 co&INS
€ agree to comply with all applicable city an co /ordiI `es #rrelg£}t'I g to building. construction. f I
I authorize representatives of this city or toll. y e/'(�1f a-Iq for inspection purposes. l i
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
DATE BY CIARATLONfjj COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
i GULATION RT61 OF TITLE 40 AND AOMD RULE
SUBMITTED ASBESTOS NCTI FICATION TO
PERMITFINAL ASBESTOS NOT I FICATION IS NOT APPLICABLE TO
CERTiFiCATEOF -w-L a �R
f !i PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: