HomeMy WebLinkAboutH2023-0046 - PermitsWPQQT City of Newport Beach
o Community Development Department - Building Division
r `D" 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C,G�FppN�P newportbeachca.gov/inspections
Mechanical Permit : H2O23-0046
Plan Check No : 0597-2022
Work Class : Other
Issued Date : 01/20/2023
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: 2661 CRESTVIEW DR Legal Desc : N TR 1014 BLK LOT 68
Description: MECH: INSTALL (2) A/C UNITS @ SIDE'"` TAMPER RESISTANT CAPS REQUIRED *'* (X2022-0679)
Owner: DAVID ROOT _.
Address : 3500 SAN JOAQUIN PLZ NEWPORT BEACH, CA 92660
Phone: (760) 419-9902
Applicant : HEAT WAVE AIR CONDITIONING AND HEATING
Address : 2735 CALLE LOMA ROJA RIVERSIDE, CA 92503
Phone: (949) 201-7521
Owner/Builder :
Address
Phone :
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10, Front: 10, Side: 3, Side: 3
Flood Zone: X
Use Zone: R-1- Single -Unit Residential
PROCESSED BY: as
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Contractor : HEAT WAVE AIR CONDITIONING AND HEATING
Address : 2735 CALLE LOMA ROJA RIVERSIDE, CA 92503
Phone: (949) 201-7521
Con State Lie : 941094
Lie Expire : 12/31/2023
Bus Lie: BT30080505
Bus Lie Expire: 01/31/2024
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
Manufacturer: AC PRO
Model# : AULD 36W2/A-D(U)
NO C0NSTRUC-TION NOISE
ON THE WEEKEN.D
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 7031.5, Business and Professions Code: Any city or county that requiresa 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 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 f€vehundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 that the
Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year or completion, the Owner -Builder will have the burden of proving that it was not built or
rim roved for the purpose of sale).
L.t 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 who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 I am exempt from licensure under the Contractors' Stale 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 legan-
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 submittedor at the fonowing Web site:http:liw .leginfo,ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent . Date
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Dwisiosy 3 of the Business and Prated de m1 my license is in full force
and effect. License Class License No Date 3 Contractor SignatureU
WORKERS' COMPENBATTON DECLARATION
MANNING: 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 ($100,000), IN ADDRION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION ST00 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
—1 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, Issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for IT
cerformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for 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
if I should become sube to a workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
of
Dale / 7u-Z3
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
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 L*,CJUo city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to the bpve-identified property for inspection purposes. '7 ��
signature of Propeny (jwner or Authorized Agent /. Print Property Owner's or Authorized Anent's Name %"hull- SAfmir
—2o-L7
ACTION DATE I BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I 's REGULATIONS PART 61 OF TIRE 40 AND AOMD'RULE
1403
PERMIT EXPIRED �• ISUBMITTE.D A5RESTOS NOTIFICATION TO �.
PERMITEXTENVEO _ I UAQMD _
PERMIT FINAL 1 LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF I b�'I I PROPOSED DEMOLITION
OCCUPANCY ISSUC'D ` s,SIGNATURE: