HomeMy WebLinkAboutH2022-0510 - Permitscc,py
�EwPoRr
City of Newport Beach
III III I IIII III I III III IIII IIII II III II COMB Permit
H2O22-0510
C� @
Community Development Department- Building Division
:
H 2 0 2 2 0 5 1 0
-.
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No:
Permit Counter Phone: (949) 718-1888
Issued Date : 09/22/2022
o-
C•iC�FORN`P
newportbeachca.gov/civic
Final Date:
Combination Type -
Permit Status: Expired
Work Class - Other
InsoQction Area : 3
a
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 EARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AN�NO`WOR ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 1821 SANTIAGO DR Legal Desc N TR 3976 BLK LOT4
Description : MECH A/C CHANGE OUT (2) UNITS AND (2) FURNACESTIMERS PROHIBITED ON HE LIMPS
Owner: HOUSHIAR SAMIRA TR THE S Contractor : ABSOLUTE AIRFLOVI('iNC Architect
Address : 1821 SANTIAGO DR Address 14122 WILLOW ..L'N- Address
NEWPORT BEACH, CA 92660 WESTMINST$R, CA 92683
Phone: Phone: - (833)482,2626 Phone•
n State Lrc : 1049023 Stitt
/ Llc Expire 01M/2025 IZN
Applicant: ABSOLUTE AIRFLOW INC Bus Lrc : BT30079 rneer:
Address : 14122 WILLOW LN BUs� is pire O Ql fl24 >� A A dress :
WESTMINSTER, CA 83 -,Y '� ??�,,`
Phone : (833) 482-2626 .,,� '`s WdWers' Cornpensaldon.lns7 Trance � � k,H'tione
�, r saCarner : PACIFIC CCMP•INS CO e
Owner/Builder : - PolicyT 1026229 �' .t'.� Designer • �, yyy"'
Address :+ efCire ; 1/27/2024 O dre*`
Phone: P��li�gn`e
3. 1.j •�feT 4. 1p J
y.+`
Code Edition : 019` 5;r Fire Sprinklers: NO Construction Valuation
Type of Construction : ° Fire Hazard Z NO �AddedlNew/TI sq. ft. Bldg : 0
Occupancy Groups : °,� •;;a°" No of Units . Alteration sq. ft. Bldg
Bldg Height: .� No of S rr s : AddedlNew sq. ft. Garage: 0
Col TOTAL sq. ft. 0
Building Setbacks : Front ,r>ide Rear: 6 .,
Flood Zone: Xcn-
s.
Use Zone: R-1-6000 - gle-Unit Re � �'6O ites minim lot are
w�O
PROCESSED BY:
SPECIAL CONDITIONS:. ��
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated I
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demo' - , o
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licens w (Chi
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation ection 7031
not more than five hundred dollars ($500).
❑ 1, as owner of the properly, or my employees with wages as their sole compensation, will do U all of or, portions of the work..
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empla
improvements are not intended or offered for sale. If, however, the building or improvement is sold thin one year of complet'
improved for the purpose of sale). �e • olIo
r the checkmark(s) I have placed next to the applicable item(s)
irany structure, prior to its issuance, also requires the applicant for
9 (commencing with Section 7000) of Division 3 of the Business and
any applicant for a permit subjects the applicant to a civil penalty of
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to co - ct the III Business Business a Profess n:
apply to an owner of property who builds or improves thereon, and who contracts for i rojects wjUra�lfDens ed�tltractor pursu o the Contras
❑ 1 am exempt from licensure under the Contractors' Slate License Law for the wing red&. "11
By my signature below I acknowledge that, except for my personal residence' hich I must Have restd Pbr at least on ar prior to completion of
sell a structure that I have built as an owner -builder if it has not been can Died in its entirely b ram' eanVaelo understand that a copy of th
Professions Code, is available upon request when this application is " itted or at t e followingUWeb site:htt0.'{(�Ww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent _
LICENSED CONTRACTOR'S DECLARATION o 1.
is not intended or offered for sale (Section 7044,
)rt, builds or improves the property, provided that the
fill have the burden of proving that it was not built or
Code: The Contractors' State License Law does not
V State License Law).
1 hereby affirm under penalty of perjury that I am license der provisio of Chapter 9 (cohnmengin_ g With Section 7000) of Division 3 of the Business and Pre
and effect. License Class License Date Contract nature
WORKERS' COMPENSATION DECLA N (�
WARNING: FAILURE TO SECURE WORKERS' COMP TION CO NLA UND SH�l.L CT AN EPIPLOY TO CRIMINAL PENALTIES AND CIVIL FI('�9�YM, '^ONE HUNDRE
COST OF COMPENSATIDN, DAMAGES AS PRO FOR INS CfI 706 OF THE' `, ¢ Bp�ODE, IjijE�AND ATTORNEY'S ES.
I hereby affirm under penalty of p one i wing decieratlorig
❑ I have and will Tramiel certificate nsent tosseli in,Lre f- kers' Compensation: Issued by the Director of Ir ,1Fpa1 Re aky�rs as provided
,performance of the wor which this p it is Issued. Policy No.
❑I have and will . aintam w compensation insuance, as required by Section 3700.of ;he Labor Co e dig erfor a'€ e"Kof the work which F
insurance carrier a d poli ber are: ti r , » ar J;t sf , .
No�Carrier a a�-x,�?APohcy Number' ,/ /°aw „S Ex " Uon.I�$,%
ne of Agent V
certify that, in the pel'frprmab a of the for whllro pet met is issued, I shall not
if 1 should become sI! jecl t� 'Hers comps anon provisions of Section 370(
71
ialure of Applicant S,
maby affirm under penalty of {iprjury'1 at Le iK onstructi
ider's Name '•
my signature below, I certify to a ch of owing:
I am the property owner or authored to act on the prcrh{
I have read this application and the formation Ave provr
I agree to comply with all applicable city and;adbnt;�rdtrian
I authorize representatives of this city or county to_amter the
ACTION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
CERTIFICATE OF
OCCUPANCYISSUED
the
any pers" 5h in any manner so
Labor Code, I shall forthwit"
Address
for
ate laws relating to building construction.
mined property for inspection purposes.
Z" Print Property Owner's or Authorized Ag
)MPLIANCE. WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
61OF7ITtE40ANDAQMD RULE II
NOTIFICATION TO
UASBtSTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
rents covered by this permit, I cannot
law, Section 7044 of the Business and
Date
Code, and my license is in full force
DOLLARS dil M1,000), IN ADDnION TO THE I
3700 of the Labor Code, for
issued. My workers'
the workers' compensation laws of California, and
Date_
is issued (Section 3097, Civil Code).
Date