HomeMy WebLinkAboutH2023-0583 - Permitso�aEWPoRr City of Newport Beach
pm Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
C4CicO HN�P
Mechanical Permit
Plan Check No
Work Class : Other
Issued Date : 09/06/2023
Inspection Area : 3
H2O23-0583
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: 1730 GALAXY DR Legal Desc : N TR 4224 BLK LOT 37
Description: MECH - R/R HEATPUMP PACKAGE UNIT IN RIGHT SIDEYARD. TAMPER -RESISTANT CAP REQUIRED
Owner: LEWIS MICHAEL JOHN TR
Address: 1730 GALAXY DR NEWPORT BEACH, CA 92660
Phone:
Applicant : MCMASTER HEATING & AC INC
Address : 2 MCLAREN #C IRVINE, CA 92618
Phone : (949) 481-7995
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: OM
SPECIAL CONDITIONS:
Contractor : MCMASTER HEATING & AC INC
Address:
2 MCLAREN #C IRVINE, CA 92618
Phone:
(949)481-7995
Con State Lie
: 726607
Lie Expire :
12/31/2023
Bus Lie:
BT30041972
Bus Lie Expire: 01 /31/2024
Workers' Compensation
Insurance
Carrier :
HARTFORD CASUALTY INS CO
Policy No:
72WECZU8138
W. C. Expire:
2/2/2024
Manufacturer: 38MURA
Model#: 38MURAQ36AA3
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Profession$ 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
is permit to file a signed statement thathe 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
'rofessions Code) or that he or she is exempt from lioensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500)..
7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or f_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
,usinas . 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
npiovements 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 net built or
nproved for the purpose of sale).
1 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
ppiy 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),
7 1 am exempt from lioensure under the Contractors' Slate License Law for the following reason:
.y 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 legall,
ell a structure that I have built es an owner builder If it has not been construGtad In its entirely by licensed Contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:ilw .leg'info.ca..govlcalaw.html,
;Ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty f e'ur!r that I am licensed under provisions of a t r 9 (y�ttmencing with Section 70 Q f ision 3 of the Business and Pro ns ode, d m en it force
nd effect. License Class License. Na / Date Contractor Signet e
VORKERS' COMPENSAT(ON DECLARATION �y
'ARNING: 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 1$100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR. IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
rmance 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'
rank aerie[[ a d li y rturpber are: �J / / '
ierCt.(�7,�Oe"(j�(Q 1/%SGI.�fJN �`W Policy Number / W [i �� l� p l� Expiration Date
1e of Agent Phone N _
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 agre
I( I should become subject to he workers eompe sation provisions of Section 3700 of the Labor Code,. I shall . forthwith comply with those provisions.
velure of Applicant / V _ _ Date
^I eaennM urn_e nlurrtnacTallrnnNi i on�ninrur erGMi�.v^
oreby affirm under penalty of perjury that thereis a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ides s Name Lender's Address
my signature below. I certify to each of the following:
I am the property owner or authorized to out 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 applicable city and county ordinances and state laws relating to building construction.
I authorize representatives c' `his c'h, or county to e,!t ,,. th'e iibov�e-identified propert for Inspection purposes. �q v/rq I,,
nature of Pronorty Owner or Ai lhnri7ed Anent �L'_�i/!/C Pronwriv Ovmwr'c nr Anthnri7nA Anenf' Nnma Ir--Lug` cu, b / 1x1 )
ACTION DATE BY } LECLARATICN CFCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
Ill ! REGULATIONS PART Et OFTITL€40 AND AQMD RULE
1103
PE.gMir FXi ( I �`_'JBMI'TFD ASBFSTOS NOTIFICATION TO
PERMIT CANCFU EO �p1➢ A
PERIVITFiNAL - LJ ASBES705 NOT IFICA[ION 15 NO r APPLICABLE 1'0
CERTIFICATE Of
PROPOSED DEMOLITION
OCCUPANCY ISSUED 6 SIGNATURE:
Date
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