HomeMy WebLinkAboutH2022-0575 - Permits��EWPORT City of Newport Beach
- "ICommunity Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u S Inspection Requests Phone: (949) 644-3255
�9q FURN`P newportbeachca.gov/inspections
Mechanical Permit : H2022-0575
Plan Check No : 2261-2020
Work Class : Other
Issued Date : 10/18/2022
Inspection Area : 5
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 : 514 ACACIA AVE Legal Desc : A TR CORONA DEL MAR BILK 529 LOT 16 CORONA DEL MAR TR BLK 529 LOT 16 AND NELY
OF
Description: MECH (2) NEW A/C UNITS *TAMPER PROOF CAP REO*
Owner: 514 ACACIA LLC
Address : 1 CORPORATE PLAZA DR #110 NEWPORT BEACH, CA 92660
Phone:
Applicant: C C C C HEATING & AC INC
Address : 606 E LINCOLN AVE ORANGE CA 92665, CA 92665
Phone: (714)637-7021
Owner/Builder
Address
Phone :
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone:
Use Zone :
2019
Front: 15, Side: 4, Side: 4, Rear: 5
X
R-2 - Two -Unit Residential
Fire Hazard Zone : NO
Contractor : C C C C HEATING & AC INC
Address : 606 E LINCOLN AVE ORANGE CA 92665, CA 92665
Phone:
(714)637-7021
Con State Lic
: 451863
Lic Expire :
01/31/2024
Bus Lic :
BT30029124
Bus Lic Expire:09/30/2023
Workers' Compensation
Insurance
Carrier:
CHUBB+INDEMNITY+INSURANCE+COMPANY
Policy No :
000071772565
W. C. Expire :
11/11/2022
PROCESSED BY: _
SPECIAL CONDITIONS: �coP Urr/®/t I /tY,
`Y `OIS6
Manufacturer: YORK
Model# : YCG3614BB12S
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that 1 am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Ejection 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
is 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
'rofessions Code) or that he or she is exempt from licensure andthe basis for the alleged exemption. Any violation of Section 7031.,5 by any applicant ICES permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;usiness 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
nprovements 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
nproved for the purpose of sale).
1. 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason
iy 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 improvementscovered by this permit I cannot legall,
ell a structure that 1 have built as an owner -builder If it has not been constructed In its entirety by licensed contractors. I understand that 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:/fwww.teglnfo.ce.gov/calaw.html,
signature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 ) o Div' ion 3 of the Business and Prof p J siand my license is in full force
rid effect, License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION C__-I
'ARMING: FAILURE TO SECURE wORHERS' 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3.706 of THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of paqury one of the following declarations:
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 Ih
erformance 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' compensatiol
uance carrier and policy number are:
Tier Policy Number Expiration Date
To of Agent Phone N _
certify that. in the performance of the wor. inch this permit Is issued, I shall notemp€cy any person inany manner so as to become subject to the workers' compensation law of California, and agre
I, I( I should becom subject I rs corn eneaten provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions.
nature of Applicant __ _1e__ �� _ DatA %�
,., .,.
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).
ender'; Name Lender's Address
y my signature below. I certify to each of the following:
I am the property owner or authorized to act an the property owner's behalf,
I have read this application and the information I have provided is correct.
I agree to comply with all applrcable city and county 2rdinances and sl ws relating to building construction.
I authorize representatives of this city Croce -Identified property for Inspection purposes. '\ /� q,
ionature of Property Owner or Authorized Aaenl Print Prooertv Owner's or Authorized Aaent's Name
ACTION
DATE
BY 1 DECLARA7fON OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART et OF TITLE 46 AND AQMD ROLF
14d3
PERMI r EXPIRED
1511RHITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMIT FXTENOEO
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4D
PERMIT FINAL
CERTIFICATE OF
I L-,f ASBESTOS N011HCATION 15 NOT APPLICABLE TO
ei� PROPOSED DEMOLITION
OCCUPANCY ISSUED
111
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