HomeMy WebLinkAboutH2023-0059 - Permits�aEwPoRT City of Newport Beach
D @ Community Development Department - Building Division
r t"y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
:r. 2 Inspection Requests Phone: (949) 644-3255
°gciFo aN`P newportbeachca.gov/inspections
Mechanical Permit : H2O23-0059
lan Check No:
ork Class: Alt
eration
eration
Issued Date : 01125/2023
Inspection Area : 4
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 : 2945 CASSIA ST Legal Desc : N TR 5018 BILK LOT 81
Description: MECH CHANGE OUT A/C AND FURNACE C/O -TAMPER PROOF CAP REQ'D `TIMERS PROHIBITED ON HEAT PUMPS
Owner: SHAWN HANSBERRY
Address : 2945 CASSIA ST NEWPORT BEACH, CA 92660
Phone : (603) 305-5648
Applicant: SAUL MARTINEZ
Address: 1221 PUERTA DEL SOL, 300 SAN CLEMENTE, CA 92673
Phone : (949) 492-0290
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups :
Fire Hazard Zone : NO
Contractor : ABSOLUTE AIRFLOW INC
Address :
14122 WILLOW LN WESTMINSTER, CA 92683
Phone :
(833) 482-2626
Con State Lie
: 1049023
Lie Expire :
01 /31 /2023
Bus Lie :
BT30079754
Bus Lie Expire:09/30/2023
Workers' Compensation
Insurance
Carrier :
EMPLOYEE SERVICE GROUP
Policy No :
WC053417721
W. C. Expire:
7/1/2023 "
Manufacturer: GOOD�IAX'•, ""
Model# : GSXC7 DEC 10A
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : `/�R---111-6000 - Single -Unit Residential (6000 indicates minimum lot area) ]� p�
PROCESSED BY: k, ��4j�E'R(S PROHIBITeD
SPECIAL CONDITIONS: ON HEAT p[ jMpq
OWNER -BUILDER DECLARATION
I hereby affirm under penaliyof perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I haveplaced next to the applicable itern(s)
;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
:hD 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
�rofesslons 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 fora permit subjects the applicant to a civil penalty of
-Iot 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 U 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 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 of completion, the Owner -Builder will have the burden of proving that it was not built or
rnproved 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
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),
❑ I am exempt from licensure under the Contractors' State 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 legalll
sell a structure that I have built as an owner -builder it 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 submitted or at the following Web site:http:/fwww.leginfo.ca..govlcalaw.html..
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Divisio f the Business and Prpfesslon e .and my license is in full force
and effect. License Class License. No Date ZS - Contractor Signal IF
WORKERS' COMPENSATION DECLARATION
NANNING: 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 tS100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7705 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
i-1 I have and will maintain a c6rldio.te 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 IT
performance of the work. for which this permit is issued. Policy No,
have and will maintain ,varke s' -,on,pensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers'
ranee carrier and pclicy number are:
Policy Number
1e of Agent
certify that, in the performance of the work for which
. if I should become subiecl to tl& V O(kers' corAAen;
of
Date
issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
av of_Soclion 3700 of the Labor Code, I shall forthwith comply with those previsions.
Dati
?reby affirm under penalty of pe j iry'l;at there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
ider's Name _ow, I certify t_ Lender's Address
my signature belo each of the following: T
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 applicable city arid county ordinances and state layvs' lating to building construction.
I authorize representatives of this city orcounly to enter a aj6ve-ide i "d operty for inspection purposes.
.nature of Pmoertv Owner or Authorized Anant Print Property Owner's or Authorized AaenCs Nanre
0011111 Me,
PERMIT CANCELLED
PERMIT EXTENOEO
PERMIT RNAL
CERTIFICATEOF
OCCUPANCY ISSUED
DATE BY r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART SI OF TITLE 40 AND.AQMD ftULF.
TO
13 LJ ASBESTOS NOTIFICATION 15 NOTAPPLICABLE TO
PROPOSED DEMOLITION
ZS -