HomeMy WebLinkAboutH2023-0179 - Permits�EWPORT City of Newport Beach IIIIIIIIIIII IIIII I IIII II
Community Development Department- Building Division Mechanical Permit
W.. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
> 2 Permit Counter Phone: (949) 644-3288 Work Class : Other
.� Inspection Requests Phone: (949) 644-3255 Issued Date : D311512023
Cq<./rppN�P newportbeachca.gov/inspections
Inspection Area : 3
H2O23-0179
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 : 1722 ORCHARD DR Legal Desc : N TR 456 BLK LOT 19 TR 456 LOT 19 NWLY 62 FT SELY 120 FT NEL Y 290 FT
Description: MECH CHANGE OUT A/C AND AHU; TAMPER PROOF CAP REQ'D; TIMERS PROHIBITED ON HEAT PUMPS
Owner: WILL PRIOLEAU
Address : 1731 ORCHARD DR NEWPORT BEACH, CA 92660
Phone:
Applicant: LUKEVUJNOVICH
Address : 311 COLLEEN PL COSTA MESA, CA 92627
Phone:
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone
Building Setbacks: Front: 20, Side: 5, Side: 5, Rear: 25
Flood Zone : X
Use Zone : SP-7 - Santa Ana Heights Specific Plan
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor :
ABC HEATING AND A/C
Address :
306 COLLEN PL COSTA MESA, CA 92627 "
Phone:
(949)756-0064
Con State Lic :
940181 ,
Lic Expire :
11/30/2023 "
Bus Lic:
BT30043258
Bus Lic Expire:03/31/2023
.,,,
Workers' Compensation Insurance
Carrier:
STATE FARM FIRE & CASUALTY CO
Policy No :
92GOG2871 '
W. C. Expire:
9/24/2023
NO
Manufacturer : TRANE '
Model#: NTXUKSlBA112BA
TIMERS PROHIBITED
ON HEAT PUMPS
o
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ctlon 7031.5, Business and Professions Code: Any city or county that requires permit to construct, alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State Liconsc Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fesslons 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
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,
:iness 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 theproperty, provided that the
,rovements 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
,roved 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
Ily 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)..
LJ I am exempt from licensure under the Contractors' Slate 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
salt a structure that I have built as an owner -builder if It has not been constructed in its: entirely by licensed contractors. I understand that a copy of the applicable law, Section 71
Professions Code, is available uponrequest when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.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 000) Division 3 Df the Business d Prefessil S Co a�d� 1 licen full force
and effect. License Class License No Data S—trJ'��/ Contractor Sign M
WORKERS' :OM PEN SATION DECLARATION
NARNINi: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLIARS ($100,00a), IN ADDITION TO THE
Cc]. S, COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
this permit, I. cannot
of the Business and
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
gnmance of fu *vurk for which this permit is, issued. Policy No.
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'
carrier a.1d oalicy number are:
i� 'Agent ---
certiry that., in the pcdormance of the work
>hould become subject to the orkers'
lature of APPlioa6C__ j
Policy Number
Date
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
ation provision r Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 2
11
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 _
ly 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 applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city arcounty to enteLthe abpve-ideptiFleSWropal;Iy for Inspection purposes.
ii ,nature of Property Owner or Authorized Agent - L- u m �/„_ Print Pro ert
ACTION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART AI OF TITLE. 40 AND AQMD RULE
PERMIT CANCELLED
PERMfi EXTEND€0
ERiTIFICATE L C
CERTIFICATE' OF
OCCUPANCY155UE0
I SUBMITTED ASBESTOS NOTIFICATION TO
LJASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
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