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HomeMy WebLinkAboutH2023-0132 - PermitsD4�E.waoRT City of Newport Beach Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 ,= Permit Counter Phone: (949) 644-3288 .s. Inspection Requests Phone: (949) 644-3255 c9(�FOpN�P newportbeachca.gov/inspections Mechanical Permit : H2O23-0132 Plan Work Class k Other 22Z3-2021 Issued Date : 02/22/2023 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 : 4 RUE SAINT CLOUD Legal Desc : N TR 7519 BLK LOT 52 Description: MECH NEW A/C UNIT ON GROUND `TAMPER PROOF CAP REQ` Owner: BARMAN ROBERT T JR TR Address : 6 RUE SAINT CLOUD NEWPORT BEACH, CA 92660 Phone: Applicant: ONYX HEATING AND AIR Address : 12414 RAVENNA LANE VICTORVILLE, CA 92392 Phone : (951) 906-1383 Owner/Builder: Address: Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone: PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: Contractor : ONYX HEATING AND AIR Address : 12414 RAVENNA LANE VICTORVILLE, CA 92392 Phone : (951) 906-1383 Con State Lic : 1014949 Lic Expire : 06/30/2024 Bus Lic: BT30080783 Bus Lic Expire:02129/2024 Workers' Compensation Insurance Carrier: SECURITY+NATIONAL+INSURANCE+COMPANY Policy No: SWC1378641 W. C. Expire: 3/17/2023 Manufacturer: AC PRO Model# : AULD602A OWNER -BUILDER DECLARATION I hereby affirm under penalty of 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 iteri (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, aIter, improve: c annotiisIn, or repair any structure, prior to its issuance, also requires the applicant for the 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 Professions 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 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 U portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' at 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 improved for the purpose of sale). 71 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 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 bydhis permit, I.cannot legal sell a slrueto o that I hays built as on owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, $action 7044 of the Business and Professions Code, is available upon request whenthis application Is submitted or at the following Well site.:http:f wvnv.leginfo.ca..govlcalaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION % d' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Ivi i n 3 of the Business and fessl o e� d k`an. �I u o and effect, License Class License No Data Contractor Signat r JUORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSi AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA OLLARS 4100,000), IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE "FOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following deciaretioris: J I have and wit 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 In arformance 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' compensatioi s ice carrier and policy number are: :arder Policy Number Expiration Date lame of Agent Phone # 3 certify that, in the performance of We r which t runt i Pd. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre rat, if I should become subject to w re, comp an Or '' ns of Section 3700 of the Labor Code., I shall forthwith comply with those provisions.n' -��-"��" ,ignature of AppAaant / / Date-(„�,,,� I �� )ECLARATION RE C STAC END1Nl EN 1 \ hereby affirm and enalty of perjuryt ere 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 iy my signature, I)gcA, I certify topirt of the following' '.:im the prooeny owner or authorized to act on the property owner's behalf. I have read this apolication and the Information I have provided is correct anree, to comply withall applicable city and county ordinane nd e la I authorize representatives of this city erceurl yyo ante _ e ab en o ACTION I L _ Pd�J Ar EXPIRED PERMIFCANCELLEL PER,WT EXTEAI DEO PERMIT FINAL CERiIFICFlTE OF OCCUPANCY I55UEO Owner or Authorized I DATE I M 1403 building. construction. inspection purposes. Print Property Owner's or IMPLIANCE WITH CODE OF FEDEI El OF TITLE AO AND AQMD RULE ASBESTOS NOTIFICATION TO L_tASBESTOS NOTIFICATION ISNOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY Name Date