HomeMy WebLinkAboutH2024-0063 - PermitsQ ��WPbRT City of Newport Beach
O .i. Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
z Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
c9(rcORN�P
Mechanical Permit
Plan Check No :
Work Class : Alteration
Issued Date :
Inspection Area : 6
H2O24-0063
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: 8 PAVONA Legal Desc : N TR 15337 BLK LOT 13
Description: MECH R/R HEAT PUMP AND AHU IN ATTIC* TAMPER RESISTANT CAP REQUIRED *TIMERS PROHIBITED ON HEAT PUMPS
Owner:
GILDENHUYS ERIC W H TR
Address :
8 PAVONA NEWPORT COAST, CA 92657
Phone:
(949)466-5463
Applicant:
RABECCA JOHNSTON
Address :
4370 PALM, D250 SAN DIEGO, CA 92154
Phone:
(714)804-8886
Owner/Builder;
Address:
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Newport Ridge
PROCESSED BY: 4�1
SPECIAL CONDITIONS:
Fire Hazard Zone
Contractor : ALISO AIR INC
Address :
29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA
92688
Phone :
(949) 589-2021
Con State Lic
: 526420
Lic Expire:
03/31/2024
Bus Lic:
BT30019236
Bus Lic Expire:02/28/2024
Workers' Compensation Insurance
Carrier :
LIBERTY MUTUAL INSURANCE COMPANY
Policy No :
WC2Z61036218093
W. C. Expire:
7/1/2024 "
YES Manufacturer: CARRIER
Model#: 38 MURA
TIMERS PROHIBITED
�( )IV HEAT PUMPS
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below, by the checkmarkjs) I have placed next to the applicable Items)
>Rction 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
Ie permit to file a signed statement thathe or she Is licensod 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 lbensure and the basis for the alleged exemption. Anyvlolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
11. as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ushi 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
nprovaments 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
ntproved forthe purpose of sale).
„r I, as owner of [be 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 Lave)..
3 1 am exempt from licensors under the Contractors' State 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 legally
all a structure that I have built ns an owner -builder if it has not been constructed In itsentirely by licensed contractors. I understand that a copy of the applicable law, $action 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http./lwww.leginfo.ce.gov)calaw.html.
signature of Property Owner or Authorized Agent v .Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License. No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SEC' IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS dAD0,000), IN ADDRION TO THE
CST OF COMPENSAT: DJ, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'$ FEES,
ne,eby affirm under penalty of perjury 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 th
.rfcrmence 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'
.ancu carrier and policy number are:
Policy Number
of Agent
Date
cull, 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
, if) should b^:corn.e Lubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provislons.
lature of AppliCini _-_------ uare!
;.,:RATION RE(I11ARFANG CONSTRUCTION LENDING AGENCY
)reby affirm under penally 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).
ider's Name _ Lender's Address
my signature below, cardlfy to each of tha 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 or county to enter the above -identified property for inspection purposes.
„on,..o ,.f o.,,. h, n... no. nr 6,U6nrivod nnrsni Print Prooertv Owner's or Authorized AGent's Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ] FOR OFFICE USE ONLY
t REGULATIONS PART 61 OFTITLE 40 AND AOMD RLRF
1403
pEki"T lxPIRPD I I AI LI I Si1BMITFFD ASBESTOS NOTIFICATION TO
PERA11T EXTENDED
OCCUPANCY �S(iED` Wv 5Py
GNATUR DEMOLITION lON 15 NOT APPLICABLE 70