HomeMy WebLinkAboutH2024-0033 - Permits,t.W�oCity of Newport Beach
141 Community Development Department - Building Division
> n 1 DO Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
`- newportbeachca.gov/civic
IFu ii �•
Mechanical Permit
Plan Check No :
Work Class: Alteration
Issued Date : 0112212024
Inspection Area : 2
H2O24-0033
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 : 300 ONYX AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 13 LOT 1
Description: MECH R/R HEAT PUMP AND AIR HANDLING UNIT; R/R FAU *TAMPER RESISTANT CAP REQUIRED* TIMERS PROHIBITED ON HEAT PUMPS
Owner: JANA FERRARI Contractor : JW MITCHELL HEATING AND AIR CONDITIONING LLC
Address: 547 E SIERRA MADRE AVE GLENDORA, CA 91741 Address : 368 GENOA LANE COSTA MESA, CA 92627
Phone: (626)429-8045 Phone: (714)402-3835
Con State Lic : 1108012
Applicant:
MARIO VERDIN
Address :
770 S BREA BLVD BREA, CA 92821
Phone:
(949)492-0290
Owner/Builder:
Address
Phone:
Code Edition:
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
2022
Front: 8, Side: 3, Side: 3, Rear: 5
Fire Hazard Zone : NO
R-BI - Two -Unit Residential, Balboa Island
SPECIAL CONDITIONS:
Lic Expire : 08/01/2025
Bus Lic : BT30083440
Bus Lic Expire:01131/2025
Workers' Compensation Insurance
Carrier : PALOMAR EXCESS AND SURPLUS INSURANCE CQ, '
Policy No : PA000214400
W. C. Expire: 7/14/2024 • ;
Manufacturer: AC PRO ..
Model#: AOD30U-36HFN1-MRO
TIMERS PROHIBITED
ON HEAT PUMPS
NO CONSTRUCT ION NOISL
ON THE WEEKENF
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(a)
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
is permit to file a signed statemont 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 and the basis for the alleged exemption. Any vlotation of Section 7031.5 by any applicant fora permit subjects the applicantto a civil penalty of
at more than five hundred dollars ($800).
] I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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 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
poly 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).
1 am exempt from ifcensure under the Contractors' State License Law for the foilovting reason:
ly 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
ell a structure that I have built as an owner -builder if it has not been constructed In itsentirety by licensed contractors. I understand that copy of the applicable taw, Section 7044 of the Business and
Irafessions Code, isavailable upon. request When this application Is submitted or at the following Web site:htip:fiw,vw.leginfo.ca..gov/calaw.html.
ilgnature 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 Section 0 ) of Division of the Business and Prof ssions Coe y ia is in full force
ad effect. Licon" Clrss License. No Date / 22 2 Contractor Signature
VORKERS' COft?_NSATION DECLARATION
Ir.Fd..V.9. f Ati TC SECUEE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100A00), IN ADDITION TO THE
DST OF CUMPENSAF,Od, LAAAGES AS PROVIDED FOR IN SECTION 0T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY=S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will mah'ain a certificate of consent to self -insure for workers' compensation, issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for
C'marce, of the work or which this parent is. issued. Polley No..
have and will rain.&'n 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' comperea
Trance carrier ant+ policy number are:
Policy Number Expiration Date
OfAgent Phone #_
veqmf,, that, in ine performance of the work for which this p It is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
I, if I should b,i.e subject to the work Es' com he ti provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of TApplicanl _ ,�mNST
CLARATfON REGAR O CONSTRUCTION L OING AGENCY %--
ereby 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).
ider'a Name Lender's Address
my signature below, I certify to each of the following:
f 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 slid County ordinances and state laws relating to building construction.
I authorU-e representatives of this city or countytoenter th/e eve -I I party for Inspection purposes. n I /Z ZI�
nature of Prnnadv Owner or AWhnri>erl Anent It (,L/ _ / Print ProoAdv Ownar'c nr Anthnri>ad Aneni'a Nna,. I/ f v IfA! r(l ��LL'� /Y flat. t 1
ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFG01.ATIONS PART 61 OF TITLE 40 AND AQMO RIJILF
1403
PERMITEXPfREO ( LIISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCEUED CPA...... ^
PERMIT FINAL q / L-JABEST
CERTOCATE OF Z�/ Jf��i PROPOSED
OCCUPANCYISSUEO r /�Y 51CNATIIR