HomeMy WebLinkAboutH2023-0616 - Permitso City
Newport
III I I I II I III II II II I III II Mechanical Permit : H2O23-061 6
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1884
Permit Counter Phone: (949) 718-1888 Work Class : Other
newportbeachca.gov/civic Issued Date : 09/20/20231Inspection Area : 5�4oR
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: 430 FERNLEAF AVE Legal Desc : A TR CORONA DEL MAR BLK 433 LPT 12
Description: MECH - NEW HEAT PUMPS (2) y—C„M�('� %'es �5 }wN e �? Qeq ✓ rr-_QL
Owner: MICHAEL LINOS Contractor : J S S HEATING AND AIR
Address: 3334 E COAST HWY #435 CORONA DEL MAR, CA 92625 Address : 1469 STRAWBERRY DR PERRIS, CA 92571
Phone : (714) 943-1392 Phone : (949) 400-5797
Con State Lic : 927475
Applicant: J S S HEATING AND AIR
Address: 1469 STRAWBERRY DR PERRIS, CA 92571
Phone: (949)400-5797
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks: Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone: NO
Lic Expire : 01/31/2025
Bus Lic: BT30074233
Bus Lic Expire:02/28/2024
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
Manufacturer : INNOVAIR
Model#: VEA36H2V18/VEA48H2V18
OWNER -BUILDER DECLARATION
I hereby affirm under penally of pequry that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
Section 7031.8, 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
he permit to file a signed statement thathe or she is licensed pursuantto 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 licensors and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penatty of
lot more than five hundred dollars ($500)..
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work., and the structure is notintended or offered for sale (Section 7044,
3usiness 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
m roved for the purpose of sale).
I, as owner of the properly, 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 Law).
I am exempt from iicensure under the Contractors' State License Law for the following reason:
3y 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 legaill
eil a structure that I have built as an owner-buiider If 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
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:iiwwwJeginfo.ca.govfcalaw.html.
signature of Property Owner or Authorized Agent Date
,ICENSED CONTRACTOR'S DECLARATION
hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Prole`sions Code,. andrmy Iltense is in f II force
Ind effect. License Class License No Date Contractor Signature
VORISERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJEOT AN EMPLOYER TO CRIMINAL PENALTIES AND CIM PINES. UP 70 ONE HUNDRED THOUSAND DOLLARS (0100,000), IN ADDITION TO THE
:051 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby 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
Yor ormance of the work for which this permit is issued. Policy No.
I 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' compensatior
Laurance carrier and policy number are:
Policy. Number
of Agent
Date
certify 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 agre
, if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
'I AD of Applicant c ".. ^ ` Data (7S-1�
•.I ure of A u acre Mr_ rnwcro, rrnu r r�.i rrar u v
hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance ofthe Work for which this permit is issued (Section 3097, Civil Code).
enders Name Lender's Address
:y 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 or cou ty to enter the above -identified property for Inspection purposes. 1 1
signature of Property Owner or Authorized AgeR t, ��>o,LcJ Ccl, . . Print Prooertv Owner's or Authorized Anent's Name. 1p . �. C ..1....{
PERMrT EXPIRED
DATE BY — 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 9 FOR OFFICE USE ONLY
j REGUTATIONS PART Et OF TITLE 40 AND AQMD RULE
I SUBMITTFO ASBESTOS NOTIFICATION TO
PEPo+AIT FINAL �/. ! t MASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CCRTIFICATE OF -(- i'L J P, PROPOSED DEMOLITION
OCCOCCUPANCY f35UE0 a SIGNATURE:
---...__.._.__.�--__'___.