HomeMy WebLinkAboutH2024-0073 - PermitsaEWPo�T City of Newport Beach III I I I III I II II I II IIII II Mechanical Permit : H2O24-oo73
C4 Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
n Permit Counter Phone: (949) 718-1888 Work Class : Other
newportbeachca.gov/civic Issued Date : 02/12/2024
cq�IcpRN�P Inspection Area : 6
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 : 7 ROMA CT Legal Desc : N TR 14772 BLK LOT 10 UN 57 TRACT 14772, LOT 10 OF
Description:
MECH - INSTL (N) AC CONDENSER. TAMPER RESISTANT CAP REQUIRED
Owner:
MAJID PAHLEVAN
Contractor :
21ST CENTURY AIR MASTER H V A C INC
Address:
7 ROMA CT NEWPORT BEACH, CA 92657
Address :
26895 ALISO CREEK ROAD, #B471 ALISO VIEJO, CA 92656
Phone:
(949)887-0920
Phone:
(949)444-8889
Con State Lie
: 981744
Applicant: 21 ST CENTURY AIR MASTER H V A C INC
Address: 26895 ALSO CREEK ROAD, #B471 ALISO VIEJO, CA 92656
Phone: (949)444-8889
Owner/Builder :
Address
Phone :
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
2022
X
PC - Newport Coast
PROCESSED BY: do
SPECIAL CONDITIONS:
Fire Hazard Zone
Lie Expire :
03/31/2025
Bus Lie:
BT30083516
Bus Lie Expire:01131/2025
Workers' Compensation
Insurance
Carrier :
CLEAR SPRING PROPERTY INS.
Policy No :
CWC01750800
W. C. Expire:
3/9/2024
YES Manufacturer : AC PRO
Model# : AULD36W2/A1-D(U)
OWNER -BUILDER DECLARATION
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) I have placed next to the applicable items)
Section 7031-5. Business and Professions Code: Any city or county that requires apermit to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is 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
'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Anyvlolatlon of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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 properly, provided that the
nproverrents 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 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
Pply to an owner of property Arno bullds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Levi).
_! I am exempt from licensors under the Contractors' State License Law rot the following reason' _
Vy 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
oil a structure that I have built as an owner -builder If it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, isavailable upon request when this application Is submitted or at the following Web sitehttp:Ilwww.legfnfo.ca.govlealaw.html.
;ignalure of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION \
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Ca e,. olimy li nseis in full force
Ind effect. License Class L€tense. No DateQ�'41 `fin°/( Contractor Signature
PORKERS' COMPENSATION DECLARATION v v
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOIL DOLLARS f8700,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 the
eq%rmance 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'
ranee 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
, if I should become subject to ttre workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
areby affirm under penalty of Wury that there is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code),
Tders Name _ Lender's Address
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 pity and county ordir aces and state laws relating to building Construction.
I authorize representatives of this city or county to enter the - enti lad property for inspection purposes,
nature of PFUpeny Owner or Authorized Acenl � Print Property Owner's or Authorized ADent's Name
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PEAMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUEn
OF COMPLIANCE N:ITII CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQI RU LF
1408
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DUMCLITION
SIGNATURE: