HomeMy WebLinkAboutH2023-0360 - Permits�aEWP9", City of Newport Beach
' e Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
n
Permit Counter Phone: (949) 716-1888
c r? newportbeachca.gov/civic
9CrFp RN
Mechanical Permit
..-..- ____.-_ _.__..
Plan Check o
Work Class: New
Issued Date : 05/31/2023
Inspection Area : 4
H2O23-0360
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: 900 ALMOND PL Legal Desc : N TR 4705 BLK LOT 10
Description: MECH (3) NEW A/C CONDENSERS; TAMPER RESISTANT CAPS REQUIRED (X2021-3311)
Owner: SMITH GARY M TR SMITH LIVING TR
Address : 1958 PORT CARNEY PL NEWPORT BEACH, CA 92660
Phone:
Applicant: SOLSTICE HEATING & A/C
Address: 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone: (949)573-3607
Owner/Builder :
Address:
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: q2l�
SPECIAL CONDITIONS:
Contractor : SOLSTICE HEATING & A/C
Address :
310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone:
(949) 573-3607
Con State Lie :
938888
Lie Expire :
10/31/2023
Bus Lie:
BT30041721
Bus Lie Expire:02128/2024
Workers' Compensation Insurance
Carrier :
SECURITY NATIONAL INS CO
Policy No :
EIG520830800 -
W. C. Expire:
3/19/2024
Manufacturer : BRYANT
Model# : 105ANA036000BAAB (48000 &36000)
REVIEW AND APPROVAL P•c
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 applicableiternis)
(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
the permit to file a signed statement thathe or she is licensed pursuantto the provisions of the Contractors' Stale 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).
❑ 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 not intended or offered for sale (Section 7044,
Business and Professions Cade: 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
improvements are not intended or offered for sale. If, however, the building or improvement is sold within oneyear 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 property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law w 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:.
By my signature below t 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 legal]
sell a structure that I have 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, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web sitefittp:// w .leginfo.ca.govic law.htmi.
Signature of Proprrty Owner or Authorized Agent Date
LIrENSFO CON'I'NACTOR'S DECLARATION g
I hweoy wdmrt unifier oenA]ty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) of D visic, 3 of the Business and Prdf"�ion Co e; apD- Yy IiGens is in full force
and effect. Licence Crass License. No Date )L Contractor Signatures J
NORXEKS' COMPENSATION DECLARATION
tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100,000), IN ADDITION
OCT OF COMPENSATION, nAMAGES AS PROVIDED FOR IN SECTION 3706 of THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penzity of perjury one of the following declarations:
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
ice of the w7rk for which this permit is issued. Policy No.
Hnd will n,aintdi i 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' compensa
carrier and polity number are:
Fier
me of Agent _
certify that, in
If I should be
nature of Appli
Policy Number
Dale
Iformance/pt the work for which this permit Is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
subject 4 e workersmpensation provisions of Section 3700 of the Labor Code, Ishalt forthwith comply With those. provisions. ]
Date � 2 3
rerun. nu urnnu r cNt Fur_ nr_euiry
hereby 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).
ender's Name Lender's Address
ly 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 t have provided is correct.
I agree to comply with all applicable pity and county ord ances and state laws relating to building construction.
I authorize representatives of this city or county Q entAthe ajxrVe-ideJtt�d property for inspection purposes. ,
ACTION
of PrDDerty Owner or AL
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXTENDED L.IAQMD
PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF /I^U PROPOSED DEMOLITION
OCCUPANCY 65UED a i' I SIGNATURE:
FOR OFFICE USE ONLY
.JJ I