HomeMy WebLinkAboutH2023-0471 - Permits���WIoRr City of Newport Beach
eICommunity Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
r1 Permit Counter Phone: (949) 718-1888
newportbeachce.gov/civic
C91.1 FOB P
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 07/24/2023
Inspection Area : 4
H2O23-0471
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: 1815 PORT RENWICK PL Legal Desc : N TR 7032 BILK LOT 62
Description: MECH R/R FURNACE IN GARAGE AND A/C UNIT AT SIDE WITH DUCTWORK. *"TAMPER RESISTANT CAPS REQUIRED***
Owner: PATRICK OLLISON
Address : 1815 PORT RENWICK PL NEWPORT BEACH, CA 92660
Phone: (949)315-5074
Applicant: SAUL MARTINEZ
Address: 2075 N SHAFFER ST ORANGE, CA 92865
Phone: (714)998-7879
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
SPECIAL CONDITIONS
Front: 23, Side: 5, Side: 5, Rear: 10
X
PC - Harbor View Hills
Contractor : ABSOLUTE AIRFLOW INC
Address : 14122 WILLOW LN WESTMINSTER, CA 92683
Phone: (833)482-2626
Con State Lie : 1049023
Lie Expire : 01/31/2025
Bus Lie: BT30079754
Bus Lie Expire:09/30/2023
Workers' Compensation Insurance
Carrier : PACIFIC COMP INS CO
Policy No ; 1026229
W. C. Expire: 1/27/2024
Fire Hazard Zone : NO Manufacturer: CARRIER
Model# : 24TPA760
TIMER REQUIRED ON EQUIPMENT
:
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TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
Fire Hazard Zone : NO Manufacturer: CARRIER
Model# : 24TPA760
TIMER REQUIRED ON EQUIPMENT
:
1:+IIn1rt fl�,v�+E�
Nei w�+cew�df SMood
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TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
OWNER -BUILDER DECLARATION
I hereby Suture under penally of perjury that I am exempt from the ContractorsSlate License Law for the reasons) 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 a permit to construct, after, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
the 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
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 (_) all of or (_) portions of the work., and the structure is not intended or offered for sale (Section 7044,
Business 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
improved 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 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).
❑ I am exempt tram licensure under the Contractors' Stale License Law for the following reason
By 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 legall,
sell a structure that I have built as an ownerbuilderif it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7C44 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:// w .leglnfo.ca.govycalaw.html.
Signature of Property Owner or Authorized Agent - Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ; tiglpr9 '3�If the Business and Professions e, �rld my license is in full force
and effect. License Class License No Date ((�i�cli O Contractor Signature
IIVORKERS' COMPENSATION DECLARATION
NANNING: 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 t$1eD,0a0), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY•a FEES
herebyaffirm under penalty of perjury one of the fallowing 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
'ormance of the work for whichthis 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' compensa'
fiance carrier and policy number are:
Policy Number
a of Agent
Date
certify that, in the pedormane of tha 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
1, If I should become subjec the worker • compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply With those provisions. n Z Y 7
nature of Applicant __._ �„�,__�_ Data___'✓/ _�,_._.��___v..._._..
CL.ARATION REGA DING CONSTRUCTION LENDING 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).
Iders Name Lender's Address _
my signature batow_. 1 codify to each of the following:
I am the proparty owr:er or authorized to act on the property owner's behalf, -
I have read this application and the information I have provided is correct..
I agrc2 to cormli withall applicable city and county ordinances and state laws relating to budding construction.
I au horize representatives of this city or county to enter the ove- enti led property for inspection purposes. 1 /
not vs of Property Owner cr Authorized Agent _ Print Property Owner's or Authorized Acent's Name � v Vr V Dale
AC. ION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND Ai RULE
P1.'0+4'r 1APW U
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I SUBMITTED ASRE5TO5 NOTIFICATION TO
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❑ ASBESTOS NOl'IF4CATlON IIS NOT AVFLIUBLE TO
PROPOSED DEMOLITION
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